Adesão e barreiras à prática de higienização das mãos entre profissionais na pandemia de COVID-19: revisão integrativa
DOI:
https://doi.org/10.17058/reci.v13i2.18397Palavras-chave:
Higiene de Mãos, COVID-19, Pessoal de Saúde, Pandemias, Assistência ao PacienteResumo
Justificativa e objetivos: adesão à prática de higienização das mãos permanece um desafio nos serviços de saúde, principalmente durante a pandemia de COVID-19. Essa medida preventiva necessita ser estimulada em todos os níveis de assistência para redução de agravos à saúde. Este artigo teve por objetivo identificar os motivos de adesão e principais barreiras à pratica de higienização das mãos entre profissionais de saúde durante a pandemia de COVID-19. Conteúdo: revisão integrativa, realizada nas bases de dados MEDLINE via PubMed, Scopus, Wiley Online Library, Index Medicus do Pacífico Ocidental, LILACS, IBECS, BDENF e SciELO. Para interpretação dos resultados, utilizou-se a perspectiva teórica de Nola Pender. A amostra foi constituída por 13 artigos, possibilitando a estratificação de seis temas: atitude e comportamento dos profissionais de saúde durante a pandemia; avaliação dos cinco momentos em hospitais no período pandêmico; disponibilidade, utilização e tipos de recursos; barreiras e facilitadores; adesão da equipe no antes e durante a pandemia de COVID-19; e qualidade da técnica e utilização de luvas diante da necessidade de higienização das mãos. Conclusão: a prática de higienização das mãos precisa ser ampliada e incentivada entre a equipe, visto que houve barreiras que dificultaram a adesão durante a pandemia de COVID-19.
Downloads
Referências
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
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 Andre Luiz Silva Alvim, Stéphany Ronconi Brey Gil Moreira, Suellen Cristina Dias Emidio, Fábio da Costa Carbogim, Vitória Cunha Magalhães
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
The author must state that the paper is original (has not been published previously), not infringing any copyright or other ownership right involving third parties. Once the paper is submitted, the Journal reserves the right to make normative changes, such as spelling and grammar, in order to maintain the language standard, but respecting the author’s style. The published papers become ownership of RECI, considering that all the opinions expressed by the authors are their responsibility. Because we are an open access journal, we allow free use of articles in educational and scientific applications provided the source is cited under the Creative Commons CC-BY license.