Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hand Hygiene Beliefs and Practices Conditions of Nurses in the Intensive Care Unit: Descriptive Study
Yoğun Bakım Ünitesindeki Hemşirelerin El Hijyeni İnançları ve Uygulama Durumları: Tanımlayıcı Çalışma
Zühal ARTUVANa, Hacer ÇETİNb
aInfection Control Unit, Mersin Toros State Hospital, Mersin, Türkiye
bDepartment of Child Health and Diseases Nursing, Mersin University Faculty of Nursing, Mersin, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(2):407-14
doi: 10.5336/nurses.2021-85041
Article Language: EN
Full Text
ABSTRACT
 Objective: The research was carried out to determine the beliefs and practices of nurses working in the intensive care unit (ICU) about hand hygiene. Material and Methods: The research is crosssectional and descriptive and was conducted between October 2019 and January 2020, with nurses working in the mixed ICU of a state hospital, the pediatric and neonatal care units of a city hospital and a university hospital. One hundred thirty-nine nurses working in the ICU and willing to participate in the study were included in the study. Personal Information Form, Hand Hygiene Belief Scale and Practice Inventory were used in the research. In the evaluation of the data, number, percentage, mean, t-test and one-way ANOVA, Mann-Whitney U and Kruskall-Wallis tests were used. Results: Nurses' hand hygiene belief score was 87.34±9.73, and practice score was 67.42±4.98. It has been determined that female nurses and nurses between the ages of 31-40 have high hand hygiene belief and practice scores. A significant difference was found between gender, age and hand hygiene belief score. It was found that the hand hygiene belief and practice score of the nurses who graduated from undergraduate and higher education were higher. It was determined that those who received hand hygiene training had higher positive attitudes (p=0.016). The lowest practice score was formed after the invasive procedure (4.64±0.69), after entering the isolation room (4.64±0.75) and after contact with the patient's secretions (4.64±0.74). Conclusion: It has been determined that nurses generally have a positive attitude and practice hand hygiene. Even if it is stated that hand hygiene is done, it is important to transform it into behavior. Hand hygiene observations and training should be done continuously, compliance should be further increased, especially after contact with the patient and patient's secretions. Institutions should develop and maintain multifaceted strategies to increase hand hygiene compliance.

Keywords: Beliefs; hand hygiene; intensive care unit; nurse; practices
ÖZET
 Amaç: Bu çalışma, yoğun bakım ünitesinde (YBÜ) çalışan hemşirelerin, el hijyenine olan inançlarını ve uygulama durumlarını belirlemek amacıyla gerçekleştirilmiştir. Gereç ve Yöntemler: Araştırma kesitsel ve tanımlayıcı tipte olup, Ekim 2019 ve Ocak 2020 tarihleri arasında, bir devlet hastanesinin karma yoğun bakım, bir şehir hastanesi ve bir üniversite hastanesinin çocuk ve yenidoğan bakım ünitelerinde çalışan hemşireler ile gerçekleştirilmiştir. Yoğun bakımda çalışan ve araştırmaya katılmak isteyen 139 hemşire, araştırmaya dâhil edilmiştir. Araştırmada; Kişisel Bilgi Formu, El Hijyeni İnanç Ölçeği ve Uygulama Envanteri kullanılmıştır. Verilerin değerlendirilmesinde; sayı, yüzde, ortalama, t-test ve one-way ANOVA, Mann-Whitney U ve Kruskall-Wallis testleri kullanılmıştır. Bulgular: Hemşirelerin el hijyeni inanç puanı 87,34±9,73, uygulama puanı ise 67,42±4,98 olarak bulunmuştur. Kadın hemşirelerin ve 31-40 yaş arasındaki hemşirelerin; el hijyeni, inanç ve uygulama puanlarının yüksek olduğu belirlenmiştir. Cinsiyet, yaş ile el hijyeni inanç puanı arasında anlamlı farklılık bulunmuştur. Lisans ve üzeri mezun hemşirelerin, el hijyeni inancı ve uygulama puanı daha yüksek bulunmuştur. El hijyeni eğitimi alanların daha yüksek pozitif tutuma sahip oldukları belirlenmiştir (p=0,016). En düşük uygulama puanını invaziv işlem sonrası (4,64±0,69), izolasyon odasına girdikten sonra (4,64±0,75) ve hastanın vücut sıvıları ile temastan sonra (4,64±0,74) yapılan işlemler oluşturmuştur. Sonuç: Hemşirelerin genel olarak pozitif tutuma sahip oldukları, el hijyeni uygulamalarını yaptıkları belirlenmiştir. El hijyeni yapıldığı ifade edilse de bunun davranışa dönüştürülmesi önemlidir. El hijyeni gözlemleri ve eğitimleri sürekli yapılmalı, özellikle hastayla ve vücut sıvıları ile temas sonrası uyum daha da yükseltilmelidir. Kurumlar, el hijyeni uyumunu yükseltecek çok yönlü stratejiler geliştirmeli ve sürdürmelidir.

Anahtar Kelimeler: İnançlar; el hijyeni; yoğun bakım ünitesi; hemşire; uygulama
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