Compliance and barriers to hand hygiene practice among professionals during the COVID-19 pandemic: an integrative review

Authors

DOI:

https://doi.org/10.17058/reci.v13i2.18397

Keywords:

Higiene de Mãos, COVID-19, Pessoal de Saúde, Pandemias, Assistência ao Paciente

Abstract

Background and objectives: compliance and barriers to hand hygiene practice remains a challenge in health services, especially during the COVID-19 pandemic. This preventive measure needs to be encouraged at all levels of care to reduce health problems. This article aimed to identify the reasons for compliance and main barriers to hand hygiene practice among health professionals during the COVID-19 pandemic. Content: an integrative review, performed in the MEDLINE via PubMed, Scopus, Wiley Online Library, Western Pacific Region Index Medicus, LILACS, IBECS, BDENF and SciELO databases. To interpret the results, Nola Pender’s theoretical perspective was used. The sample consisted of 13 articles, allowing the stratification of six themes: health professionals’ attitude and behavior during the pandemic; assessment of the five moments in hospitals during the pandemic period; availability, use and types of resources; barriers and facilitators; team compliance before and during the COVID-19 pandemic; and technique quality and glove use considering the need for hand hygiene. Conclusion: hand hygiene practice needs to be expanded and encouraged among team members, as there were barriers that hindered compliance during the COVID-19 pandemic.

Downloads

Download data is not yet available.

Author Biography

Andre Luiz Silva Alvim, Universidade Federal de Juiz de Fora

Professor Adjunto da Universidade Federal de Juiz de Fora (UFJF). Doutor e Mestre em Enfermagem pela Universidade Federal de Minas Gerais. Especialista em Controle de Infecção. MBA em Auditoria e Gestão da Qualidade. 

References

Oliveira AC, Lucas TC, Iquiapaza RA. What has the covid-19 pandemic taught us about adopting preventive measures? Texto Contexto Enferm. 2020;29:e20200106. https://doi.org/10.1590/1980-265X-TCE-2020-0106

Liu J, Liao X, Qian S, et al. Community Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, Shenzhen, China, 2020. Emerg Infect Dis. 2020;26(6):1320-3. http://dx.doi.org/10.3201/eid2606.200239

World Health Organization. Operational Planning Guidance to Support Country Preparedness and Response [Internet]. 2020 [cited Jan. 05, 2023]. Available from: https://www.who.int/publications/i/item/draft-operational-planning-guidance-for-un-country-teams.

Carvalho AAG, Aidar ALS, Santos BC, et al. Recommendations for use of personal protective equipment (PPE) in surgical procedures during the SARS-Cov pandemic. J Vasc Bras. 2021;20. https://doi.org/10.1590/1677-5449.200044

Teixeira CFS, Soares CM, Souza EA, et al. A saúde dos profissionais de saúde no enfrentamento da pandemia de Covid-19. Cienc Saúde Coletiva 2020;25(9). https://doi.org/10.1590/1413-81232020259.19562020

Gammon J, Hunt J. COVID-19 and hand hygiene: the vital importance of hand drying. Br J Nurs. 2020;29(17):1003-6. https://doi.org/10.12968/bjon.2020.29.17.1003

Wu AW, Sax H, Letaief M, et al. COVID-19: The dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-41. https://doi.org/10.1177/2516043520957116

Rosenberg K. Hand hygiene compliance decreases as workload increases. Am J Nurs. 2023;123(1):56-7. https://doi.org/10.1097/01.NAJ.0000911548.95785.19

Boyce JM. Hand hygiene, an update. Infect Dis Clin North Am. 2021;35(3):553-73. https://doi.org/10.1016/j.idc.2021.04.003

Soares CB, Hoga LAK, Peduzzi M, et al. Integrative review: concepts and methods used in nursing. Rev Esc Enferm USP. 2014;48(2):335-45. https://doi.org/10.1590/S0080-6234201400002000020

Fuchs SC, Paim BS. Meta-analysis and systematic review of observational studies. Rev HCPA [Internet]. 2010 [cited Jan. 05, 2023];30(3). Available from: https://lume.ufrgs.br/handle/10183/157837

Eriksen MB, Frandsen TF. The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. J Med Libr Assoc. 2018;106(4):420-31. https://doi.org/10.5195/jmla.2018.345

Galvão CM. Evidence hierarchies [Editorial]. Acta Paul Enferm. 2006;19(2):5-5. https://doi.org/10.1590/S0103-2100200600020000120

Pender NJ, Murdaugh CL, Parsons MA. Health Promotion in Nursing Practice. United States of America: Pearson Education; 2015.

