Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia
Background: Hand hygiene (HH) is the simplest and most effective way to reduce the incidence of healthcare-associated infections (HCAIs). Methods: This cross-sectional study aimed to determine factors associated with self-reported HH performance among nurses at Kelantan tertiary care hospitals. A sa...
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doaj-550016c9e064428ab97efa78a22acdf92021-01-08T00:00:27ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-01-011840940910.3390/ijerph18020409Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast MalaysiaMohamad Hazni Abd Rahim0Mohd Ismail Ibrahim1Siti Suraiya Md Noor2Norhana Mohamed Fadzil3Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, MalaysiaDepartment of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, MalaysiaDepartment of Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, MalaysiaHead of Medical Quality Unit, Kelantan State Health Department, Kota Bharu 15590, MalaysiaBackground: Hand hygiene (HH) is the simplest and most effective way to reduce the incidence of healthcare-associated infections (HCAIs). Methods: This cross-sectional study aimed to determine factors associated with self-reported HH performance among nurses at Kelantan tertiary care hospitals. A sample of 438 registered nurses was selected through a stratified random sampling method. Self-reported HH performance was assessed using a validated WHO self-administered HH knowledge and perception questionnaire for healthcare workers. Results: A multiple linear regression analysis was performed to identify the predictors. The factors that significantly predicted self-reported HH performance among nurses included perception score (beta coefficient (β) = 0.260; 95% CI: 0.200, 0.417; <i>p</i> < 0.001), pediatric department (β = −0.104; 95% CI: −9.335, −2.467; <i>p</i> < 0.001), and orthopedic department (β = −5.957; 95% CI: −9.539, −0.720; <i>p</i> < 0.023), adjusted R<sup>2</sup> = 0.102; <i>p</i> < 0.001. Nurses with a strong perception and belief in HH were more likely to have better HH performance. Compared to pediatric and orthopedic, surgical departments were associated with better self-reported HH performance. Conclusions: This study showed the importance of factors that could improve the intervention’s performance in HH strategy. Lack of perception and HH program intervention in departments engaged in patient care could lead to poor HH practices, thus increasing HCAIs and antimicrobial resistance (AMR).https://www.mdpi.com/1660-4601/18/2/409predictorsself-reported performancehand hygienenursestertiary care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohamad Hazni Abd Rahim Mohd Ismail Ibrahim Siti Suraiya Md Noor Norhana Mohamed Fadzil |
spellingShingle |
Mohamad Hazni Abd Rahim Mohd Ismail Ibrahim Siti Suraiya Md Noor Norhana Mohamed Fadzil Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia International Journal of Environmental Research and Public Health predictors self-reported performance hand hygiene nurses tertiary care |
author_facet |
Mohamad Hazni Abd Rahim Mohd Ismail Ibrahim Siti Suraiya Md Noor Norhana Mohamed Fadzil |
author_sort |
Mohamad Hazni Abd Rahim |
title |
Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia |
title_short |
Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia |
title_full |
Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia |
title_fullStr |
Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia |
title_full_unstemmed |
Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia |
title_sort |
predictors of self-reported hand hygiene performance among nurses at tertiary care hospitals in east coast malaysia |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-01-01 |
description |
Background: Hand hygiene (HH) is the simplest and most effective way to reduce the incidence of healthcare-associated infections (HCAIs). Methods: This cross-sectional study aimed to determine factors associated with self-reported HH performance among nurses at Kelantan tertiary care hospitals. A sample of 438 registered nurses was selected through a stratified random sampling method. Self-reported HH performance was assessed using a validated WHO self-administered HH knowledge and perception questionnaire for healthcare workers. Results: A multiple linear regression analysis was performed to identify the predictors. The factors that significantly predicted self-reported HH performance among nurses included perception score (beta coefficient (β) = 0.260; 95% CI: 0.200, 0.417; <i>p</i> < 0.001), pediatric department (β = −0.104; 95% CI: −9.335, −2.467; <i>p</i> < 0.001), and orthopedic department (β = −5.957; 95% CI: −9.539, −0.720; <i>p</i> < 0.023), adjusted R<sup>2</sup> = 0.102; <i>p</i> < 0.001. Nurses with a strong perception and belief in HH were more likely to have better HH performance. Compared to pediatric and orthopedic, surgical departments were associated with better self-reported HH performance. Conclusions: This study showed the importance of factors that could improve the intervention’s performance in HH strategy. Lack of perception and HH program intervention in departments engaged in patient care could lead to poor HH practices, thus increasing HCAIs and antimicrobial resistance (AMR). |
topic |
predictors self-reported performance hand hygiene nurses tertiary care |
url |
https://www.mdpi.com/1660-4601/18/2/409 |
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