scholarly journals Validity of hand hygiene compliance measurement by observation: A systematic review

2019 ◽  
Vol 47 (3) ◽  
pp. 313-322 ◽  
Author(s):  
Annette Jeanes ◽  
Pietro G. Coen ◽  
Dinah J. Gould ◽  
Nicolas S. Drey
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Compliance Measurement ◽  
Hygiene Compliance

scholarly journals Interventions to improve healthcare workers’ hand hygiene compliance: A systematic review of systematic reviews

2018 ◽  
Vol 39 (12) ◽  
pp. 1449-1456 ◽  
Author(s):  
Lesley Price ◽  
Jennifer MacDonald ◽  
Lucyna Gozdzielewska ◽  
Tracey Howe ◽  
Paul Flowers ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Systematic Reviews ◽  
Hand Hygiene Compliance ◽  
Educational Interventions ◽  
Risk Of Bias ◽  
Future Research ◽  
Monitoring Technology ◽  
Positive Effects ◽  
Hygiene Compliance

AbstractObjectiveTo synthesize the existing evidence base of systematic reviews of interventions to improve healthcare worker (HCW) hand hygiene compliance (HHC).MethodsPRISMA guidelines were followed, and 10 information sources were searched in September 2017, with no limits to language or date of publication, and papers were screened against inclusion criteria for relevance. Data were extracted and risk of bias was assessed.ResultsOverall, 19 systematic reviews (n=20 articles) were included. Only 1 article had a low risk of bias. Moreover, 15 systematic reviews showed positive effects of interventions on HCW HHC, whereas 3 reviews evaluating monitoring technology did not. Findings regarding whether multimodal rather than single interventions are preferable were inconclusive. Targeting social influence, attitude, self-efficacy, and intention were associated with greater effectiveness. No clear link emerged between how educational interventions were delivered and effectiveness.ConclusionsThis is the first systematic review of systematic reviews of interventions to improve HCW HHC. The evidence is sufficient to recommend the implementation of interventions to improve HCW HHC (except for monitoring technology), but it is insufficient to make specific recommendations regarding the content or how the content should be delivered. Future research should rigorously apply behavior change theory, and recommendations should be clearly described with respect to intervention content and how it is delivered. Such recommendations should be tested for longer terms using stronger study designs with clearly defined outcomes.

scholarly journals The effect of behavioural interventions targeting hand hygiene practices among nurses in high-income hospital settings: a systematic review

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Madeline Sands ◽  
Alexander M. Aiken ◽  
Oliver Cumming ◽  
Robert Aunger
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Behaviour Change ◽  
Hand Hygiene Compliance ◽  
High Income ◽  
Theory Of Change ◽  
Behaviour Change Techniques ◽  
Temporal Shift ◽  
Hygiene Compliance ◽  
Theories Of Change

Abstract Background Hand hygiene is a critical behaviour for infection control but efforts to raise compliance among clinical professionals have been met with mixed success. The aim of this systematic review was to identify the effectiveness of the behaviour change techniques utilised in recent hand hygiene interventions that seek to improve hand hygiene compliance among nurses in hospitals in high-income countries. Nurses are at the frontline of healthcare delivery, and so improving their HH behaviour and thus increasing HHC rates will have a relatively large impact on reducing transmission and preventing healthcare acquired infections. Methods High-quality studies among nurses in high-income countries were surveyed from the scientific literature, following PRISMA guidelines, to identify which kinds of behaviour change mechanisms have been used to effectively increase hand hygiene compliance. Only seven studies met all inclusion criteria. A formal meta-analysis was not conducted due to the heterogeneity of the included studies. Instead, the review analysed studies in line with the Intervention Component Analysis approach to identify which differences in intervention characteristics appear to be important. Analysis proceeded in two steps: first, the Effective Practice and Organization of Care Data Extraction Checklist was used to identify the study design and to describe the intervention, target population, setting, results, outcome measures, and analytic approach. The second step involved inferring the behavioural change techniques used in the complex study interventions. Following coding, logic models were then inferred for each study to identify the Theory of Change behind each intervention. These Theories of Change were then examined for suggestions as to which BCTs were likely to have been responsible for any effectiveness observed. Results Goals and planning (to achieve specific ends), comparison of behaviour (to peers or some ideal) and feedback and monitoring (observing and providing feedback about behaviour or outcomes) were the most frequently used behaviour change technique groupings used across studies and within interventions. Conclusion The complexity of the interventions used and lack of sufficient studies makes assignment of responsibility for behaviour change to specific behaviour change techniques difficult. Delivery channels and activities identified in the study Theories of Change were also highly individualized and so difficult to compare. However, we identified a temporal shift in types of techniques used in these recent studies on HH interventions, as compared with studies from prior to the review period. These newer interventions did not focus on providing access to alcohol-based hand rub or trying to solely encourage administrative support. Instead, they had nurses create goals and plan how to best facilitate HH, compared both individuals’ and the group’s behaviour to others, and focused on providing feedback.

