Hand hygiene determinants of informal caregivers in hospitals under Pender's perspective

ABSTRACT Objectives: to analyze hand hygiene determinants of informal caregivers in a hospital environment. Methods: qualitative study conducted with 55 caregivers at a university hospital in the Northeast of Brazil. A semi-structured instrument was used, adapted from Nola Pender's Health Promo...

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Veröffentlicht in:Revista Brasileira de Enfermagem 2022-01, Vol.75 (1), p.1-7
Hauptverfasser: Neri, Maria Fabiana de Sena, Silva, Renan Alves, Nascimento, Jennara Cândido do, Sousa, Érica do Nascimento, Rocha, Renata, Barros, Lívia Moreira, Sampaio, Cynthia Lima, Caetano, Joselany Áfio
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container_title Revista Brasileira de Enfermagem
container_volume 75
creator Neri, Maria Fabiana de Sena
Silva, Renan Alves
Nascimento, Jennara Cândido do
Sousa, Érica do Nascimento
Rocha, Renata
Barros, Lívia Moreira
Sampaio, Cynthia Lima
Caetano, Joselany Áfio
description ABSTRACT Objectives: to analyze hand hygiene determinants of informal caregivers in a hospital environment. Methods: qualitative study conducted with 55 caregivers at a university hospital in the Northeast of Brazil. A semi-structured instrument was used, adapted from Nola Pender's Health Promotion Model, from which the deductive categories were derived. Results: the general behavior included hand hygiene before meals and after using the bathroom. Sensitivity to the requirements for hand hygiene was observed, but the barriers and self-efficacy consisted of the availability of soap or alcohol-based hand sanitizers, the lack of knowledge on the importance of and forgetfulness of the practice. The reinforcement on the importance of the practice and being in a contaminated environment were influencers, and commitment, warnings, and training were indispensable. Conclusions: benefits related to protection from infections were seen as positive determinants for hand hygiene adherence. For non-adherence, factors such as lack of sanitizing supplies, ignorance towards the importance of the activity, and forgetfulness stood out. RESUMO Objetivos: analisar os determinantes de higienização das mãos de cuidadores informais em ambiente hospitalar. Métodos: estudo qualitativo realizado em um hospital universitário da Região Nordeste do Brasil, com 55 cuidadores. Utilizou-se de instrumento semiestruturado, adaptado do Modelo de Promoção da Saúde, de Nola Pender, do qual derivaram as categorias dedutivas. Resultados: o comportamento geral incluiu higiene das mãos antes das refeições e após utilizar o banheiro. Observou-se sensibilidade para higienizar as mãos, porém as barreiras e a autoeficácia consistiram na disponibilidade de sabão ou álcool em gel, no desconhecimento acerca da importância e no esquecimento da prática. O reforço da importância da prática e estar em ambiente contaminado foram influenciadores, sendo imprescindíveis compromissos, avisos e treinamentos. Conclusões: identificaram-se determinantes positivos para adesão da higiene das mãos como benefícios relacionados à proteção de infecção. Para não adesão, destacaram-se fatores como ausência de insumos, desconhecimento da importância e esquecimento. RESUMEN Objetivos: analizar determinantes de higienización de manos de cuidadores informales en ambiente hospitalario. Métodos: estudio cualitativo realizado en hospital universitario de Región Nordeste de Brasil, con 55 cuidadores. Utilizado instrumento semiestruc
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Methods: qualitative study conducted with 55 caregivers at a university hospital in the Northeast of Brazil. A semi-structured instrument was used, adapted from Nola Pender's Health Promotion Model, from which the deductive categories were derived. Results: the general behavior included hand hygiene before meals and after using the bathroom. Sensitivity to the requirements for hand hygiene was observed, but the barriers and self-efficacy consisted of the availability of soap or alcohol-based hand sanitizers, the lack of knowledge on the importance of and forgetfulness of the practice. The reinforcement on the importance of the practice and being in a contaminated environment were influencers, and commitment, warnings, and training were indispensable. Conclusions: benefits related to protection from infections were seen as positive determinants for hand hygiene adherence. For non-adherence, factors such as lack of sanitizing supplies, ignorance towards the importance of the activity, and forgetfulness stood out. RESUMO Objetivos: analisar os determinantes de higienização das mãos de cuidadores informais em ambiente hospitalar. Métodos: estudo qualitativo realizado em um hospital universitário