title: Exploring the factors associated with hand hygiene compliance of nurses during routine clinical practice.
abstract: BACKGROUND
  Nurses and other health care providers (HCPs) continue to be noncompliant with the guidelines of proper hand hygiene practices.
  
  
  OBJECTIVE
  The purpose of this study was to explore the factors associated with hand hygiene compliance among HCPs during routine clinical.
  
  
  METHODS
  An observational study was conducted at an oncology hospital to examine hand hygiene practices observed during 612 procedures that were performed by 67 HCPs.
  
  
  RESULTS
  Hand hygiene compliance was 41.7% (n = 255) before procedure and 72.1% (n = 441) after the procedure. The overall compliance was only 34.3% (n = 210). Compliance with the standards of hand hygiene was higher in high-risk procedures (odds ratio [OR] = 1.77; 95% confidence interval [CI], 1.18-2.65) and when HCPs were exposed to blood (OR = 1.40; 95% CI, 1.07-1.73).
  
  
  CONCLUSIONS
  The findings highlight the need to continue to push compliance with hand hygiene using innovative approaches that go beyond teaching and in-service training.
authors.affiliation: University of Miami, School of Nursing and Health Studies, Miami, FL 33134, USA. dkorniewicz@miami.edu <dkorniewicz@miami.edu>
authors.forename: Denise M
authors.initials: DM
authors.lastname: Korniewicz
authors.forename: Maher
authors.initials: M
authors.lastname: El-Masri
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002173:Cancer Care Facilities; D002983:Clinical Competence; D004509:Education, Nursing, Continuing; D005260:Female; D005431:Florida; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006235:Hand Disinfection / Q000592:standards; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006785:Hospitals, University; D006801:Humans; D007318:Inservice Training; D008297:Male; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D012044:Regression Analysis; D011795:Surveys and Questionnaires