- 作者：Julie Martel ; MD ; Eva-Flore Bui-Xuan ; MD ; Anne-Marie Carreau ; MD ; Jean-Daniel Carrier ; MD ; É ; milie Larkin ; MD ; Helen Vlachos-Mayer ; MD ; Mario-Eddy Dumas ; MD ; MS ; FRCPC ; mario.eddy.dumas@usherbrooke.ca ; dumasma@yahoo.com
- 关键词：Health care workers ; Attitudes ; Observation ; Questionnaire ; Knowledge
- 刊名：American Journal of Infection Control
- 出版年：2013
- 出版时间：January, 2013
- 年：2013
- 卷：41
- 期：1
- 页码：14-18
- 全文大小：170 K
Background
Low respiratory hygiene compliance among health care workers of emergency departments has become a major concern in the spread of respiratory infections. Our objective was to determine the compliance with respiratory hygiene of triage nurses at 2 university hospital centers and to identify factors influencing compliance to the respiratory hygiene principles of emergency health care workers.Methods
A 2-part, cross-sectional, descriptive study was conducted at 2 training centers. An anonymous observation of compliance with respiratory hygiene by triage emergency nurses was performed. A self-administered, voluntary questionnaire on attitudes, perceptions, and knowledge of respiratory hygiene guidelines was distributed to the health care workers at the emergency department of the 2 hospital sites.
Results
Median objective compliance with respiratory hygiene measures of triage nurses was 22 % (interquartile range [IQR], 11 % -33 % ). Median perceived compliance of the health care workers was 68 % (IQR, 61 % -79 % ). Median actual knowledge score was 75 % (IQR, 75 % -100 % ). Overall, 91.9 % of respondents believed that the mask was an effective preventive measure. The main obstacles toward mask wearing by the health care worker were ¡°tendency to forget¡± (37.8 % ) and ¡°discomfort¡± (35.1 % ).
Conclusion
The compliance rate at our institution is very low. We identified a few factors affecting adherence to respiratory hygiene measures that are of potential use in targeting groups and formulating recommendations.