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The hand hygiene compliance of student nurses during clinical placements

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Listed:
  • Jorun Sætre Sundal
  • Anne Grethe Aune
  • Eline Storvig
  • Jenny Kristin Aasland
  • Kaja Linn Fjeldsæter
  • Kirsti Torjuul

Abstract

Aims and objectives To observe student nurses’ overall and moment‐specific hand hygiene compliance during clinical placement. Background Hand hygiene is the single most important measure to prevent healthcare‐associated infections. However, research has shown low compliance among healthcare workers. During clinical placements, student nurses perform various nursing tasks and procedures to a large number of patients, requiring extensive patient contact. It is crucial that they practice correct hand hygiene to prevent healthcare‐associated infections. Design Open, standardised and nonparticipating observations. Methods Twenty‐nine student nurses were observed three times for 20 ± 10 min during clinical placement in a Norwegian university hospital. To measure compliance, we used WHO's Hand Hygiene Observation tool, based on the model “My five moments for hand hygiene”. Results Overall hand hygiene compliance in the student group was 83.5%. Highest moment‐specific compliance was after touching patient surroundings, after touching patients and after body fluid exposure risk. Lowest moment‐specific compliance was recorded before touching patients or patient surroundings, and before clean/aseptic procedures. Conclusions Nurse education needs to be improved both theoretically and during clinical placements in order to advance and sustain compliance among student nurses. Relevance to clinical practice Increasing healthcare workers’ compliance with hand hygiene guidelines remains a challenge to the clinical community. In order to reduce healthcare‐associated infections, it is important to educate student nurses to comply with the guidelines during clinical placements. Identifying student nurses’ hand hygiene performance is the first step towards developing teaching methods to improve and sustain their overall and moment‐specific compliance. As a measure to ensure student compliance during clinical placements, mentors should be aware of their influence on students’ performance, act as hand hygiene ambassadors, encourage students to comply with established guidelines and provide regular feedback.

Suggested Citation

  • Jorun Sætre Sundal & Anne Grethe Aune & Eline Storvig & Jenny Kristin Aasland & Kaja Linn Fjeldsæter & Kirsti Torjuul, 2017. "The hand hygiene compliance of student nurses during clinical placements," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4646-4653, December.
  • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:4646-4653
    DOI: 10.1111/jocn.13811
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    References listed on IDEAS

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    1. Jacqueline Randle & Joseph Firth & Natalie Vaughan, 2013. "An observational study of hand hygiene compliance in paediatric wards," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(17-18), pages 2586-2592, September.
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    1. María Gázquez-López & Encarnación Martínez-García & Adelina Martín-Salvador & María Adelaida Álvarez-Serrano & Inmaculada García-García & Rafael A. Caparros-Gonzalez & María Ángeles Pérez-Morente, 2021. "Posters as a Tool to Improve Hand Hygiene among Health Science Students: Case—Control Study," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    2. Suarez, Zea Maize S. & Oducado, Ryan Michael F. & Josue, Eric Lorenz C. & Gayoso, Treesha Llen C. & Ocate, Christy Anne L. & Lujan, Janelene Joy A., 2019. "Infection Control Practice on Vital Signs Equipment: A Survey Among Senior Nursing Students in Iloilo City, Philippines," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 7(2), pages 56-62.
    3. Borghild Løyland & Anne Marthe Peveri & Elisabeth Hessevaagbakke & Inger Taasen & Katrin Lindeflaten, 2020. "Students' observations of hand hygiene in nursing homes using the five moments of hand hygiene," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(5-6), pages 821-830, March.

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