Hand hygiene by the nursing team in home care: a cross-sectional study.

Autor:	Cordeiro JFC; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil., Menegueti MG; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil., Laus AM; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil., Tipple AFV; Universidade Federal do Goiás, Faculdade de Enfermagem, Goiânia, GO, Brazil., Santana RC; Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Clínica Médica, Ribeirão Preto, SP, Brazil., Canini SRMDS; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista da Escola de Enfermagem da U S P [Rev Esc Enferm USP] 2021 Oct 01; Vol. 55, pp. e20210104. Date of Electronic Publication: 2021 Oct 01 (Print Publication: 2021).
DOI:	10.1590/1980-220X-REEUSP-2021-0104
Abstrakt:	Objective: to identify whether nursing professionals carry out hand hygiene, how they do it, and what resources are available for this practice during home visits. Method: cross-sectional study conducted in a public Home Care service. The World Health Organization instrument was used to observe the hand hygiene technique, the time of performance, and the product used. Results: a total of 940 hand hygiene opportunities taking place in 231 home visits were observed. Overall adherence was 14.4%, with the practice of hand hygiene being higher after contact with the patient (53.7%). Before aseptic procedures, after risk/exposure to body fluids, after contact with the patient's environment, and before contact with the patient, adherence was 0.4%. Regarding the quality of the technique, in none of the 135 practices the recommended steps were followed. As for the structure available in the households, 35 (15.2%) had accessible sinks and none had liquid soap and alcohol-based formulation. Conclusion: adherence to hand hygiene by nursing professionals in home care was low, the technique was not performed, and households did not have resources for the practice.
Databáze:	MEDLINE
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