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Följsamhet till handhygien- och klädrutiner på operationsavdelningar
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Introduktion: En god följsamhet till rätt handhygien- och klädrutiner minskar risken för smittspridning. En av operationspersonalens viktigaste uppgifter är att förebygga infektioner. Följsamhet till handhygien- och klädrutiner skyddar både patient och personal från infektioner.

 

Syfte: Att undersöka och sammanställa operationspersonalens följsamhet till kläd– och handhygienrutiner på operationsavdelning.                                                                            

Metod: En deskriptiv systematisk litteraturstudie utfördes, där databaserna PubMed, Cinahl och ScienceDirect genomsöktes. Efter granskning och analys valdes tio vetenskapliga artiklar ut att inkluderas i resultatet, fem med hög kvalitet och fem med medelhög kvalitet.                                        

Resultat: Fungerande följsamhet till handhygien- och klädrutiner kunde bero på god information angående rutinerna. Personalen hade god följsamhet till att avlägsna smycken innan de gick in på operationsavdelningen. Bristande följsamhet till handhygien- och klädrutiner på operationssal var exempelvis otillräckligt utförd handdesinfektion samt brister i användandet handskar. Bristerna berodde dels på en negativ inställning och attityd, men även på dålig kunskap om handhygien- och klädrutiner.             

Slutsats: Totalt tio vetenskapliga studier togs med gällande kläd- och handhygienrutiner. I dessa upptäcktes brister i handhygien- och klädrutiner men också det som fungerade i rutinerna. Det framkom även skillnader bland operationspersonalens följsamhet till handhygien- och klädrutiner.

Abstract [en]

Introduction: Good follow-up to proper hand hygiene and clothing routines reduces the risk of infection spread. One of the operational personnel's most important tasks is to prevent infections. Compliance with hand hygiene and clothing routines protects patients and personnel from infections.

Aim: To investigate and compile operational personnel compliance with hand hygiene- and clothing routines in the operations department.

Method: A descriptive systematic literature study was conducted using the databases PubMed, Cinahl and Science Direct. After examination and analysis, ten scientific studies were selected to be included in the results, five with high quality and five with medium quality.

 

Results: Functional compliance with hand hygiene and clothing routines could be due to good information about the routines. The staff had good adherence to removing jewelry before entering the operations department. Inadequate compliance with hand hygiene and clothing routines in the operating room were, for example, insufficient hand disinfection and shortcomings in the use of gloves. The shortcomings were due to a negative attitude and attitude, but also to poor knowledge of hand hygiene and clothing routines.

Conclusion: A total of ten scientific studies were carried out with current hand hygiene- and clothing procedures. In these, defects were discovered in hand hygiene- and clothing routines, but also in the hygiene routines. There were also differences among operating personnel in compliance with hand hygiene- and clothing routines.         

Place, publisher, year, edition, pages
2018.
Keywords [en]
hygiene, operating instruments, operating room, compliance, perioperative care
Keywords [sv]
Hygien, operationsinstrument, operationsrum, följsamhet, perioperativ omvårdnad
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:kau:diva-68050OAI: oai:DiVA.org:kau-68050DiVA, id: diva2:1223937
Educational program
Specialist Nursing -Theatre Care (60 ECTS credits)
Supervisors
Examiners
Available from: 2018-07-02 Created: 2018-06-26 Last updated: 2018-07-02Bibliographically approved

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