A Competency-based Approach to Promoting Effective Hand Hygiene in Longterm Care Facilities

Un enfoque basado en la competencia para promover la higiene de las manos eficaz en los centros de atención a largo plazo

Uma abordagem baseada na competência para promover a higiene das mãos ecaz em centros de atenção em longo prazo

  • Daniel A Nnate Department of Nursing and Community Health. School of Health and Life Sciences. Glasgow Caledonian University (Glasgow, United Kingdom)
Palabras clave: Higiene de manos, Infección asociada a la atención sanitaria, Prevención de infecciones, Cuidados de larga duración, Servicios sanitarios preventivos
Key-words: Hand hygiene, Healthcare-associated infection, Infection prevention, Long-term care, Preventive health services
Palavras chave: Higiene de mãos, Infeção associada à atenção sanitária, Prevenção de infeções, Cuidados de longa duração, Serviços sanitários preventivos





1. Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Aging with multimorbidity: A systematic review of the literature. Ageing Res Rev. 2011;10(4):430-9. doi: 10.1016/j.arr.2011.03.003
2. Nucleo E, Caltagirone M, Marchetti VM, D’Angelo R, Fogato E, Confalonieri M, et al. Colonization of long-term care facility residents in three Italian Provinces by multidrug-resistant bacteria. Antimicrob Resist Infect Control. 2018;7(1):33. doi: 10.1186/s13756-018-0326-0
3. Price LB, Hungate BA, Koch BJ, Davis GS, Liu CM. Colonizing opportunistic pathogens (COPs): e beasts in all of us. PLoS Pathog. 2017;13(8):e1006369. doi: 10.1371/journal.ppat.1006369.
4. Nguyen LKN, Megiddo I, Howick S. Challenges of infection prevention and control in Scottish long-term care facilities. Infect Control Hosp Epidemiol. 2020;41(8):943-5. doi: 10.1017/ice.2020.113
5. Hossain MM, Mazumder H, Tasnim S, Nuzhath T, Sultana A. Geriatric Health in Bangladesh during COVID-19: Challenges and Recommendations. J Gerontol Soc Work. 2020;63(6-7):724-7. doi: 10.1080/01634372.2020.1772932.
6. Kadri A, Rapaport P, Livingston G, Cooper C, Robertson S, Higgs P. Care workers, the unacknowledged persons in person-centred care: A secondary qualitative analysis of UK care home staff interviews. PLoS One. 2018;13(7):e0200031. doi: 10.1371/journal.pone.0200031
7. Centers for Disease Control and Prevention. Nursing Homes and Assisted Living (Long-term Care Facilities [LTCFs]) [Internet]. National Center for Emerging and Zoonotic Infectious Diseases (NCEZID). 2020. Available from: https://www.cdc.gov/longtermcare/index.html (accessed 2021 Dec 31).
8. Burnett E. Outcome competences for practitioners in infection prevention and control: Infection prevention society and competency steering group. J Infect Prev. 2011;12(2):67-90. doi: 10.1177/1757177410395797
9. Nursing and Midwifery Council. e Code: Standards of conduct, performance and ethics for nurses and midwives [Internet]. Nursing and Midwifery Council. 2018. Available from: https://www.nmc.org.uk/globalassets/sited ocuments/nmc-publications/nmc-code.pdf (accessed 2021 Dec 31).
10. World Health Organisation. WHO guidelines on hand hygiene in health care: rst global patient safety challenge: clean care is safer care [Internet]. Geneva, Switzerland; 2009. Available from: https://www.ncbi.nlm.nih.gov/b ooks/NBK144013 (accessed 2021 Dec 31).
11. World Health Organisation. Hand hygiene: Why, how & when? Save lives: Clean your hands [Internet]. Geneva, Switzerland; 2009. Available from: https://www.who.int/gpsc/5may/Hand_Hygiene_Why_How_and_Whe n_Brochure.pdf (accessed 2021 Dec 31).
12. Loveday HP, Wilson JA, Pratt RJ, Golsorkhi M, Tingle A, Bak A, et al. Epic3: National evidence-based guidelines for preventing healthcare-associated infections in nhs hospitals in england. J Hosp Infect. 2014;86(S1). doi: 10.1016/S0195-6701(13)60012-2
13. World Health Organisation. Frequently asked questions. Save lives: Clean your hands [Internet]. Geneva, Switzerland; 2010. Available from: https://www.who.int/gpsc/5may/PS_faq5mai_2010_47_en.pdf?ua=1 (accessed 2021 Dec 31).
14. World Health Organisation. Guide to the implementation. A guide to the implementation of the WHO multimodal hand hygiene improvement strategy [Internet]. 2009. Available from: http://www.who.int/gpsc/5 may/Guide_to_Implementation.pdf (accessed 2021 Dec 31).
15. Department of Health and Social Care. Guidance on COVID-19: infection prevention and control [Internet]. 2020. Available from: https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-pre vention-and-control (accessed 2021 Dec 31).
16. White KM, Jimmieson NL, Obst PL, Graves N, Barnett A, Cockshaw W, et al. Using a theory of planned behaviour framework to explore hand hygiene beliefs at the “5 critical moments” among Australian hospital-based nurses. BMC Health Serv Res. 2015;15(1):1-9. doi: 10.1186/s12913-015-0718-2
17. Gluyas H. Understanding non-compliance with hand hygiene practices. Nurs Stand. 2015;29(35):40-6. doi: 10.7748/ns.29.35.40.e9929
