![]() ![]() Thus, apart from these individual factors, effective hand hygiene also requires adequate organisational factors including availability of hand rub, stock of protective clothing, and strong local efforts from the nursing management such as role modelling. showed that hygiene programmes and education could effectively increase adherence to hand rubbing and reduce the incidence of serious infections in nursing homes. Individual factors of nurses such as knowledge of the 5 moments of hand hygiene, behaviours including not wearing hand and arm jewellery while nursing, and applying their learnings from the latest hygiene training, to improve compliance of hand hygiene measures, are important prerequisites for infection prevention. For example, the absence of a sink was found to be a major hindrance to hand hygiene in the nursing home setting. ![]() However, it has been pointed out that the application of hospital infection control guidelines to nursing homes is often unrealistic in terms of system differences and different available resources for infection prevention. It was also shown that the incidences of serious infection could be reduced after the introduction of a multifaceted hand hygiene program to improve hand hygiene adherence and compliance in nursing homes. Previous research has pointed to individual knowledge deficits influencing safe hand hygiene practices in nursing homes such as correct duration of hand washing and deficits in hand rub recommendations. The 5 moments of hand hygiene define care situations that should always lead to a hand rub. This term refers to “applying an antiseptic handrub to reduce or inhibit the growth of microorganisms without the need for an exogenous source of water and requiring no rinsing or drying with towels or other devices”. The most effective single measure for infection prevention in various health care settings, including nursing homes is (antiseptic) hand rubbing. In 2015 there were 426.277 cases of infections with multi-resistant bacteria associated with health care registered in Europe. Healthcare-associated infections are a major cause of morbidity and mortality in nursing homes. ![]()
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