da Região Nordeste do Brasil, com 55 cuidadores. Utilizou-se de instrumento semiestruturado, adaptado do Modelo de Promoção da Saúde, de Nola Pender, do qual derivaram as categorias dedutivas. Resultados: o comportamento geral incluiu higiene das mãos antes das refeições e após utilizar o banheiro. Observou-se sensibilidade para higienizar as mãos, porém as barreiras e a autoeficácia consistiram na disponibilidade de sabão ou álcool em gel, no desconhecimento acerca da importância e no esquecimento da prática. O reforço da importância da prática e estar em ambiente contaminado foram influenciadores, sendo imprescindíveis compromissos, avisos e treinamentos. Conclusões: identificaram-se determinantes positivos para adesão da higiene das mãos como benefícios relacionados à proteção de infecção. Para não adesão, destacaram-se fatores como ausência de insumos, desconhecimento da importância e esquecimento. RESUMEN Objetivos: analizar determinantes de higienización de manos de cuidadores informales en ambiente hospitalario. Métodos: estudio cualitativo realizado en hospital universitario de Región Nordeste de Brasil, con 55 cuidadores. Utilizado instrumento semiestructurado, adaptado del Modelo de Promoción de la Salud, de Nola Pender, del cual derivaron categorías deductivas. Resultados: conducta general incluyó higiene de manos antes de comidas y después de ir al baño. Observó sensibilidad para higienizar las manos, pero las barreras y la autoeficacia consistieron en la disponibilidad de jabón o alcohol en gel, en el desconocimiento acerca de la importancia y en el olvido de la práctica. Refuerzo de la importancia de la práctica y estar en ambiente contaminado fueron influyentes, siendo imprescindibles compromisos, avisos y entrenamientos. Conclusiones: identificaron determinantes positivos para adhesión de higiene de manos como beneficios relacionados a la protección de infección. Para no adhesión, destacaron factores como ausencia de insumos, desconocimiento de la importancia y olvido.</description><identifier>ISSN: 0034-7167</identifier><identifier>ISSN: 1984-0446</identifier><identifier>EISSN: 1984-0446</identifier><identifier>DOI: 10.1590/0034-7167-2021-0012</identifier><language>eng</language><publisher>Brasília: Associação Brasileira de Enfermagem</publisher><subject>Behavior ; Caregivers ; Data collection ; Hand Hygiene ; Health Promotion ; Health services ; Hygiene ; Infections ; Medical personnel ; NURSING ; Nursing Research ; Patient Safety ; Pediatrics ; Qualitative research</subject><ispartof>Revista Brasileira de Enfermagem, 2022-01, Vol.75 (1), p.1-7</ispartof><rights>2022. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-a5cce2240c495f22688f78435856250c6bec8f82d0d294b2285e88a10c44ec5b3</citedby><cites>FETCH-LOGICAL-c460t-a5cce2240c495f22688f78435856250c6bec8f82d0d294b2285e88a10c44ec5b3</cites><orcidid>0000-0002-0807-056X ; 0000-0003-2947-6988 ; 0000-0001-5802-3334 ; 0000-0002-0933-2744 ; 0000-0002-6354-2785 ; 0000-0003-0730-5790 ; 0000-0002-9763-280X ; 0000-0003-0612-2781</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,864,885,27924,27925</link.rule.ids></links><search><creatorcontrib>Neri, Maria Fabiana de Sena</creatorcontrib><creatorcontrib>Silva, Renan Alves</creatorcontrib><creatorcontrib>Nascimento, Jennara Cândido do</creatorcontrib><creatorcontrib>Sousa, Érica do Nascimento</creatorcontrib><creatorcontrib>Rocha, Renata</creatorcontrib><creatorcontrib>Barros, Lívia Moreira</creatorcontrib><creatorcontrib>Sampaio, Cynthia Lima</creatorcontrib><creatorcontrib>Caetano, Joselany Áfio</creatorcontrib><title>Hand hygiene determinants of informal caregivers in hospitals under Pender's perspective</title><title>Revista Brasileira de Enfermagem</title><addtitle>Rev. Bras. Enferm</addtitle><description>ABSTRACT Objectives: to analyze hand hygiene determinants of informal caregivers in a hospital environment. Methods: qualitative study conducted with 55 caregivers at a university hospital in the Northeast of Brazil. A semi-structured instrument was used, adapted from Nola Pender's Health Promotion Model, from which the deductive categories were derived. Results: the general behavior included hand hygiene before meals and after using the bathroom. Sensitivity to the requirements for hand hygiene was observed, but the barriers and self-efficacy consisted of the availability of soap or alcohol-based hand sanitizers, the lack of knowledge on the importance of and forgetfulness of the practice. The reinforcement on the importance of the practice and being in a contaminated environment were influencers, and commitment, warnings, and training were indispensable. Conclusions: benefits related to protection from infections were seen as positive determinants for hand hygiene adherence. For non-adherence, factors such as lack