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Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea

Healthcare-associated infections are a serious burden globally. Few qualitative studies have explored healthcare workers’ knowledge, attitudes and practices of hand hygiene. Prior to the implementation of the World Health Organization’s Hand Hygiene Improvement Strategy at Faranah Regional Hospital...

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Autores principales: Douno, Moussa, Rocha, Carlos, Borchert, Matthias, Nabe, Ibrahima, Müller, Sophie Alice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021640/
https://www.ncbi.nlm.nih.gov/pubmed/36963021
http://dx.doi.org/10.1371/journal.pgph.0001581
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author Douno, Moussa
Rocha, Carlos
Borchert, Matthias
Nabe, Ibrahima
Müller, Sophie Alice
author_facet Douno, Moussa
Rocha, Carlos
Borchert, Matthias
Nabe, Ibrahima
Müller, Sophie Alice
author_sort Douno, Moussa
collection PubMed
description Healthcare-associated infections are a serious burden globally. Few qualitative studies have explored healthcare workers’ knowledge, attitudes and practices of hand hygiene. Prior to the implementation of the World Health Organization’s Hand Hygiene Improvement Strategy at Faranah Regional Hospital in the Upper Region of Guinea in December 2018, we conducted a qualitative baseline assessment of knowledge, attitudes and practices of hand hygiene among healthcare workers to guide future hand hygiene interventions. The qualitative study consisted of direct observations, In-Depth Interviews (IDIs) and Focus Group Discussions (FGDs). We found that the 2013–16 Ebola outbreak had had a pivotal impact on healthcare workers’ knowledge, attitudes and practices. The severity of the disease and the training provided for infection control were responsible for their knowledge acquisition and adoption of good attitudes and practices. However, negligence, resulting in poor hand hygiene practices, rose after the outbreak, once the “cue of fear” that had motivated workers for their own self-protection had waned. Our results suggest that local capacity building through training and availability of hand hygiene materials would be a sustainable approach to enhance hand hygiene culture at the hospital. Our study suggests that there is a need for a high and long-term commitment of authorities and healthcare workers at all levels for a sustainable hand hygiene culture.
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spelling pubmed-100216402023-03-17 Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea Douno, Moussa Rocha, Carlos Borchert, Matthias Nabe, Ibrahima Müller, Sophie Alice PLOS Glob Public Health Research Article Healthcare-associated infections are a serious burden globally. Few qualitative studies have explored healthcare workers’ knowledge, attitudes and practices of hand hygiene. Prior to the implementation of the World Health Organization’s Hand Hygiene Improvement Strategy at Faranah Regional Hospital in the Upper Region of Guinea in December 2018, we conducted a qualitative baseline assessment of knowledge, attitudes and practices of hand hygiene among healthcare workers to guide future hand hygiene interventions. The qualitative study consisted of direct observations, In-Depth Interviews (IDIs) and Focus Group Discussions (FGDs). We found that the 2013–16 Ebola outbreak had had a pivotal impact on healthcare workers’ knowledge, attitudes and practices. The severity of the disease and the training provided for infection control were responsible for their knowledge acquisition and adoption of good attitudes and practices. However, negligence, resulting in poor hand hygiene practices, rose after the outbreak, once the “cue of fear” that had motivated workers for their own self-protection had waned. Our results suggest that local capacity building through training and availability of hand hygiene materials would be a sustainable approach to enhance hand hygiene culture at the hospital. Our study suggests that there is a need for a high and long-term commitment of authorities and healthcare workers at all levels for a sustainable hand hygiene culture. Public Library of Science 2023-02-09 /pmc/articles/PMC10021640/ /pubmed/36963021 http://dx.doi.org/10.1371/journal.pgph.0001581 Text en © 2023 Douno et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Douno, Moussa
Rocha, Carlos
Borchert, Matthias
Nabe, Ibrahima
Müller, Sophie Alice
Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea
title Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea
title_full Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea
title_fullStr Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea
title_full_unstemmed Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea
title_short Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea
title_sort qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the who hand hygiene improvement strategy at faranah regional hospital, guinea
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021640/
https://www.ncbi.nlm.nih.gov/pubmed/36963021
http://dx.doi.org/10.1371/journal.pgph.0001581
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