Shan Zhang1, Xiangping Kong2, Karen V Lamb3, Ying Wu1. 1. School of Nursing, Capital Medical University, Beijing, China. 2. Teaching Administration, Beijing Chaoyang Hospital, Beijing, China. 3. College of Nursing, Rush University, Chicago, Illinois, USA.
Abstract
AIM: The aim of the study was to explore the impact of nurse workloads on adherence to hand hygiene. BACKGROUND: Adherence to hand hygiene and nursing workloads have been linked to quality of patient care. Therefore, it was important to understand the relationship to safe patient care. DESIGN: This cross-sectional study was performed from January 2016 to June 2016. METHODS: Workloads and adherence to hand hygiene for nurses on 3-day shifts in a tertiary hospital were investigated in 2016. Actual hours worked per shift were timed using a stopwatch to assess nursing workloads. Descriptive and inferential statistics and multiple variable regression analysis were used to analyse the data. RESULTS: Sixty-four nurses from four wards were observed. The average adherence rate of hand hygiene was 26.6% and the average nursing workload per shift was 6.7 hours. Multiple regression revealed that nursing workload was negatively related to adherence rate of hand hygiene. CONCLUSION: Nurses in this study that had a low rate of adherence with hand hygiene frequently had high workloads. Adherence to hand hygiene was independently associated with actual hours worked per shift.
AIM: The aim of the study was to explore the impact of nurse workloads on adherence to hand hygiene. BACKGROUND: Adherence to hand hygiene and nursing workloads have been linked to quality of patient care. Therefore, it was important to understand the relationship to safe patient care. DESIGN: This cross-sectional study was performed from January 2016 to June 2016. METHODS: Workloads and adherence to hand hygiene for nurses on 3-day shifts in a tertiary hospital were investigated in 2016. Actual hours worked per shift were timed using a stopwatch to assess nursing workloads. Descriptive and inferential statistics and multiple variable regression analysis were used to analyse the data. RESULTS: Sixty-four nurses from four wards were observed. The average adherence rate of hand hygiene was 26.6% and the average nursing workload per shift was 6.7 hours. Multiple regression revealed that nursing workload was negatively related to adherence rate of hand hygiene. CONCLUSION: Nurses in this study that had a low rate of adherence with hand hygiene frequently had high workloads. Adherence to hand hygiene was independently associated with actual hours worked per shift.
Authors: Mojtaba Vaismoradi; Susanna Tella; Patricia A Logan; Jayden Khakurel; Flores Vizcaya-Moreno Journal: Int J Environ Res Public Health Date: 2020-03-19 Impact factor: 3.390