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Namayandeh M, Soltani T, Abdullahi M, Majidpour F, Entezari J, Sherafat A, et al . Evaluation of Awareness and Compliance of Hand Hygiene among Healthcare Workers in Afshar Hospital, Yazd: A Before-After Study. mededj 2025; 14
URL: http://mededj.ir/article-1-558-en.html
URL: http://mededj.ir/article-1-558-en.html
Mahdieh Namayandeh 
, Tayebeh Soltani , Mohammadhasan Abdullahi , Fatemeh Majidpour , Jamal Entezari , Asghar Sherafat , Fatemeh Boostany , Mohammadreza Ahi *
, Tayebeh Soltani , Mohammadhasan Abdullahi , Fatemeh Majidpour , Jamal Entezari , Asghar Sherafat , Fatemeh Boostany , Mohammadreza Ahi *
Clinical Research Development Center, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Abstract: (9 Views)
Background and Objective: Hand hygiene is recognized as the most critical measure for preventing hospital-acquired infections. However, healthcare workers (HCWs) often demonstrate poor adherence to hand hygiene practices. This study aimed to evaluate the impact of a structured educational intervention on self-reported knowledge, attitudes, and practices (KAP), as well as the observed hand hygiene compliance among HCWs at Afshar Hospital in Yazd.
Methods: This pre- and post-intervention study was conducted among 71 healthcare workers. The educational intervention consisted of focused workshops, distribution of memory aids, and virtual education. Hand hygiene compliance was evaluated through discreet observation based on the World Health Organization's "Five Moments for Hand Hygiene" standard, while self-reported KAP was assessed using a researcher-developed questionnaire. Data were analyzed using SPSS software version 23.
Findings: A significant increase in hand hygiene compliance was observed, rising from 16% (196 out of 1225 opportunities) pre-intervention to 21% (232 out of 1111 opportunities) post-intervention (p=0.002). This improvement was significant across four of the five key moments. However, compliance in the "after touching patient surroundings" moment significantly decreased from 23% to 9% (p=0.001). In contrast to the behavioral improvement, participants' self-reported KAP scores showed no significant changes.
Conclusions: The focused educational intervention successfully improved hand hygiene compliance, although this improvement was not uniform across all situations. The discrepancy between self-reported and observed performance, along with the varying adherence patterns across different moments, underscores the necessity for targeted behavioral interventions and attitude change, particularly in perceived "lower-risk" situations.
Methods: This pre- and post-intervention study was conducted among 71 healthcare workers. The educational intervention consisted of focused workshops, distribution of memory aids, and virtual education. Hand hygiene compliance was evaluated through discreet observation based on the World Health Organization's "Five Moments for Hand Hygiene" standard, while self-reported KAP was assessed using a researcher-developed questionnaire. Data were analyzed using SPSS software version 23.
Findings: A significant increase in hand hygiene compliance was observed, rising from 16% (196 out of 1225 opportunities) pre-intervention to 21% (232 out of 1111 opportunities) post-intervention (p=0.002). This improvement was significant across four of the five key moments. However, compliance in the "after touching patient surroundings" moment significantly decreased from 23% to 9% (p=0.001). In contrast to the behavioral improvement, participants' self-reported KAP scores showed no significant changes.
Conclusions: The focused educational intervention successfully improved hand hygiene compliance, although this improvement was not uniform across all situations. The discrepancy between self-reported and observed performance, along with the varying adherence patterns across different moments, underscores the necessity for targeted behavioral interventions and attitude change, particularly in perceived "lower-risk" situations.
Type of Study: Research |
Subject:
General
Received: 2025/09/8 | Accepted: 2026/01/11 | Published: 2025/04/4
Received: 2025/09/8 | Accepted: 2026/01/11 | Published: 2025/04/4
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