مرور روایتی بر چالش‌ها و عوامل مؤثر بر اجرای بهداشت دست در بخش‌های مراقبت ویژه نوزادان: نگاهی از منظر پرستاران

فائزه رستمیان © ℗, فاطمه خسروی

مرور روایتی بر چالش‌ها و عوامل مؤثر بر اجرای بهداشت دست در بخش‌های مراقبت ویژه نوزادان: نگاهی از منظر پرستاران

کد: G-1154

نویسندگان: فائزه رستمیان © ℗, فاطمه خسروی

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خلاصه مقاله

Background and Objective: Hand hygiene is a critical preventive measure in infection control within healthcare settings, particularly in neonatal intensive care units (NICU). Proper adherence to hand hygiene practices can significantly reduce healthcare-associated infections and improve treatment outcomes for vulnerable infants. Despite its importance, evidence suggests that adherence to hand hygiene among nurses in these units is often low. Therefore, this study aims to identify the challenges and factors influencing hand hygiene practices from the perspective of nurses working in NICUs. Methods: This study is a narrative review conducted through searches in databases such as SID, PubMed, and Magiran, along with the search engine Google Scholar, using keywords including "hand hygiene," "nurses," "neonatal intensive care units," and their Persian equivalents. The search covered the period from 2014 to 2024, and only articles with full-text access were reviewed. Out of 34 reviewed articles, 12 were included in this study. Results: Findings from this narrative review reveal that adherence to hand hygiene in NICUs is affected by individual, organizational, and environmental barriers. Individual barriers, such as a lack of awareness and insufficient training among nurses on the importance of hand hygiene, can lead to reduced adherence to these standards. Additionally, high workload and the psychological pressure of long shifts pose further challenges. At the organizational level, the lack of resources and adequate equipment, including limited access to disinfectants and sinks, are identified as key barriers. Organizational culture and the work environment also play a critical role, particularly in the absence of support and positive feedback from colleagues and supervisors. Conclusion: Improving hand hygiene compliance in NICUs requires attention to multiple factors and collaboration among nurses, managers, and other healthcare team members. Continuous training, providing adequate infrastructure, and fostering a positive organizational culture can help enhance hand hygiene adherence and reduce healthcare-associated infections.

کلمات کلیدی

"hand hygiene," "nurses," "neonatal intensive care units,"

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