ArticleJournal of Korean gerontological nursing2026
Hand hygiene adherence and associated factors among nursing staff in long-term care facilities: A cross-sectional study.
Article in Journal of Korean gerontological nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeDespite the critical importance of hand hygiene (HH) in long-term care facilities, research on adherence and its determinants in these settings remains scarce. This study examined HH adherence and its associated factors among nursing staff in long-term care facilities.
methodsThis cross-sectional study surveyed 128 nursing staff members (registered nurses, n=78; nurse assistants, n=50). Data were collected from 35 long-term care facilities across South Korea. HH adherence was calculated from self-reported HH performances and opportunities based on the WHO Five Moments, and HH perception and infrastructure were assessed using adapted WHO-based instruments.
resultsThe mean clinical experience of participants was 14.58±10.12 years. The HH adherence rate was 70.85%. The mean scores of HH perception and infrastructure were 73.41±11.65 out of 84 points and 32.42±5.18 out of 40 points, respectively. HH adherence was significantly associated with infrastructure (β=0.22, p=.042) and working in a specialized unit (β=0.22, p=.013).
conclusionThis study identified HH infrastructure quality and working in specialized units as significant factors associated with HH adherence among nursing staff in long-term care facilities. These findings suggest that strengthening HH infrastructure and considering unit-level working conditions may contribute to improved adherence. Facility-wide multimodal strategies that combine infrastructure improvement with ongoing education are recommended to sustain HH practices in long-term care settings. Future research should examine system-level and organizational factors using multilevel designs to further elucidate determinants of HH adherence in these settings.
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