HANDWASHING: Male hospital staff lax

Nurses Activism

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http://www.reutershealth.com/frame2/eline.html

Male hospital staff lax on handwashing: study

NEW YORK, Jan 16 (Reuters Health) - Studies have found that men are less strict about handwashing than women are, and new research suggests that the cleanliness gender gap extends to the medical profession.

Australian researchers found that in their institution's critical care unit, male healthcare workers washed their hands one-third less often than female workers did after contact with an invasive instrument or a patient's skin, blood or "excretions."

But the sex difference was not seen across all the professions, according to Thea van de Mortel and colleagues at Southern Cross University in Lismore.

Male and female nurses had similarly high handwashing rates after patient contact. As for doctors, women washed their hands 88% of the time, compared with just 54% among men. Female ward workers washed up nearly twice as often their male counterparts, and female radiographers practiced hand hygiene more often than males, the report indicates.

Physical therapists were the most vigilant of all. Both men and women washed their hands after every patient contact observed in the study, according to findings published in a recent issue of the American Journal of Infection Control.

Handwashing is a basic way to limit the spread of germs in any environment. A number of studies in the general population have shown that women and girls are more likely than men and boys to wash their hands in a germ-filled situation, such as after using the bathroom, the researchers point out.

The authors note that these results follow that trend, with the exception of nurses and physical therapists. And they speculate that "cultural" differences among the health professions might explain the various handwashing practices.

"Pinpointing how these cultural differences arise may provide a means of boosting handwashing frequency," van de Mortel and colleagues write.

Handwashing in the study was assessed by "covert" observers from the staff. They followed the handwashing practices of 156 men and 93 women across all hospital shifts, for 3 months.

SOURCE: American Journal of Infection Control 2001;29:395-399.

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WE nurses have known this for years! HOW can we break this poor habit???????

Specializes in ER.

I use my foot to flush and some of those thingies can be pretty stiff.

Mario I would hope you aim....love the hunky new pic.

Specializes in Vents, Telemetry, Home Care, Home infusion.

handwashing gains respect with new guideline

ruth kleinpell, rn, phd

nursing spectrum, masthead date february 11, 2002

http://community.nursingspectrum.com/magazinearticles/article.cfm?aid=5966

it is part of basic nurse training-washing your hands before contact with a patient. yet many of us do not do it often enough or thoroughly enough, to the detriment of our patients. handwashing, or hand hygiene, as it is currently known, is an important part of everyday nursing care. this is especially true in the critical care setting, where patients are often predisposed to infection or are already infected.

the centers for disease control and prevention (cdc) recently issued a draft guideline on hand hygiene to reduce transmission of pathogenic microorganisms in healthcare settings and to promote new strategies for improving hand-hygiene practices among healthcare workers.

the cdc says convincing evidence proves hand antisepsis can reduce the transmission of healthcare-acquired microorganisms. yet many healthcare personnel fail to adhere to current recommended handwashing practices, according to the cdc. current guidelines stress healthcare personnel wash their hands for 30 seconds to one minute with hand hygiene products intended for healthcare facilities. but studies have shown the average duration of handwashing by healthcare personnel is less than 15 seconds.

some waterless antiseptic agents in antiseptic handrubs require 3 ml of alcohol be rubbed into the hands for 30 seconds, followed by a repeat application. this protocol does not reflect actual usage patterns among healthcare personnel. in addition, some products are neutralized by over-the-counter hand lotions. this means special lotions that do not interfere with the effects of the antiseptic wash should be used instead.

the final guidelines, which will be titled hand hygiene guideline for healthcare settings, will be released early this year. the guideline will stress healthcare personnel make a more conscious effort to adhere to hand-hygiene practices. the major change will be the recommendation that traditional antiseptic washes be replaced by soap products for washing and that alcohol-based gels be used for degerming.

"alcohol-based handrubs reduce bacterial counts on the hands of personnel more effectively than plain or antimicrobial soaps, can be made more accessible than sinks or other handwashing facilities, require less time to use, and cause less skin irritation and dryness than washing hands with soap and water," the guideline states.

the importance of such simple steps cannot be minimized, says elaine larson, rn, phd, faan, professor of pharmaceutical and therapeutic research and editor of the american journal of infection control, at the columbia university school of nursing in new york. "nosocomial infections are one of the most serious complications of healthcare, costing more than $1 billion a year, and they are the fifth leading cause of death in acute care hospitals."

larson recently published the results of research comparing the use of traditional antiseptic wash to use of plain, mild soap and an alcohol-based product among 50 icu staff members (physicians, nurses, housekeepers, and respiratory therapists). the research demonstrated the use of alcohol-based products resulted in significant improvements in hand-skin assessment scores, required significantly less washing time, and resulted in a 50% reduction in material costs. the research reinforces the recommendation that traditional antiseptic washes be replaced by mild soap for cleaning and that an alcohol-based product be used for degerming.

larson says the cdc's other recommendations include --

provision of lotion by healthcare facilities that doesn't reduce the effects of antiseptic-based gel

prohibition against artificial fingernails

removal of brushes for surgical scrub

institutional mandates for providing staff education

development of a multidisciplinary program to monitor compliance with the recommendations

"all recommendations are based on sound evidence from clinical trials and other research," says larson. it will be exciting and also challenging to make such major changes in a very universal practice-hand hygiene."

jolynn zeller, rn, bs, coordinator of infection control and performance improvement at avera st. luke's hospital in aberdeen, sd, also served on the hand-hygiene task force that developed the new guideline. "i really believe this document will be helpful to bedside nurses and infection control practitioners," she says. "the key issues are how we can facilitate hand hygiene, increase safety to our patients, and do so in a way that enhances the condition of employees' hands."

for further information on the proposed cdc guideline, visit the cdc website at http://www.cdc.gov/ncidod/hip/hand/ hhfedreg.htm.

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ruth kleinpell, rn, phd, is a contributing writer for nursing spectrum.

didn't think this was such a "hot" topic, lol...except that i live with three men and 13yo with poor aim!

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