提升護理人員手部衛生遵從率

Effective Strategies to Enhance Hand Hygiene Compliance Rate of Nursing Staff

手部衛生是預防醫療照護相關感染，減少病菌傳播簡單又有效的方法。2021年6月專案病房查核護理人員手部衛生遵從率僅50.2%，故引發改善動機。透過資料分析及實際訪談，發現手部衛生遵從率低的原因為：缺乏醒目標示、不完全清楚手部衛生之重要性、忙碌未確實洗手、頻繁洗手致手部不適及濕洗手設備距離太遠等。專案目的乃設定護理人員手部衛生遵從率達90.5%，進行改善措施：宣導手部衛生重要性、設計手部衛生海報、增設醒目標示、增加完整濕洗手設備及放置護手乳後，有效將手部衛生遵從率50.2%提升至91.3%，達專案目標，藉此改善經驗，供其他同業參考，維護安全的照護環境，提升病人住院品質。

Hand hygiene is the most effective method for preventing health-care-associated infections and the spread of pollutants in hospital wards. In June 2022, our audit revealed a hand hygiene compliance rate of only 50.2% in the targeted nursing ward. This finding served as a catalyst, fueling our determination to develop effective strategies for improving the hand hygiene compliance of our nursing staff. Through data analyses and interviews with nursing team members, we identified major factors responsible for the low hygiene compliance rate. These included an absence of attention-grabbing reminders, inadequate awareness of the critical importance of hand hygiene, time constraints due to heavy workloads, the discomfort associated with frequent handwashing, and inconvenient placement of hand hygiene equipment. The aim of the project reported herein was to increase the hand hygiene compliance rate to over 90.5% by establishing effective strategies. First, we provided nursing staff education to emphasize the importance of hand hygiene for preventing the spread of nosocomial infection. In addition, we introduced attention-grabbing reminders and hand hygiene posters to the project-targeted nursing ward. Sufficient hand hygiene equipment and moisturizing skincare products were provided to promote hand hygiene compliance. These measures effectively increased the hand hygiene compliance rate from 50.2% to 91.3%. Here, we share our experience of enhancing the hand hygiene compliance rate for the reference of other institutions. Our effective strategies can facilitate the creation of a safer nursing environment and improve the quality of care for inpatients.