Evidence map›Paper›PMID 36348401›Full record

ArticleBMC health services research2022

Compliance with hand hygiene practices among nursing staff in secondary healthcare hospitals in Kuwait.

Sarah Al-Anazi, Nora Al-Dhefeery, Rawan Al-Hjaili, Awsaf Al-Duwaihees, Ahad Al-Mutairi, Reem Al-Saeedi, Retaj Al-Dhaen, Sara Al-Rabiah, Reem Sharaf-Alddin

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In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sarah Al-AnaziDepartments of a Community Medicine and Behavioral Science, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Nora Al-DhefeeryDepartments of a Community Medicine and Behavioral Science, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Rawan Al-HjailiDepartments of a Community Medicine and Behavioral Science, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Awsaf Al-DuwaiheesDepartments of a Community Medicine and Behavioral Science, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Ahad Al-MutairiDepartments of a Community Medicine and Behavioral Science, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Reem Al-SaeediDepartments of a Community Medicine and Behavioral Science, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Retaj Al-DhaenDepartments of a Community Medicine and Behavioral Science, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Sara Al-RabiahDepartments of a Community Medicine and Behavioral Science, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Reem Sharaf-AlddinCONARD, East Virginia Medical School, VA, Norfolk, USA. Sharafra@evms.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHand hygiene (HH) among healthcare workers, especially nurses, is the main preventive measure to control healthcare associated infections but compliance with hand hygiene (CwHH) remains low in various settings including Kuwait. This study aimed to assess the knowledge of, attitudes towards, and CwHH among nursing staff in secondary care hospitals in Kuwait.

methodsA cross-sectional study was conducted on nursing staff in all six secondary care hospitals in Kuwait. Data on knowledge of, attitudes towards, and self-reported CwHH were collected through a self-administered questionnaire that was developed based on WHO's questionnaire, while the data on actual compliance were objectively collected through direct observation of nurses during routine care by two independent observers using WHO's observation form.

resultsOf 829 nurses approached, 765 (92.2%) responded and participated. Of all participants, 524 (68.5%) were able to list "My Five Moments for Hand Hygiene" fully and appropriately. However, several misconceptions (e.g. air circulation in hospital is the main route of infection) about HH were found among the nurses. CwHH was (25.0%) by direct observation while self-reported compliance was (69.5%) each varied significantly (p < 0.001) between different hospitals. Female nurses compared to male nurses and non-Arab compared to Arab nationalities were more likely to report CwHH in multivariable analysis. Several items on knowledge of and attitudes towards HH were also associated with self-reported CwHH.

conclusionObserved CwHH among nursing staff in secondary care hospitals in Kuwait was low, which highlights the need to make more efforts to improve HH practices. Interventions that have been used elsewhere and found to be effective may be tested in Kuwait. Despite the good overall knowledge on HH among nurses, there are several misconceptions that need to be corrected.

Indexed as

Cross InfectionHand HygieneNursing StaffCross-Sectional StudiesDelivery of Health CareFemaleGuideline AdherenceHand DisinfectionHospitalsHumansKuwaitMaleComplianceHand hygieneMy 5 moments for hand hygieneNurse

Identifiers

PMID36348401
PMCPMC9640802

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.