Health  Vol.8 No.5 , March 2016
Hand Hygiene Knowledge, Practices and Attitudes among Nurses and Physicians
Abstract: Background: Hand hygiene is one of the most effective ways to control health care related infection. Nurses and physicians are the main health care workers contacting with patients, representing the vector in the chain of infection. Thus, assessing their knowledge, practice and attitudes regarding hand hygiene is very important to decrease the incidence of health care related infection and to improve quality of care. Aims: The aim is to assess the knowledge, practice and attitude of Palestinian physicians and nurses regarding hand hygiene in hospitals. Methods: The study adopted a cross-sectional, quantitative design. Nurses and doctors who worked in the major governmental and private hospitals in the West Bank (Palestine) were targeted. Data was collected using Hand Hygiene Questionnaire. Results: 200 nurses and physicians participated in this study. The results showed that the participants had a moderate knowledge regarding the hand hygiene (m = 6, SD = 1.7). They had a better attitude score than practice with a mean of 82.5 ± 8.8. There was a significant difference between male and female only in practice score (p = 0.015). Older participants had better attitudes, and private hospitals had significantly higher scores for compliance, importance of hand hygiene and practice than governmental hospitals (p < 0.05). Conclusion: The results of the current study showed that there was a further need to focus on the practices of hand hygiene by continuous education for both Palestinian nurses and physicians.
Cite this paper: Dreidi, M. , Alrimawi, I. , Saifan, A. and Batiha, A. (2016) Hand Hygiene Knowledge, Practices and Attitudes among Nurses and Physicians. Health, 8, 456-462. doi: 10.4236/health.2016.85048.

[1]   World Health Organization (2012) Hand Hygiene: WHO Highlights Importance of Good Hand Hygiene for Patient Safety.

[2]   Daugherty, E.L., et al. (2012) Safety Culture and Hand Hygiene: Linking Attitudes to Behavior. Infection Control, 33, 1280-1282.

[3]   World Health Organization (2009) Patient Safety: WHO Guidelines on Hand Hygiene in Health Care—First Global Patient Safety Challenge, Clean Care Is Safer Care. World Health Organization, Geneva.

[4]   Weber, D.J., Anderson, D. and Rutala, W.A. (2013) The Role of the Surface Environment in Healthcare-Associated Infections. Current Opinion in Infectious Diseases, 26, 338-344.

[5]   Ellingson, K., et al. (2014) Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene. Infection Control & Hospital Epidemiology, 35, 937-960.

[6]   World Health Organization (2014) Good Hand Hygiene by Health Workers Protects Patients from Drug Resistant Infections.

[7]   Rajcevic, S., et al. (2012) Knowledge, Habits and Attitudes of Health Care Workers about Hand Hygiene. HealthMed, 6, 1418-1423.

[8]   Kendall, A., et al. (2012) Point-of-Care Hand Hygiene: Preventing Infection behind the Curtain. American Journal of Infection Control, 40, S3-S10.

[9]   Hillier, M.D. (2015) How to Wash Your Hands Effectively. Nursing Standard, 30, 34-36.

[10]   Rao, M.H., et al. (2012) Assessment of Knowledge, Attitude and Practices Pattern of Hand Washing in Some Major Public Sector Hospitals of Pakistan (a Multi-Center Study). Pakistan Journal of Medical Research, 51, 76.

[11]   Centers for Disease Control and Prevention (2010) Hand Hygiene Saves Lives.

[12]   Gould, C.V., Umscheid, C.A., Agarwal, R.K., Kuntz, G., Pegues, D.A. and Healthcare Infection Control Practices Advisory Committee (HICPAC) (2010) Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009. Infection Control and Hospital Epidemiology, 31, 319-320.

[13]   Luby, S.P., Agboatwalla, M., Feikin, D.R., Painter, J., Billhimer, W., Altaf, A. and Hoekstra, R.M. (2005) Effect of Handwashing on Child Health: A Randomised Controlled Trial. The Lancet, 366, 225-233.

[14]   Baker, G., Norton, P.G., Flintoft, V., Blais, R., Brown, A., Cox, J., et al. (2004) The Canadian Adverse Events Study: The Incidence of Adverse Events among Hospital Patients in Canada. Canadian Medical Association Journal, 170, 1678-1686.

[15]   Lin, H.-L., Yang, L.-Y. and Lai, C.-C. (2014) Factors Associated with Hand Hygiene Compliance among Critical Care Nurses. Infection Control, 35, 329-330.

[16]   Van De Mortel, T.F., Kermode, S., Progano, T. and Sansoni, J. (2012) A Comparison of the Hand Hygiene Knowledge, Beliefs and Practices of Italian Nursing and Medical Students. Journal of Advanced Nursing, 68, 569-579.

[17]   Polit, D.F. and Beck, C.T. (2004) Nursing Research: Principles and Methods. Seventh Edition, Lippincott Williams & Wilkins, Philadelph-ia.

[18]   Creswell, J.W. (2013) Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Second Edition, Sage Publications, Thousand Oaks.

[19]   Brown, S. (1987) Drop and Collect Surveys: A Neglected Research Technique. Marketing Intelligence and Planning, 5, 19-23.

[20]   Baker, M. (2003) Business and Management Research: How to Complete Your Research Project Successfully. Westburn Publishers Ltd., Helens-burgh.

[21]   Nair, S.S., Hanumantappa, R., Hiremath, S.G., Siraj, M.A. and Raghunath, P. (2014) Knowledge, Attitude, and Practice of Hand Hygiene among Medical and Nursing Students at a Tertiary Health Care Centre in Raichur, India. ISRN Preventive Medicine, 2014, Article ID: 608927.

[22]   Abd Elaziz, K. and Bakr, I.M. (2015) Assessment of Knowledge, Attitude and Practice of Hand Washing among Health Care Workers in Ain Shams University Hospitals in Cairo. Journal of Preventive Medicine and Hygiene, 50, 19-25.