{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:12:38Z","timestamp":1787015558224,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T00:00:00Z","timestamp":1589155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims and objectives<\/jats:title>\n                    <jats:p>The rates of healthcare\u2010associated infections are high around the world. Hand hygiene is considered the most effective measure to reduce the transmission of pathogens in the hospital environment. Our objective was to evaluate adherence to hand hygiene in critical units of a tertiary\u2010level hospital in Central\u2010West Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Observational study employing cross\u2010sectional data. Reporting rigour was demonstrated using the STROBE checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Observation of hand hygiene practices of 129 professionals from the health team, including nursing staff, physicians and physical therapists. Data collection was carried out using the World Health Organization form.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 3,025 hand hygiene opportunities were observed, and the overall rate of adherence was only 46.25%. There was a greater frequency of hand hygiene after risk of exposure to bodily fluids and after contact with patients, 60.80% and 53.45%, respectively. Nurses obtained a higher rate of adherence to hand hygiene (59.80%). The neonatal ICU had a higher rate of adherence to hand hygiene when compared to other sectors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The physical structure for hand hygiene in the institution was poor, and no professionals reached the minimum time required for execution of hand hygiene techniques. There were low rates of adherence to hand hygiene by professionals at all five times and in all categories and sectors observed, which may have been influenced by poor infrastructure present in the institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>This study is of great relevance to patient safety, given the rates of healthcare\u2010associated infections worldwide, with emphasis on underdeveloped countries. It is hoped that the results of this research can guide organisations to validly and systematically evaluate adherence to hand hygiene and achieve higher rates of adherence to hand hygiene and consequently reduce the number of infections in health environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.15293","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T21:42:55Z","timestamp":1587073375000},"page":"2691-2698","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Adherence to hand hygiene in critical sectors: Can we go on like this?"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8400-3684","authenticated-orcid":false,"given":"Thaissa Blanco","family":"Bezerra","sequence":"first","affiliation":[{"name":"Nursing Department Federal University of Mato Grosso Cuiab\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2746-1865","authenticated-orcid":false,"given":"Mar\u00edlia Duarte","family":"Valim","sequence":"additional","affiliation":[{"name":"Nursing Department Federal University of Mato Grosso Cuiab\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0126-3040","authenticated-orcid":false,"given":"Juliano","family":"Bortolini","sequence":"additional","affiliation":[{"name":"Statistics Department Federal University of Mato Grosso Cuiab\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7821-9980","authenticated-orcid":false,"given":"Renata Perfeito","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Nursing Department Londrina State University Londrina Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5191-3331","authenticated-orcid":false,"given":"Samira Reschetti","family":"Marcon","sequence":"additional","affiliation":[{"name":"Nursing Department Federal University of Mato Grosso Cuiab\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3095-9506","authenticated-orcid":false,"given":"Maria Eliete Batista","family":"Moura","sequence":"additional","affiliation":[{"name":"Nursing Department Federal University of Piau\u00ed Teresina Piau\u00ed Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(13)70163-4"},{"key":"e_1_2_11_3_1","volume-title":"National and state healthcare associated infections progress report this report is based on 2014 data","author":"Centers for Disease Control and Prevention","year":"2016"},{"key":"e_1_2_11_4_1","volume-title":"Clean hands count for health care providers, published in 2017","author":"Centers for Disease Control and Prevention","year":"2017"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.5492\/wjccm.v6.i1.79"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2015.10.004"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2015.216"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2018-0618"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/7026169"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2017.03.024"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2016.08.008"},{"key":"e_1_2_11_12_1","volume-title":"European Centre for Disease Prevention and Control. 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