of sanitizing supplies, ignorance towards the importance of the activity, and forgetfulness stood out. RESUMO Objetivos: analisar os determinantes de higienização das mãos de cuidadores informais em ambiente hospitalar. Métodos: estudo qualitativo realizado em um hospital universitário da Região Nordeste do Brasil, com 55 cuidadores. Utilizou-se de instrumento semiestruturado, adaptado do Modelo de Promoção da Saúde, de Nola Pender, do qual derivaram as categorias dedutivas. Resultados: o comportamento geral incluiu higiene das mãos antes das refeições e após utilizar o banheiro. Observou-se sensibilidade para higienizar as mãos, porém as barreiras e a autoeficácia consistiram na disponibilidade de sabão ou álcool em gel, no desconhecimento acerca da importância e no esquecimento da prática. O reforço da importância da prática e estar em ambiente contaminado foram influenciadores, sendo imprescindíveis compromissos, avisos e treinamentos. Conclusões: identificaram-se determinantes positivos para adesão da higiene das mãos como benefícios relacionados à proteção de infecção. Para não adesão, destacaram-se fatores como ausência de insumos, desconhecimento da importância e esquecimento. RESUMEN Objetivos: analizar determinantes de higienización de manos de cuidadores informales en ambiente hospitalario. Métodos: estudio cualitativo realizado en hospital universitario de Región Nordeste de Brasil, con 55 cuidadores. Utilizado instrumento semiestructurado, adaptado del Modelo de Promoción de la Salud, de Nola Pender, del cual derivaron categorías deductivas. Resultados: conducta general incluyó higiene de manos antes de comidas y después de ir al baño. Observó sensibilidad para higienizar las manos, pero las barreras y la autoeficacia consistieron en la disponibilidad de jabón o alcohol en gel, en el desconocimiento acerca de la importancia y en el olvido de la práctica. Refuerzo de la importancia de la práctica y estar en ambiente contaminado fueron influyentes, siendo imprescindibles compromisos, avisos y entrenamientos. Conclusiones: identificaron determinantes positivos para adhesión de higiene de manos como beneficios relacionados a la protección de infección. Para no adhesión, destacaron factores como ausencia de insumos, desconocimiento de la importancia y olvido.</description><subject>Behavior</subject><subject>Caregivers</subject><subject>Data collection</subject><subject>Hand Hygiene</subject><subject>Health Promotion</subject><subject>Health services</subject><subject>Hygiene</subject><subject>Infections</subject><subject>Medical personnel</subject><subject>NURSING</subject><subject>Nursing Research</subject><subject>Patient Safety</subject><subject>Pediatrics</subject><subject>Qualitative research</subject><issn>0034-7167</issn><issn>1984-0446</issn><issn>1984-0446</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNpdkUGLFDEQhYMoOK7-Ai8BD3rpNakk3clRFnUXFhRU8BbS6cpshp5Om_QI--9NHJmDECgovnq8vEfIa86uuTLsPWNCdgPvhw4Y8I4xDk_IjhstOyZl_5TsLsRz8qKUA2PK9KB25OetWyb68LiPuCCdcMN8jItbtkJToHEJKR_dTL3LuI-_MZe6ow-prHFzc6GnZcJMv2IbbwtdK7Ci3yr5kjwLlcBX_-YV-fHp4_eb2-7-y-e7mw_3nZc92zqnvEcAybw0KgD0WodBS6G0qv6Y70f0OmiY2ARGjgBaodaOV16iV6O4Indn3Sm5g11zPLr8aJOL9u8i5b11eYt-RusHNgQ-KqU9lzApB6E34-hEQCOcgap1fdYqPuKc7CGd8lLN228tPtviq_kCq_nWN7SDd-eDNadfJyybPcbicZ7dgulULCjdQKMb-uY_9KIOtQszCMFVpcSZ8jmVkjFcfsSZbVXbixPbqratavEHOZCYFQ</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Neri, Maria Fabiana de Sena</creator><creator>Silva, Renan Alves</creator><creator>Nascimento, Jennara Cândido do</creator><creator>Sousa, Érica do Nascimento</creator><creator>Rocha, Renata</creator><creator>Barros, Lívia Moreira</creator><creator>Sampaio, Cynthia Lima</creator><creator>Caetano, Joselany Áfio</creator><general>Associação Brasileira de Enfermagem</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CLZPN</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>GPN</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0807-056X</orcidid><orcidid>https://orcid.org/0000-0003-2947-6988</orcidid><orcidid>https://orcid.org/0000-0001-5802-3334</orcidid><orcidid>https://orcid.org/0000-0002-0933-2744</orcidid><orcidid>https://orcid.org/0000-0002-6354-2785</orcidid><orcidid>https://orcid.org/0000-0003-0730-5790</orcidid><orcidid>https://orcid.org/0000-0002-9763-280X</orcidid><orcidid>https://orcid.org/0000-0003-0612-2781</orcidid></search><sort><creationdate>20220101</creationdate><title>Hand hygiene determinants of informal caregivers in hospitals under Pender's perspective</title><author>Neri, Maria Fabiana de Sena ; Silva, Renan Alves ; Nascimento, Jennara Cândido do ; Sousa, Érica do Nascimento ; Rocha, Renata ; Barros, Lívia Moreira ; Sampaio, Cynthia Lima ; Caetano, Joselany