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Enfermería Global

On-line version ISSN 1695-6141


VASCONCELOS, Raíssa Ottes; ALVES, Débora Cristina Ignácio; FERNANDES, Luciana Magnani  and  OLIVEIRA, João Lucas Campos de. Adhesion to hand hygiene by nursing team in intensive care unit. Enferm. glob. [online]. 2018, vol.17, n.50, pp.430-476.  Epub Apr 01, 2018. ISSN 1695-6141.


To identify adherence to Hand Hygiene (HH) of the nursing professionals of an Intensive Care Unit for adults of a public university hospital.


Descriptive, cross-sectional, observational study with a quantitative approach, carried out with 68 professionals in a university hospital in the state of Paraná, Brazil. Data collection occurred from May to October of 2016 for 100 hours of direct observation. A form was developed for characterization of the participants and the Adapted Instrument of the Handbook for Observers - Multimodal Strategy of the World Health Organization for the Improvement of Hand Hygiene was developed. Data were submitted to descriptive analysis, in proportion measurements and Pearson's Chi-Square test, in SPSS Software version 18.0, to verify the association between adhesion and non-adhesion to HH in each of the five recommended moments and among professionals (nurse or technician of nursing), considering a level of significance of 5%.


12 (17.6%) were professional nurses and 56 (82.4%) were nursing technicians. The nursing staff received a general adhesion rate of 311 (47.8%). There was no adhesion to the moment "before performing aseptic procedures". The "after" moments presented higher accession rates.


The rate of adhesion to HH was very low, and hygiene practice before contact with the critical patient needs to be improved with greater urgency.

Keywords : Hand Hygiene; Cross Infection; Patient Safety; Intensive Care Units; Nursing.

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