303. Discrepancy between Patients’ and Healthcare Workers’ Perceptions of Patient Participation to Improve Hand Hygiene
Session: Poster Abstract Session: Hand Hygiene in Healthcare Settings
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • HH-IDweek2013-poster-final.pdf (132.4 kB)
  • Background: Patient participation(PP) is recognized as one component of the World Health Organization's hand hygiene(HH) multimodal strategy. To achieve further improvement in HH compliance, we considered the implementaion of PP in our hospital, which has maintained about 80% of HH compliance through intensive promotion. Since PP implies a interactive process between patients and healthcare workers(HCWs), both parties should accept their new roles. We examined the existence of discrepancy between patients' and HCWs' willingess in PP and assessed what is the preferred method for PP.

    Methods: A cross-sectional survey was conducted with anonymous, self-reporting questionnare at a tertiary teaching hospital in Korea. Study subjects were those who agreed to the survey among all hospitalized patients or their family members as well as all interns, residents and nurses who participate patient care at wards.

    Results: A total of 335 out of 996 hospitalized patients (or family members), 152 out of 181 physicians, and 387 out of 454 nurses responded. Of 335 patients, 261 (78%) said they should know whether HCWs cleaned their hands and 240 (72%) wanted to ask for cleansing hands if HCWs did not perform it. In contrast, 378 (70%) of 539 HCWs did not support the idea of PP. Physicians were more reluctant to engage patients than nurses (39% vs. 25% respectively; p<.05). In addition, physicians were less likely to expect the potential benefit of PP than patient, or nurses (p<.001). The reasons why HCWs did not support PP are shown in Figure 1. Consequently, Figure 2 shows preferred method of implementing PP among stake holders.

    Conclusion: Acceptance rate of PP was much lower among HCWs than among patients. Preferred methods of implementing PP were also different between patients and HCWs. Considering this discrepancy, a stepwise and well-prepared approach is needed for implementing PP successfully.

    Figure 1. The reasons why physicians and nurses did not support patient participation

    Figure 2. Preferred methods of patient participation in hand hygiene of HCWs

    Min-Kyung Kim, MD1, Eun Young Nam, MD1, Sun Hee Na, MD1, Chang Kyung Kang, MD1, Myoung Jin Shin2, Chung-Jong Kim, MD1,2, Nak-Hyun Kim, MD1, Pyoeng Gyun Choe, MD1, Kyoung-Ho Song1,2, Ji-Hwan Bang, MD, PhD1, Eu Suk Kim1,2, Sang Won Park, MD, PhD1, Nam-Joong Kim, MD, PhD1, Myoung-Don Oh, MD, PhD1 and Hong Bin Kim1,2, (1)Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea, (2)Seoul National University Bundang Hospital, Seongnam, South Korea

    Disclosures:

    M. K. Kim, None

    E. Y. Nam, None

    S. H. Na, None

    C. K. Kang, None

    M. J. Shin, None

    C. J. Kim, None

    N. H. Kim, None

    P. G. Choe, None

    K. H. Song, None

    J. H. Bang, None

    E. S. Kim, None

    S. W. Park, None

    N. J. Kim, None

    M. D. Oh, None

    H. B. Kim, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.