Áfio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-a5cce2240c495f22688f78435856250c6bec8f82d0d294b2285e88a10c44ec5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Behavior</topic><topic>Caregivers</topic><topic>Data collection</topic><topic>Hand Hygiene</topic><topic>Health Promotion</topic><topic>Health services</topic><topic>Hygiene</topic><topic>Infections</topic><topic>Medical personnel</topic><topic>NURSING</topic><topic>Nursing Research</topic><topic>Patient Safety</topic><topic>Pediatrics</topic><topic>Qualitative research</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neri, Maria Fabiana de Sena</creatorcontrib><creatorcontrib>Silva, Renan Alves</creatorcontrib><creatorcontrib>Nascimento, Jennara Cândido do</creatorcontrib><creatorcontrib>Sousa, Érica do Nascimento</creatorcontrib><creatorcontrib>Rocha, Renata</creatorcontrib><creatorcontrib>Barros, Lívia Moreira</creatorcontrib><creatorcontrib>Sampaio, Cynthia Lima</creatorcontrib><creatorcontrib>Caetano, Joselany Áfio</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Bras. Enferm</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>75</volume><issue>1</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>0034-7167</issn><issn>1984-0446</issn><eissn>1984-0446</eissn><abstract>ABSTRACT Objectives: to analyze hand hygiene determinants of informal caregivers in a hospital environment. Methods: qualitative study conducted with 55 caregivers at a university hospital in the Northeast of Brazil. A semi-structured instrument was used, adapted from Nola Pender's Health Promotion Model, from which the deductive categories were derived. Results: the general behavior included hand hygiene before meals and after using the bathroom. Sensitivity to the requirements for hand hygiene was observed, but the barriers and self-efficacy consisted of the availability of soap or alcohol-based hand sanitizers, the lack of knowledge on the importance of and forgetfulness of the practice. The reinforcement on the importance of the practice and being in a contaminated environment were influencers, and commitment, warnings, and training were indispensable. Conclusions: benefits related to protection from infections were seen as positive determinants for hand hygiene adherence. For non-adherence, factors such as lack of sanitizing supplies, ignorance towards the importance of the activity, and forgetfulness stood out. RESUMO Objetivos: analisar os determinantes de higienização das mãos de cuidadores informais em ambiente hospitalar. Métodos: estudo qualitativo realizado em um hospital universitário da Região Nordeste do Brasil, com 55 cuidadores. Utilizou-se de instrumento semiestruturado, adaptado do Modelo de Promoção da Saúde, de Nola Pender, do qual derivaram as categorias dedutivas. Resultados: o comportamento geral incluiu higiene das mãos antes das refeições e após utilizar o banheiro. Observou-se sensibilidade para higienizar as mãos, porém as barreiras e a autoeficácia consistiram na disponibilidade de sabão ou álcool em gel, no desconhecimento acerca da importância e no esquecimento da prática. O reforço da importância da prática e estar em ambiente contaminado foram influenciadores, sendo imprescindíveis compromissos, avisos e treinamentos. Conclusões: identificaram-se determinantes positivos para adesão da higiene das mãos como benefícios relacionados à proteção de infecção. Para não adesão, destacaram-se fatores como ausência de insumos, desconhecimento da importância e esquecimento. RESUMEN Objetivos: analizar determinantes de higienización de manos de cuidadores informales en ambiente hospitalario. Métodos: estudio cualitativo realizado en hospital universitario de Región Nordeste de Brasil, con 55 cuidadores. Utilizado instrumento semiestructurado, adaptado del Modelo de Promoción de la Salud, de Nola Pender, del cual derivaron categorías deductivas. Resultados: conducta general incluyó higiene de manos antes de comidas y después de ir al baño. Observó sensibilidad para higienizar las manos, pero las barreras y la autoeficacia consistieron en la disponibilidad de jabón o alcohol en gel, en el desconocimiento acerca de la importancia y en el olvido de la práctica. Refuerzo de la importancia de la práctica y estar en ambiente contaminado fueron influyentes, siendo imprescindibles compromisos, avisos y entrenamientos. Conclusiones: identificaron determinantes positivos para adhesión de higiene de manos como beneficios relacionados a la protección de infección. 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subjects Behavior
Caregivers
Data collection
Hand Hygiene
Health Promotion
Health services
Hygiene
Infections
Medical personnel
NURSING
Nursing Research
Patient Safety
Pediatrics
Qualitative research
title Hand hygiene determinants of informal caregivers in hospitals under Pender's perspective
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