N Fullér

Hand Hygiene Compliance or the Influencing Factors of Efficiency in the Scope of Students

PIN99 HaNd HygIeNe ComPlIaNCe or tHe INflueNCINg faCtors of effICIeNCy IN tHe sCoPe of studeNts Szebeni-Kovács G.1, Horváth-Hegyi K.2, Pakai A.3, Kalamár-Birinyi E.4, Boncz I.5, Fullér N.1, Müller Á.1, Oláh A.1 1University of Pécs, Pécs, Hungary, 2University of Pécs, Szombathely, Hungary, 3University of Pécs, Zalaegerszeg, Hungary, 4County Hospital of Zalaegerszeg, Zalaegerszeg, Hungary, 5Faculty of Health Sciences, University of Pécs, Pécs, Hungary Objectives: The prevalence of nosocomial infections is between 5-15%. Reduction of nosocomial infections, recognition in time and adequate treatment are all emphasised activities of patient security. The aim of this examination is to measure theoretical and practical knowledge of hand hygiene of nursing students in secondary education. MethOds: Cross-sectional qualitative and quantitative was made, with non-random, accidental samples in 2014 January with the participation of students in secondary nursing education (N= 116) to whom the rules of sepsis, asepsis and antisepsis, and correct hand hygiene knowledge were taught according to the number of lessons in the curriculum. Self-made opened and closed questionnaires were applied, with a focus on the knowledge of hand hygiene. The technique and efficiency of hygienic hand disinfection was measured with an infrared lamp. χ 2test, t-test, ANOVA were performed as a statistical method besides 95% probability (p< 0.05). Data analysis was performed with SPSS 20.0 programs. Results: The concept of disinfection was known correctly by 78% of the students, the exact terminology of nosocomial infection was known by 44%. Only 42 students thought that hands have the highest relevance in the transfer if infections. The preconditions of proper hand hygiene were indicated correctly by 11%. Examination with infrared lamp showed that 4 students implemented hand disinfection perfectly. The most common missed areas were: the back of the hand, phalanges, nails, thumb. cOnclusiOns: Significant reduction of nosocomial infections may and must be reached, to which accurate theoretical and practical education of the students is required, and the acquirement has to be monitored continuously and strictly.

PHP117 EMERGENCY NURSES AND PHYSICAL EXAMINATIONS—WHOSE DUTY?

guidelines for prevention and treatment has gained attention in many developed countries. The objective of our study was to investigate to what extent clinical practice guidelines consider cost-effectiveness and budget impact according to the most recent economic evidence. METHODS: We carried out systematic literature reviews of economic evaluations on the fi ve most important medications by means of expenditures in the The Netherlands in 2007 (cholesterol-lowering drugs, antihypertensives, proton pump inhibitors, long-acting bronchodilators/ inhaled corticosteroids and antidepressants). Consequently, we compared the economic evidence to the recommendations of the relevant clinical practice guidelines. RESULTS: Eleven clinical practice guidelines were determined to be relevant for the medications under consideration. Although the recommendations of each of these guidelines are largely in agreement with the most recent economic evidence, 9/11 guidelines hardly considered the costeffectiveness of medications. The guidelines ‘Cardiovascular Risk Management’ (2006) and ‘Anxiety Disorders’ (2003) systematically regarded cost-effectiveness, but their recommendations are not based on the most recent economic evidence. Only the guideline ‘Cardiovascular Risk Management’ (2006) considered budget impact to take accessibility and affordability constraints into account when considering cost-effectiveness. CONCLUSIONS: Limited or no attention to economic evidence does not necessarily lead to ‘wrong’ recommendations. However, the consideration of costeffectiveness and budget impact in clinical practice guideline development is needed to increase clinician compliance, which in turn could ensure accessibility, affordability and quality of care in national health care systems. Furthermore, their consideration could harmonise national guidelines with reimbursement decisions. Engaging an economic expert in the guideline development process could contribute to the integration of the most recent economic evidence in clinical practice guidelines.