KNOWLEDGE, ATTITUDE, AND PRACTICE ON HAND HYGIENE AMONG STAFF NURSES IN THE PHILIPPINE HEART CENTER: IMPLICATIONS TO PATIENT SAFETY MANAGEMENT (2018)

Marika D. Balilla, RN; Rod Christian P. Bernabe, RN; Robinson J. Del Rosario, RN
  
   Philippine Heart Center
 
 
 
 
Background of the Study
 
Effective hand hygiene compliance is the simplest and most valuable method of infection control. Exploring the gaps in knowledge, attitude, and practice (KAP) on hand hygiene is of critical importance to strengthening nurses’ compliance to WHO standards.
 

Objective
 
This study aimed to determine the effects of training and education on KAP on Hand Hygiene of Medical-Surgical staff nurses in the Philippine Heart Center.
 

Methods
 
This study utilized cross-sectional analytic research design. Evaluation of KAP on hand hygiene was divided into: Assessment Phase, Training and Education Phase, and Evaluation Phase. Descriptive statistics was used to summarize the demographic and clinical characteristics of the nurses. Paired sample T-test was used to determine the difference on a continuous variable from baseline to post intervention.  Fisher’s  exact  and  chi-square  tests  were used  to  determine  the difference of proportion of the response of the nurses before and after intervention. Null hypotheses were rejected at 0.05α-level of significance. STATA 13.1 was used for data analysis.
 

Results
 
The study included staff nurses assigned at the Medical-Surgical wards (n=173).  Hand  hygiene  baseline  scores  for KAP showed  statistically  significant improvement (P-value of <0.001) after training and education phase.   Knowledge scores improved from 32.82% to 43.26%; Attitude scores escalated from 42.71% to 63.54%); and Practice scores advanced from 33.06% to 46.77%). Training and education play a crucial role in setting a culture of change that promotes patient safety in terms of infection control.  A multi-modal approach is necessary to sustain and improve hand hygiene.