Institutional members access full text with Ovid®

Share this article on:

Hand hygiene practices of home visiting community nurses: Perceptions, Compliance, Techniques, and Contextual Factors of Practice Using the World Health Organization's “Five Moments for Hand Hygiene”

Felembam, Ohood RN, BN, MAP(Hons); St. John, Winsome RN, RM, PhD, FRCNA, STTI; Shaban, Ramon Z. RN, IPN, CICP, EMT-P, PhD, FRCNA

doi: 10.1097/NHH.0b013e318246d5f4

In this observational study, the perceptions, compliance, techniques, and contextual issues of hand hygiene practices among community clinicians (nurses) during 103 hand hygiene opportunities (based on the World Health Organization “Five Moments for Hand Hygiene”) in 40 patient care episodes were examined. Compliance with standard hand hygiene practices was generally poor, with many contextual influences making compliance difficult. Clinician preferences and convenience are important considerations in hand hygiene compliance. Improving home-visiting community clinicians' hand hygiene practices requires addressing contextual issues related to the availability of hand hygiene equipment, such as alcohol-based hand rubs, as well as hand hygiene in-service education to update knowledge on hand hygiene for everyday practice in community settings.

Ohood Felembam, RN, BN, MAP(Hons), is a PhD Candidate at Griffith University, Gold Coast, Australia, and a Teacher Assistant at King Abdul-Aziz University, Jeddah, Saudi Arabia.

Winsome St. John, RN, RM, PhD, FRCNA, STTI, is an Associate Professor at the Population and Social Health Research Program, Griffith Health Institute, Griffith University, Gold Coast, Australia.

Ramon Z. Shaban, RN, IPN, CICP, EMT-P, PhD, FRCNA, is a Senior Research Fellow at the Research Centre for Clinical and Community Practice Innovation, Griffith Health Institute, Griffith University, Brisbane, Australia.

The authors declare no conflicts of interest.

Address for correspondence: Ohood Felembam, RN, BN, MAP(Hons) School of Nursing & Midwifery, Griffith University, Brisbane 4222, Australia (

For more than 200 additional continuing nursing education articles on home healthcare topics, go to

© 2012 Lippincott Williams & Wilkins, Inc.