González-Gómez M, Gómez-Hernández B, Ayala GE, Vergara-Cuadros AG

Language: Spanish
References: 11
Page: 113-120
PDF size: 109.29 Kb.

ABSTRACT

Introduction: Nosocomial infections are a problem due to their high morbidity and mortality rates, increased social cost, hospital stay and treatment. It has been associated with hand hygiene. The problem is attitude? of habit? or habitus? In this work we noticed that the resistance to hand hygiene is a consequence of habits and habitus, not of attitude. Our purpose was to characterize the compliance of hand hygiene, its technique and five moments in operative personnel, scholarship holders, students and relatives, and their relationship with habit and habitus. Material and methods: Descriptive and transversal study, sample of 227 persons: staff nurses 79, resident physicians 55, staff physicians 27, Chief nurses 26, nurse students 10, seven nurse interns, five nurse supervisors, five patient family members, four nutritionists, three radiologists technicians, three psychologists, two orderlies and one internal undergraduate physician. By turns: morning 113, evening 41, night at 36 and night B 37. Collection with ID. Summary of data with percentage and presented in associated tables. Results: Nurses with greater attachment of hand hygiene: Head of Service (70%), intern (67%), ascribed (62%) and supervisor (60%). Increased resistance to hand grooming in resident physicians (35%) ascribed (43%). With 0% hand hygiene: Internal undergraduate physician (0%). Nutritionists, radiologists and psychologists. Increased patient family compliance (100%). Discussion: Resistance to hand hygiene is complex; attitude is not an issue, it is about habits and habitus. It was satisfactory that students and nurse interns, heads of floor and family have habits of hand hygiene, specially evening and evening shifts, young staff and new personnel. Conclusions: Resistance to hand hygiene is present, and it is an historical problem; blaming the attitude of the operating personnel seems naive. The solution can be found in promoting the habits and habitus of the personnel, especially with nurses.

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