Evidence map›Paper›PMID 38783870›Full record

ArticleInternational journal of nursing studies advances2024

Hand hygiene in emergencies: Multiprofessional perceptions from a mixed methods based online survey in Germany.

Stefan Bushuven, Michael Bentele, Stefanie Bentele, Milena Trifunovic-Koenig, Sven Lederle, Bianka Gerber, Joachim Bansbach, Julian Friebel, Julian Ganter, Irit Nachtigall and 1 more

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In one paragraph

Article in International journal of nursing studies advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Stefan BushuvenDepartment of Anesthesiology and Critical Care, Medical Center - University of Freiburg, Freiburg, Germany.
Michael BenteleTraining Center for Emergency Medicine (NOTIS e.V), Engen, Germany.
Stefanie BenteleTraining Center for Emergency Medicine (NOTIS e.V), Engen, Germany.
Milena Trifunovic-KoenigTraining Center for Emergency Medicine (NOTIS e.V), Engen, Germany.
Sven LederleSt Johns Ambulance, Local Association Singen am Hohentwiel, Singen, Germany.
Bianka GerberInstitute for Infection Control and Infection Prevention, Hegau-Jugendwerk Gailingen, Health Care Association District of Constance, Germany.
Joachim BansbachDepartment of Anesthesiology and Critical Care, Medical Center - University of Freiburg, Freiburg, Germany.
Julian FriebelEmergency Medical Services Department, Berlin Fire and Rescue Service, Berlin, Germany.
Julian GanterDepartment of Anesthesiology and Critical Care, Medical Center - University of Freiburg, Freiburg, Germany.
Irit NachtigallHelios, Region East Infectious Diseases and Antibiotic Stewardship and Medical School Berlin, Germany.
Simone ScheithauerDepartment of Infection Control and Infectious Diseases, University Medical Center Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Despite high vulnerability to infection, hand disinfection compliance in emergencies is low. This is regularly justified as the disinfection procedure delays life support, and instead, wearing disposable gloves is preferred. Simulation studies showed higher achievable compliance than detected in real-life situations. This study aimed to explore healthcare providers' attitudes toward hand disinfection and using gloves in emergencies. Methods: We conducted an anonymous online survey in Germany on the attitude and subjective behavior in the five moments of hand hygiene in a closed environment and an open convenience sampling survey. Statistics included paired student's Results: In 400 participants, we detected low priority of WHO-1 (before touching a patient) and WHO-2 (before clean/aseptic procedure) hand hygiene moments, despite knowing the risks of omission of hand disinfection. For all moments, self-assessment exceeded the assessment of colleagues ( Discussion: Considering bias, the study's subjective nature, the unknown role of emergency-related infections contributing to hospital-acquired infections, and different experiences of healthcare providers, we conclude that hand disinfection before emergencies is de-prioritized and justified by the emergency situation regardless of the objective feasibility. Conclusion: This study reveals subjective and objective barriers to implementation of WHO-1 and WHO-2 moments of hand disinfection to be further evaluated and addressed in educational programs.

Indexed as

Cardiac arrestCPREmergency departmentGlove disinfectionHand hygieneHeuristic errorLife supportNosocomial infectionOHCAOverconfidenceResuscitation

Identifiers

PMID38783870
PMCPMC11111829

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.