DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20201453

Cross-sectional study to assess knowledge and practice of hand hygiene among 1st year Bachelor of Naturopathy and Yogic Science students

Deepak Kumar, Gurpreet Kaur, Kanishk Rana, M. Ismael, M. Faizan, M. Armanuzzama

Abstract


Background: Hand hygiene is recognized as the leading measure to prevent health care associated infections. WHO has introduced evidence-based guideline on hand hygiene practice among healthcare professionals. But, knowledge and practice of hand hygiene remains poor among students. Therefore, the present study was planned to study knowledge and practice of hand hygiene among Bachelor of Naturopathy and Yogic Science (BNYS) students.

Methods: A cross-sectional study was conducted among 79 first year BNYS students. Knowledge of students was assessed using WHO hand hygiene questionnaire; practices were evaluated by using another self-structured questionnaire. Descriptive statistics was used to calculate percentages for knowledge and practice of hand hygiene among study subjects.

Results: 35 (44%) of the students had moderate level of knowledge and 25 (32%) students had poor knowledge of hand hygiene. 73 (92%) students had correct knowledge that hand hygiene action before touching a patient prevented transmission of germs to the patient. Only 11 (14%) had knowledge that artificial nails should be avoided. Only 19 (24%) students were aware that hand rubbing was required before palpation of abdomen. Only 34 (43%) students adhered to hand hygiene practices regularly.

Conclusions: Hand hygiene is an important tool for prevention of hospital acquired infections. The overall knowledge and practice of hand hygiene was not good among study subjects and a few numbers of students had attended formal training about hand hygiene. These findings indicate that the BNYS students require increased emphasis on hand hygiene education and training in their curriculum. 


Keywords


Hand hygiene, Knowledge, Practice, BNYS students

Full Text:

PDF

References


World Health Organisation. WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva: World Health Organization Press; 2009.

Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet 2000;356:1307-12.

Longtin Y, Sax H, Allegranzi B, Schneider F, Pittet D. Videos in clinical medicine. Hand hygiene. N Engl J Med. 2011;364:24.

Tibballs J. Teaching hospital medical staff to handwash. Med J Aust. 1996;164:395-8.

Trampuz A, Widmer AF. Hand hygiene: A frequently missed lifesaving opportunity during patient care. Mayo Clin Proc. 2004;79:109-16.

WHO: The Burden of health care-associated infection worldwide. A Summary. Accessed on 30 November 2019.

Nair SS, Hanumantappa R, Hiremath SG, Siraj MA, Raghunath P. Knowledge, attitude, and practice of handhygiene among medical and nursing students at a tertiary health care centre in Raichur, India. ISRN Prev Med. 2014;14:5.

Mortel TF, Apostolopoulou E, Petrikkos G. A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students. Am J Infect Control. 2010;38:75-7.

Ariyaratne M, Gunasekara T, Weerasekara MM, Kottahachchi J, Kudavidanage BP, Fernando SS. Knowledge, attitudes and practices of hand hygiene among final year medical and nursing students at the University of Sri Jayewardenepura. Sri Lankan J Infect Dis. 2013;3:15-25.

Herbert VG, Schlumm P, Kessler HH, Frings A. Knowledge of and adherence to hygiene guidelines among medical students in Austria. InterdiscipPerspect Infect Dis. 2013:80:29-30.

World Health Organization. Hand Hygiene Knowledge Questionnaire for Health-Care Workers. World Health Organization; 2009.

Mathur P. Hand hygiene: Back to the basics of infection control. Indian J Med Res. 2011;134:611‑20.

Boyce JM, Pittet D; Healthcare Infection Control Practices Advisory Committee; HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Guideline for Hand Hygiene in Health‑ Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/ SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep 2002;51:1‑45.

Thakker VS, Jadhav PR. Knowledge of hand hygiene in undergraduate medical, dental, and nursing students: A cross sectional survey. J Family Med Prim Care. 2015;4:582-6.

Mahmood SE, Verma R, Khan MB. Hand hygiene practices among nursing students: importance of improving current training programs. Int J Community Med Public Health. 2015;2:466-71.

Chacko LK. Knowledge of hand hygiene and its self-reported practice among nursing students during clinical experience at a teaching hospital in Mangalore. Journal of Patient Safety and Infection Control. 2014;(2):55–7.

Maheshwari V, Kaore NCM, Ramnani VK, Gupta SK, Borle A, Kaushal R. A Study to Assess Knowledge and Attitude Regarding Hand Hygiene amongst Residents and Nursing Staff in a Tertiary Health Care Setting of Bhopal City. J Clinical Diagnostic Res. 2014;8(8):4-7.

Kanich KS, Kaur R, Freeman LC, Powell DA. Evaluation of a Hand Hygiene Campaign in Outpatient Health Care Clinics. AJN. 2013;113(3):36-42.

Shinde MB, Mohite VR. A Study to assess knowledge, attitude and practices of five moments of hand hygiene among nursing staff and students at a tertiary care hospital at Karad. Inte J Science Res. 2014;3(2):311-21.