Healthcare Workers’ Knowledge and Attitudes Regarding the World Health Organization’s “My 5 Moments for Hand Hygiene”: Evidence From a Vietnamese Central General Hospital
Open Access
- 31 July 2020
- journal article
- Published by Korean Society for Preventive Medicine in Journal of Preventive Medicine & Public Health
- Vol. 53 (4), 236-244
- https://doi.org/10.3961/jpmph.19.319
Abstract
Although the World Health Organization (WHO) initiative "My 5 Moments for Hand Hygiene" has been lauded as effective in preventing hospital-associated infections, little is known about healthcare workers (HCWs)' hand hygiene behavior. In this study, we sought to assess knowledge and attitudes towards the concepts in this initiative, as well as associated factors, among Vietnamese HCWs at a general hospital. A structured questionnaire was administered to HCWs at a central Vietnamese general hospital in 2015. Multiple logistic regression analysis was used to identify factors associated with HCWs' knowledge and attitudes towards hand hygiene. Of 120 respondents, 65.8% and 67.5% demonstrated appropriate knowledge and a positive attitude, respectively, regarding all 5 hand hygiene moments. Logistic regression indicated better knowledge of hand hygiene in workers who were over 30 years old, who were direct HCWs (rather than managers), who had frequent access to clinical information, and who received their clinical information from training. Those who worked in infectious and tropical disease wards, who had frequent access to clinical information, and who received information from training were more likely to have a positive attitude towards hand hygiene than their counterparts. Although many Vietnamese HCWs displayed moderate knowledge and positive attitudes towards the WHO hand hygiene guidelines, a key gap remained. Regular education and training programs are needed to increase knowledge and to improve attitudes and practices towards hand hygiene. Furthermore, a combination of multimodal strategies and locally-adapted interventions is needed for sustainable hand hygiene adherence.Keywords
This publication has 26 references indexed in Scilit:
- Hand hygiene-related clinical trials reported since 2010: a systematic reviewJournal of Hospital Infection, 2015
- Cost-effectiveness of a hand hygiene program on health care–associated infections in intensive care patients at a tertiary care hospital in VietnamAmerican Journal of Infection Control, 2015
- Nurses' Knowledge Regarding Hand Hygiene and Its Individual and Organizational Predictors2015
- Efficacy of interventions to improve hand hygiene compliance in neonatal units: a systematic review and meta-analysisEuropean Journal of Clinical Microbiology & Infectious Diseases, 2015
- Beginning the journey of hand hygiene compliance monitoring at a 2,100-bed tertiary hospital in VietnamAmerican Journal of Infection Control, 2014
- Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, EthiopiaInfection Control & Hospital Epidemiology, 2013
- Hand Hygiene Behavior: Translating Behavioral Research into Infection Control PracticeInfection Control & Hospital Epidemiology, 2013
- Global implementation of WHO's multimodal strategy for improvement of hand hygiene: a quasi-experimental studyThe Lancet Infectious Diseases, 2013
- A Point-Prevalence Study on Healthcare-Associated Infections in Vietnam: Public Health ImplicationsInfection Control & Hospital Epidemiology, 2011
- The power of vivid experience in hand hygiene complianceJournal of Hospital Infection, 2009