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Nurses' Hand Hygiene in a Private Nairobi Hospital

Leppänen, Ella (2019)

 
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Leppänen, Ella
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019120224016
Tiivistelmä
The purpose of this thesis was to observe and describe the nurses’ hand hygiene practices in the selected hospital. The aim was to produce information on how hand hygiene is being performed in the selected hospital, and to find the common flaws in the hand hygiene performance. The thesis was done in co-operation with a certain hospital in Nairobi, Kenya.

The thesis was implemented as an observational research. 26 nurses were observed in pediatric, maternity, inpatient and outpatient departments. The data was collected in April 2019. The observations were done with the help of an observation sheet, and the results were analysed in Excel spreadsheet statistics programme.

The results show that the nurses’ compliance to personal hand hygiene was relatively poor: a big number of nurses was observed to have long nails, use nail polish or wear rings or bracelets. The use of hand rub was not consistent; however, hand washing was performed frequently. Overall, there was no remarkable difference on the performance between different departments statistically.

There were several factors affecting the results; hand rub dispensers were insufficiently available, there was a lack of hospital guidelines concerning hand hygiene and the staff was not trained enough on the subject. There is a need for a further study on the matter; including a bigger sample and involving many hospitals across the country.
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