Abstract
Background: hand hygiene is considered the simplest and most effective measure to reduce healthcare-associated infections. Objectives: analyze the perception of health professionals in an emergency service about barriers to good hand hygiene practices. Methodology: quantitative, descriptive, correlational and cross-sectional study, developed in a medical-surgical emergency service in Portugal. Data collection using a sociodemographic characterization questionnaire and the application of the “Barriers to Adherence to Hand Hygiene” scale. 153 health professionals participated in the study. In processing the data, measures of central tendency, measures of dispersion, correlations, reliability studies and tests of differences in means were used. The study received a favorable opinion from the Health Unit's Ethics Committee. Results: the Evaluation & Feedback is the most valued barrier, while Training & Training was the least relevant as a barrier to hand hygiene. Statistically significant differences were found in all sociodemographic variables, with the exception of gender. Conclusion: knowledge of the barriers to hand hygiene practices allows us to identify weaknesses. Leadership involvement with the team is decisive for changing behavior.
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