18. Kupfer TR, Wyles KJ, Watson F, La Ragione RM, Chambers MA, Macdonald AS. Determinants of hand hygiene behaviour based on the eory of Interpersonal Behaviour. J Infect Prev. 2019;20(5):232-7. doi: 10.1177/1757177419846286
19. Smith JD, Corace KM, MacDonald TK, Fabrigar LR, Saedi A, Chaplin A, et al. Application of the eoretical Domains Framework to identify factors that inuence hand hygiene compliance in long-term care. J Hosp Infect. 2019;101(4):393-8. doi: 10.1016/j.jhin.2018.12.014
20. Chateld SL, DeBois K, Nolan R, Crawford H, Hallam JS. Hand hygiene among healthcare workers: A qualitative meta summary using the GRADE-CERQual process. J Infect Prev. 2017;18(3):104-20. doi: 10.1177/1757177416680443
21. Erasmus V, Daha TJ, Brug H, Richardus JH, Behrendt MD, Vos MC, et al. Systematic Review of Studies on Compliance with Hand Hygiene Guidelines in Hospital Care. Infect Control Hosp Epidemiol. 2010;31(3):283-94. doi: 10.1086/650451
22. McLaughlin AC, Walsh F, Bryant M. Effects of knowledge and internal locus of control in groups of health care workers judging likelihood of pathogen transfer. Hum Factors. 2013;55(4):803-14. doi: 10.1177/0018720813476546
23. Stephens B, Azimi P, oemmes MS, Heidarinejad M, Allen JG, Gilbert JA. Microbial Exchange via Fomites and Implications for Human Health. Curr Pollut Reports. 2019;5(4):198-213. doi: 10.1007/s40726-019-00123-6
24. Seo HJ, Sohng KY, Chang SO, Chaung SK, Won JS, Choi MJ. Interventions to improve hand hygiene compliance in emergency departments: a systematic review. J Hosp Infect. 2019;102(4):394-406. doi: 10.1016/ j.jhin.2019.03.013
25. Picheansanthian W, Chotibang J. Glove utilization in the prevention of cross transmission: a systematic review. JBI database Syst Rev Implement reports. 2015;13(4):188-230. doi: 10.11124/jbisrir-2015-1817
26. Ford C, Park LJ. How to apply and remove medical gloves. Br J Nurs. 2019;28(1):26-8. doi: 10.12968/ bjon.2019.28.1.26
27. Gluyas H, Morrison P. Patient Safety: An Essential Guide. London, United Kingdom: Palgrave Macmillan; 2013.
28. Smiddy MP, O’Connell R, Creedon SA. Systematic qualitative literature review of health care workers’ compliance with hand hygiene guidelines. Am J Infect Control. 2015;43(3):269-74. doi: 10.1016/j.ajic.2014.11.007
29. Dyson J, Lawton R, Jackson C, Cheater F. Does the use of a theoretical approach tell us more about hand hygiene behaviour? the barriers and levers to hand hygiene. J Infect Prev. 2011;12(1):17-24. doi: 10.1177/1757177410384300
30. Lally P, Van Jaarsveld CHM, Potts HWW, Wardle J. How are habits formed: Modelling habit formation in the real world. Eur J Soc Psychol. 2010;40(6):998-1009. doi: 10.1002/ejsp.674
31. Lee MH, Lee GA, Lee SH, Park YH. Effectiveness and core components of infection prevention and control programmes in long-term care facilities: a systematic review. J Hosp Infect. 2019;102(4):377-93. doi: 10.1016/ j.jhin.2019.02.008
32. Koo E, McNamara S, Lansing B, Olmsted RN, Rye RA, Fitzgerald T, et al. Making infection prevention education interactive can enhance knowledge and improve outcomes: Results from the Targeted Infection Prevention (TIP) Study. Am J Infect Control. 2016;44(11):1241-6. doi: 10.1016/j.ajic.2016.03.016
33. Storr J, Twyman A, Zingg W, Damani N, Kilpatrick C, Reilly J, et al. Core components for effective infection prevention and control programmes: New WHO evidence-based recommendations. Antimicrob Resist Infect Control. 2017;6(1):1-18. doi: 10.1186/s13756-016-0149-9
34. Srigley Dr JA, Furness C, Baker GR, Gardam M. Quantication of the hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: A retrospective cohort study. BMJ Qual Saf. 2014;23(12):974-80. doi: 10.1136/bmjqs-2014-003080
35. Burnett E. Effective infection prevention and control: the nurse’s role. Nurs Stand. 2018;33(4):68-72. doi: 10.7748/ns.2018.e11171
36. World Health Organisation. Hand hygiene for all initiative: Improving access and behaviour in health care facilities [Internet]. Geneva, Switzerland; 2020. Available from: https://apps.who.int/iris/bitstream/handle/10665/33 6023/9789240011618-eng.pdf?sequence=1&isAllowed=y (accessed 2021 Dec 31).
37. Salcedo-Cifuentes M, Ordóñez-Hernández CA, Calvo-Soto AP. Compliance with a hand hygiene strategy in healthcare settings. Investig en Enfermería Imagen y Desarro. 2020;22. doi: 10.11144/Javeriana.ie22.cehm

Cómo citar
Nnate, Daniel A. Un enfoque basado en la competencia para promover la higiene de las manos eficaz en los centros de atención a largo plazo. Investigación en Enfermería: Imagen y Desarrollo. 2022; 24: 01-0. Disponible en: https://ciberindex.com/c/id/2404id [acceso: 23/02/2024]
Artículos Originales de Investigación


Normas y uso de comentarios

Hay un total de 0 comentarios


Para enviar un comentario, rellene los campos situados debajo. Recuerde que es obligatorio indicar un nombre y un email para enviar su comentario (el email no sera visible en el comentario).