Hand hygiene is a simple and low-cost practice to prevent the spread of many micro-organisms that cause healthcare-associated infections.
This is a descriptive study designed to investigate the compliance of patient companions and visitors with hand hygiene.
The study included 209 companions and visitors of patients hospitalized in a university hospital in the west of Turkey. A demographics and hand hygiene questionnaire and a hand hygiene practice observation form were used to acquire data.
Of the patient companions and visitors, 96.2% stated that they did not receive training on the importance of handwashing during their stay in the hospital, and 74.6% stated that handwashing was very important in the prevention of diseases. The patient families reported that they most often washed their hands after touching bodily fluids (91.7%), and that they rarely washed their hands before touching a patient (34.0%). The rates were decreased in the observations; the lowest rate for handwashing was before touching a patient (22.4%) and the highest rate for handwashing was after the risk for contamination with body fluids of the patient (68.6%).
The patient companions and visitors received no training on the importance of hand hygiene during the hospital stay, and the observed rate of compliance with hand hygiene was lower than stated. Recommendations include delivering planned handwashing training to patient companions and visitors using different teaching methods, and to conduct longer observational studies.
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- Infection prevention and control during health care when COVID-19 is suspected.2020 (Available at:)[last accessed December 2021])
- Infection control – a problem for patient safety.N Engl J Med. 2003; 348: 651-656
- WHO guidelines on hand hygiene in healthcare: first global patient safety challenge; clean care is safer care.2009 (Available at:)[last accessed April 2023])
- Healthcare associated infections (HAI) perspectives.J Infect Public Health. 2014; 7: 339-344
- Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries.J Hosp Infect. 2017; 96: 1-15
- Türkiye Sağlık Hizmeti İle İlişkili Enfeksiyonları Önleme Ve Kontrol Programı 2019–2024.Sağlık Bakanlığı Yayını, Ankara2019
- Report on the burden of endemic health care-associated infection worldwide. 40. WHO Library Cataloguing-in-Publication Data, 2011
- Nudging hand hygiene compliance: a large-scale field experiment on hospital visitors.J Hosp Infect. 2021; 118: 63-69
- Role of hand hygiene in healthcare associated infection prevention.J Hosp Infect. 2009; 73: 305-315
- Handwashing adherence by visitors is poor: is there a simple solution?.Am J Infect Control. 2013; 41: 928e9
World Health Organization. Hand hygiene: why, how & when? 2009. Available at: https://www.who.int/gpsc/5may/Hand_Hygiene_Why_How_and_When_Brochure.pdf [last accessed December 2021].
- Patient, family, and visitor hand hygiene knowledge, attitudes, and practices at pediatric and maternity hospitals: a descriptive study.Am J Infect Control. 2021; 49: 1000-1007
- Systematic patients’ hand disinfection: impact on meticillin-resistant Staphylococcus aureus infection rates in a community hospital.J Hosp Infect. 2010; 75: 269-272
- Patient participation in hand hygiene among health professionals.Rev Brasil Enferm. 2018; 71: 259-264
- Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs.Infect Control Hosp Epidemiol. 2011; 32: 101-114
- Hand hygiene and the novel coronavirus pandemic: the role of healthcare workers.J Hosp Infect. 2020; 105: 776-777
- Can educational speech intervention improve visitors’ hand hygiene compliance?.J Hosp Infect. 2020; 104: 414-418
- A quality improvement initiative for improving hospital visitor hand hygiene.J Hosp Infect. 2019; 101: 422e3
- Hand hygiene compliance among visitors at a long-term care hospital in Korea: a covert observation study.J Korean Acad Commun Health Nurs. 2019; 30: 99-107
- Four moments for healthcare facility visitor hand hygiene.Am J Infect Control. 2020; 48: 1412-1413
- Improving children’s and their visitors’ hand hygiene compliance.J Infect Prev. 2020; 21: 60-67
- Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review.J Hosp Infect. 2016; 93: 159-163
- Hand hygiene compliance of patients’ family members in India: importance of educating the unofficial ‘fourth category’ of healthcare personnel.J Hosp Infect. 2020; 104: 425-429
- Utilizing behavioral theories to explain hospital visitors’ observed hand hygiene behavior.Am J Infect Control. 2021; 49: 912-918
Published online: April 21, 2023
Accepted: April 15, 2023
Received: February 4, 2023
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