scholarly journals A Systematic Review on the Effectiveness of Interventions to Improve Hand Hygiene Compliance of Nurses in the Hospital Setting

2017 ◽  
Vol 49 (2) ◽  
pp. 143-152 ◽  
Author(s):  
Olena Doronina RN ◽  
Denise Jones ◽  
Marianna Martello ◽  
Alain Biron ◽  
Mélanie Lavoie-Tremblay
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Hospital Setting ◽  
Improve Hand Hygiene ◽  
Hygiene Compliance

scholarly journals Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Negasa Eshete Soboksa ◽  
Belay Negassa ◽  
GirumGebremeskel Kanno ◽  
Zemachu Ashuro ◽  
DinkineshBegna Gudeta
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Associated Factors ◽  
Hand Hygiene Compliance ◽  
Positive Attitude ◽  
Meta Analysis ◽  
Tissue Paper ◽  
Hygiene Promotion ◽  
Hygiene Compliance

Background. Promoting hand hygiene compliance should be a priority for health authorities and all healthcare facilities at all levels. Therefore, this systematic review and meta-analysis aimed to provide a pooled estimate of hand hygiene compliance and associated factors among healthcare professionals in Ethiopia. Methods. PubMed, Science Direct, EMBASE, the Google search engine, and Google Scholar were used to retrieve studies that were eligible for the study. The searches included all studies published in English prior to July 2021. Using a structured data extraction format, two authors independently extracted the required data. STATA Version 16 software has been used for statistical analysis. To measure the heterogeneity of the studies, the Cochrane Q-test statistics and I2 test were used. Because of the significant heterogeneity, a random-effects model was used. Results. The pooled hand hygiene compliance among healthcare workers in Ethiopia was 38% (95% CI: 0.16–0.59). According to the study’s subgroup analysis, Addis Ababa City administration health workers had the highest hand hygiene compliance, at 73% (95% CI: 0.50–0.96), while SNNP regional state had the lowest, at 9% (95% CI: 0.05–0.13). Presence of hand hygiene promotion (OR: 2.14, 95% CI: 1.04–3.24), towel/tissue paper availability (OR: 3.97, 95% CI: 2.09–5.86), having a positive attitude toward hand hygiene (OR: 1.79, 95% CI: 1.28–2.30), having good knowledge about hand hygiene (OR: 3.45, 95% CI: 1.26–5.64), and being trained for hand hygiene (OR:4.97, 95% CI:1.81–8.14) were significantly associated with hand hygiene compliance. Conclusion. In this analysis, hand hygiene compliance among healthcare workers in Ethiopia was less than half. Providing hand hygiene promotion, towel/tissue paper presence, having a positive attitude toward hand hygiene, having good knowledge about hand hygiene, and being trained for hand hygiene were important variables for the increment of hand hygiene compliance.

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