Sandbøl SG, Glassou EN, Ellermann-Eriksen S, et al. Hand hygiene compliance among healthcare workers before and during the COVID-19 pandemic. Am J Infect Control. 2022;50(7):719-23. https://doi.org/10.1016/j.ajic.2022.03.014

Casaroto E, Generoso JR, Tofaneto BM, et al. Hand hygiene performance in an intensive care unit before and during the COVID-19 pandemic. Am J Infect Control. 2022;50(5):585-7. https://doi.org/10.1016/j.ajic.2022.01.018

Sandbekken IH, Hermansen Å, Utne I, et al. Students' observations of hand hygiene adherence in 20 nursing home wards, during the COVID-19 pandemic. BMC Infect Dis. 2022;22(1):156. ttps://doi.org/10.1186/s12879-022-07143-6

Barcenilla-Guitard M, Espart A. Influence of Gender, Age and Field of Study on Hand Hygiene in Young Adults: A Cross-Sectional Study in the COVID-19 Pandemic Context. Int J Environ Res Public Health. 2021;18(24):13016. https://doi.org/10.3390/ijerph182413016

Keleb A, Ademas A, Lingerew M, et al. Prevention practice of COVID-19 using personal protective equipment and hand hygiene among healthcare workers in public hospitals of South Wollo Zone, Ethiopia. Front Public Health. 2021;9:782705. https://doi.org/10.3389/fpubh.2021.782705

Wang S, Li LZ, van Antwerpen N, et al. Hand Hygiene and Mask-Wearing Practices during COVID-19 among Healthcare Workers: Misinformation as a Predictor. Am J Trop Med Hyg. 2021;105(6):1483-9. https://doi.org/10.4269/ajtmh.21-0463

Berman L, Kavalier M, Gelana B, et al. Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia. PLoS One. 2021;16(10):e0258662. https://doi.org/10.1371/journal.pone.0258662

Arriba-Fernández A, Molina-Cabrillana MJ, Serra Majem L. Evaluación de la adherencia a la higiene de manos en profesionales sanitarios en un hospital de tercer nivel en relación con la pandemia de SARS-CoV-2. Rev Esp Quimioter. 2021;34(3):214-9. https://doi.org/10.37201/req/150.2020

Huang F, Armando M, Dufau S, et al. COVID-19 outbreak and healthcare worker behavioural change toward hand hygiene practices. J Hosp Infect. 2021;111:27-34. https://doi.org/10.1016/j.jhin.2021.03.004

Zhou Q, Lai X, Wan Z, et al. Impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers during the COVID-19 pandemic. Nurs Open. 2021;8(5):2551-7. https://doi.org/10.1002/nop2.78

Vatan A, Güçlü E, Öğütlü A, et al. Knowledge and attitudes towards COVID-19 among emergency medical service workers. Rev Assoc Med Bras. 2020;66(11). https://doi.org/10.1590/1806-9282.66.11.1553

Roshan R, Feroz AS, Rafique Z, et al. Rigorous hand hygiene practices among health care workers reduce hospital-associated infections during the COVID-19 pandemic. J Prim Care Community Health. 2020;11(1):23-35. https://doi.org/10.1177/215013272094333

Derksen C, Keller FM, Lippke S. Obstetric healthcare workers' adherence to hand hygiene recommendations during the COVID-19 pandemic: observations and social-cognitive determinants. Appl Psychol Health Well Being. 2020;12(4):1286-1305. https://doi.org/10.1111/aphw.12240

Montgomery MP, Carry MG, Garcia-Williams AG, et al. Hand hygiene during the COVID-19 pandemic among people experiencing homelessness-Atlanta, Georgia, 2020. J Community Psychol. 2021;49(7):2441-2453. https://doi.org/10.1002/jcop.22583

Hillier MD. Using effective hand hygiene practice to prevent and control infection. Nurs Stand. 2020;35(5):45-50. https://doi.org/10.7748/ns.2020.e11552

Lotfinejad N, Peters A, Tartari E, et al. Hand hygiene in health care: 20 years of ongoing advances and perspectives. Lancet Infect Dis. 2021;21(8):e209-e221. https://doi.org/10.1016/S1473-3099(21)00383-2

Alvim ALS, Couto BRGM, Gazzinelli A. Qualidade dos programas de controle de infecção hospitalar: revisão integrativa. Rev Gaucha Enferm. 2020;41:e20190360. http://dx.doi.org/10.1590/1983-1447.2020.20190360

Published

2023-07-31

How to Cite

Alvim, A. L. S., Moreira, S. R. B. G., Emidio, S. C. D., Carbogim, F. da C., & Magalhães, V. C. (2023). Compliance and barriers to hand hygiene practice among professionals during the COVID-19 pandemic: an integrative review. Revista De Epidemiologia E Controle De Infecção, 13(2). https://doi.org/10.17058/reci.v13i2.18397

Issue

Section

REVIEW ARTICLE