The impact of workload on hygiene compliance in nursing
| Autor: | Martin Knoll, Christine Lautenschlaeger, Marianne Borneff-Lipp |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Health Knowledge
Attitudes Practice Time Factors Attitude of Health Personnel media_common.quotation_subject MEDLINE Workload Participant observation Nursing Staff Hospital Burnout Effect Modifier Epidemiologic Nursing Hygiene Germany Surveys and Questionnaires Intensive care Humans Medicine Infection control Prospective Studies Burnout Professional General Nursing media_common business.industry Professional development Nursing Evaluation Research Practice Guidelines as Topic Regression Analysis Guideline Adherence Factor Analysis Statistical business Hand Disinfection |
| Zdroj: | British Journal of Nursing. 19:S18-S22 |
| ISSN: | 2052-2819 0966-0461 |
| Popis: | The objective of this research was to clarify whether external factors (e.g. ward capacity, level of nursing intensity) had an influence on nursing staff compliance with hand hygiene guidelines. The study was conducted at a German hospital (450 beds). Quantitative data were collected prospectively in six trial phases (E1–E6) starting in June 2007 and ending in May 2008. Included in the study were ten hospital departments: four surgical wards, four internal medicine departments, and two interdisciplinary intensive care units. In six participant observation trials, nursing staff were monitored for the disinfection of hands. Narrative interviews were conducted immediately after the observation with those who did not disinfect their hands in accordance with national guidelines. Observations and interviews were unannounced, taking place at different times. The collected data was analysed on subsequent categorization after summarizing the core statements (content analysis). The statistical relevance of staff compliance to the rate of used ward capacity could be proved using a multifactorial regression model (P=0.011). Workload factors (e.g. maximum ward capacity, severity of patient cases) have an impact on staff compliance with hand hygiene guidelines, even where non-compliance contradicts the personal level of professional training. |
| Databáze: | OpenAIRE |
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