Factors Affecting Hand Hygiene Performance of Pediatric Intensive Care Unit Health Care Team during the Outbreak of COVID-19 Disease in Iran: A Qualitative Study | ||
| Journal of Pediatric Perspectives | ||
| مقاله 9، دوره 9، شماره 11، بهمن 2021، صفحه 14783-14800 اصل مقاله (663.97 K) | ||
| شناسه دیجیتال (DOI): 10.22038/ijp.2021.56160.4418 | ||
| نویسندگان | ||
| fatemeh kalroozi1؛ Soodabeh Joolaee2؛ Mansoureh Ashghali Farahani3؛ Behzad Haghighi Aski4؛ Ali Manafi Anari4 | ||
| 1Instructor, Pediatric Nursing Department, Aja University of Medical Sciences, PhD Candidate of Nursing and midwifery, Iran University of Medical Sciences, Tehran, Iran. | ||
| 2Research Ethics Specialist, Fraser Health Authority, BC, Canada; Professor, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran; Center for Health Evaluation & Outcome Sciences, University of British Columbia, Vancouver, Canada. | ||
| 3Professor, Nursing Care Research Center, Medical-Surgical Nursing Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran | ||
| 4Assistant Professor of Pediatrics, Department of Pediatrics, Aliasghar Children's Hospital, Iran University of Medical Sciences, Tehran, Iran. | ||
| چکیده | ||
| Background: This study aimed to determine factors affecting compliance with Hand Hygiene (HH) from the perspective of the health care team working in the pediatric intensive care unit of a children's tertiary center, Ali -Asghar hospital, in Tehran, Iran. Methods: we recruited 35 Pediatric ICU health care workers, including nurses, attending physicians and medical students, selected by purposive sampling between February to November 2020. Data were collected using deep semi-structured interviews, and analyzed through Graneheim and Lundman’s (2004) qualitative conventional content analysis method. All interviews were recorded and typed in the MAXQDA software and then analyzed in eight steps including writing interviews, determining the semantic units, text coding, matching codes with text, categorizing and developing categories, reviewing the categories, identifying the sub themes and reporting the findings. Results: 68.5% of the participants were female, with an average age of 32.7 years and work experience of 8.6 years. After reviewing all codes obtained, 4 main categories were finally extracted. (I) Meta-organizational factors including two subcategories of macro-health policy, sanctions and economic problems, (II) Organizational factors including three subcategories of incoherence in observing the rules, monitoring and evaluation, and the prevailing attitude of the organization, (III) Individual factors including three subcategories of attitude of the health care team towards patients, skin reactions to hand sanitizers, concerns about their own health and health of their family, (IV) Characteristics of the clinical environment including three subcategories of professional relationships, special conditions governing the pediatric ICU, and care facilities. Conclusion: Overall, 234 codes were extracted from the interviews and after the integration of similarities, four key themes including Meta-organizational factors, Organizational factors, Individual factors and Characteristics of the clinical environment were obtained indicating factors affecting hand hygiene performance of the PICU health care team. | ||
| کلیدواژهها | ||
| COVID-19؛ Hand hygiene؛ Health care team؛ Pediatric ICU؛ Perspective؛ Qualitative Research | ||
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