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Följsamheten till basala hygienrutiner hos personalen vid patientnära arbete på operationssalen: - En observationsstudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Sammanfattning

Bakgrund: De bakterier som överförs till händerna från omgivningen via föremål och sprider sig vidare mellan individer kan skapa en vårdrelaterad infektion, som i sin tur kan ge ett lidande för den enskilda patienten. Syfte: Syftet med studien var att undersöka följsamheten till basala hygienrutiner och klädregler hos personalen vid patientnära arbete under förberedelserna av patienten på operationssalen. Metod: Metoden av studien genomfördes med en öppen observationsstudie med en kvantitativ design baserad på strukturerade observationsprotokoll. Observationerna av följsamheten till basala hygienrutiner genomfördes när personalen utförde olika arbetsmoment i förberedelserna vid patientnära arbete. Arbetsmoment var positionering av patient inför operation, insättning av urinkateter, perifer venkateter, artärnål, epiduralkateter och intubation av patienten. Observationsstudien genomfördes på en kirurgisk och en ortopedisk operationsavdelning på ett universitetssjukhus i Mellansverige. Resultat: Studien omfattade 10 observationstillfällen per operationsavdelning med totalt 175 observationsmätningar på kirurg- och ortopedoperation angående klädregler, resultatet visade att 98% av personalen på ortopedoperation och 100% på kirurgoperation hade en korrekt följsamhet. Vid samtliga arbetsmoment som observerades förekom det brister vid användning av handdesinfektion före och efter patientnära arbete. Det arbetsmoment där rutinerna brister mest var vid intubation av patienten. Slutsats: I studiens resultat framgår det att personalen har en god följsamhet till klädregler, majoriteten använder engångskläder på båda operationsavdelningarna. När det gäller basala hygienrutiner finns fortfarande arbetsmoment där det finns brister. Vidare forskning och fortsatt utvecklingsarbete kring basala hygienrutiner behövs för att öka kunskap och medvetenhet hos personalen vid patientnära arbete.

 

Abstract [en]

Abstract 

Background: The bacteria that are transmitted to the hands from the environment through objects and is spreading further among individuals can create a health care associated infection, which in turn can cause a hardship for the individual patient. Purpose: The purpose of this study was to investigate the adherence to basic hygiene and dress code of staff in patient-related work during the preparation of the patient in the operating room. Method: The method of study was conducted with an open observational study with a quantitative design based on structured observation protocol. The observations of adherence to basic hygiene was carried out when the staff performed various tasks in preparation for near patient work. Operations were positioning of the patient before surgery, insertion of urinary catheter, peripheral venous, artery needle, epidural catheter and intubation of the patient. Observational study was conducted in a surgical and orthopedic surgery department at a university in central Sweden. Results: The study involved 10 observation occasions a surgical department with a total of 175 observational measurements on surgical and orthoped operation regarding the dress code, the results showed that 98% of the staff at the orthopedic surgery and 100% in the surgical operation had a proper adherence. In all the operations were observed, there were deficiencies in the use of hand disinfectant before and after patient-related work. The operation in which the routines shortcomings were for intubation of the patient. Conclusion: The results of the study, it appears that the staff has a good adherence to the dress code, the majority use disposable clothing on both operations departments. In terms of basic hygiene are still occupations where there are shortages. Further research and further development work on basic hygiene needed to increase knowledge and awareness of-staff for near patient work.

Place, publisher, year, edition, pages
2016. , 34 p.
Keyword [en]
Adherence, basic hygiene, hand hygiene, healthcare- associated infections, care suffering
Keyword [sv]
Följsamhet, basala hygienrutiner, handhygien, vårdrelaterade infektioner, vårdlidande
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-296368OAI: oai:DiVA.org:uu-296368DiVA: diva2:937727
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot operationssjukvård
Supervisors
Examiners
Available from: 2016-06-16 Created: 2016-06-15 Last updated: 2016-06-16Bibliographically approved

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