Creedon, S.A. et al (2008) Hand hygiene compliance: exploring variations in practice between hospitals. Nursing Times; 104: 49, 32-35.Background:
The issue of ‘centre’ or ‘hospital’ as an independent variable has not been studied extensively in healthcare workers' hand-hygiene practices.Aim:
To investigate healthcare workers' compliance with hand-hygiene guidelines in four acute-care hospitals in Ireland and to examine factors that contributed to non-compliance.Method:
Data collectors observed healthcare workers in four hospitals.Results:
Data (n=1,737 observations) was drawn from a random sample of nurses, doctors, physiotherapists and HCAs (n=280 staff). Findings revealed that the individual hospital has a significant impact. Multivariate logistic regression analysis showed healthcare workers in centre 4 had a significantly higher likelihood of non-compliance than those in all other centres (p=0.003), irrespective of gender, discipline or area of work.Conclusion:
The findings make an important contribution to the study of healthcare workers' hand-hygiene behaviour and control of healthcare-associated infections. A possible explanation of the results may be related to variations in organisational support and hospital culture.