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Sjukvårdspersonals följsamhet till hygienrutiner inom akutsjukvård
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
2019 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Healthcare-associated infections (HAIs) are a major problem that affects patients treated in emergency care every year. If healthcare personnel follow the hygiene guidelines, HAIs can be reduced. In Sweden, Basic hygiene routines (basala hygienrutiner) are usually used as guidelines for hygiene in health care. Nationally, World Health Organization (WHO) guidelines are used in 5 steps to help healthcare professionals follow the hygiene guidelines. Working in emergency care means that healthcare personnel are faced with pressure and quick action in decisions in emergency situations. Unfortunately, adherence to hygiene routines is often given priority for a variety of reasons.  Aim: The aim of this literature study was to describe the compliance of healthcare professionals to hygiene routines in emergency care.  Method: A descriptive literature study with results based on 12 scientific articles. The literature search was performed in the MedLine database via PubMed.  Main result: The result showed that healthcare personnel in emergency care had low adherence to hygiene routines. The adherence to performing hygiene routines according to regulations after the medical staff had tended to a patient proved to be the step that was best followed. Adherence to hygiene routines before patient contact as well as prior to routine was found to be lower. The results differ between different occupational categories and depending on whether the health care professionals estimated themselves or were observed.  Conclusion: Adherence of healthcare personnel to hygiene routines in emergency care was low. When introducing interventions and training, the staff's compliance with hygiene routines increased. By highlighting the importance of good adherence to hygiene routines to avoid HAIs, patients' suffering and additional costs in healthcare can be reduced

Abstract [sv]

Bakgrund: Vårdrelaterade infektioner (VRI) är ett stort problem som varje år drabbar patienter som vårdas inom akutsjukvård. Om sjukvårdspersonal följer de riktlinjer som finns inom hygien kan VRI minskas. I Sverige används vanligtvis basala hygienrutiner som riktlinjer för hygien inom sjukvården. Nationellt används World Health Organisations (WHO) riktlinjer i 5 steg för att hjälpa sjukvårdspersonal att följa riktlinjerna för hygien. Att arbeta inom akutsjukvård innebär att sjukvårdspersonal ställs inför press och snabb handling i beslut vid akuta situationer. Tyvärr prioriteras följsamheten till hygienrutiner ofta bort av olika anledningar.  Syfte: Syftet med litteraturstudien var att beskriva sjukvårdspersonals följsamhet till hygienrutiner inom akutsjukvård. Metod: En beskrivande litteraturstudie med resultat som bygger på 12 vetenskapliga artiklar. Litteratursökningen utfördes i databasen MedLine via PubMed. Huvudresultat: Resultatet visade att sjukvårdspersonal inom akutsjukvård hade låg följsamhet till hygienrutiner. Följsamheten till att utföra hygienrutiner enligt föreskrifter efter att sjukvårdspersonalen hade varit hos en patient visade sig vara det steg som efterföljdes bäst. Följsamhet till hygienrutiner innan patientkontakt samt innan ren rutin visade sig vara lägre. Resultaten skiljer sig mellan olika yrkeskategorier och beroende på om sjukvårdspersonalen skattat sig själva eller blivit observerade. Slutsats: Sjukvårdspersonals följsamhet till hygienrutiner inom akutsjukvård var låg. Vid införande av interventioner och utbildning ökade sjukvårdspersonalens följsamhet till hygienrutiner. Genom att belysa vikten av en god följsamhet till hygienrutiner för att undvika VRI kan patienters lidande samt att sjukvårdens merkostnader minskas.  

Place, publisher, year, edition, pages
2019. , p. 36
Keywords [en]
Compliance, Emergency care, healthcare personnel, hygieneroutines
Keywords [sv]
Akutsjukvård, följsamhet, hygienrutiner, sjukvårdspersonal
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-31239OAI: oai:DiVA.org:hig-31239DiVA, id: diva2:1376739
Subject / course
Nursing
Educational program
Nursing
Supervisors
Examiners
Available from: 2019-12-10 Created: 2019-12-10 Last updated: 2019-12-10Bibliographically approved

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