Behavioral determinants of hand hygiene compliance among physicians in Riyadh region in Saudi Arabia

2017 ◽  
Vol 12 (2) ◽  
pp. 99 ◽  
Author(s):  
HalaA Amer ◽  
AbdallaF Bahar ◽  
MuhammadN Algamal ◽  
HindA Alzoman ◽  
AmmalM Metwally
Keyword(s):  
Saudi Arabia ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Behavioral Determinants ◽  
Hygiene Compliance

Behavioral Determinants of Hand Hygiene Compliance in Intensive Care Units

2010 ◽  
Vol 19 (3) ◽  
pp. 230-239 ◽  
Author(s):  
D. De Wandel ◽  
L. Maes ◽  
S. Labeau ◽  
C. Vereecken ◽  
S. Blot
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Intensive Care Units ◽  
Hand Hygiene Compliance ◽  
Behavioral Determinants ◽  
Hygiene Compliance

Understanding Practice: Factors That Influence Physician Hand Hygiene Compliance

2014 ◽  
Vol 35 (12) ◽  
pp. 1511-1520 ◽  
Author(s):  
Janet E. Squires ◽  
Stefanie Linklater ◽  
Jeremy M. Grimshaw ◽  
Ian D. Graham ◽  
Katrina Sullivan ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Behavior Change ◽  
Hand Hygiene Compliance ◽  
Tertiary Care ◽  
Theoretical Domains Framework ◽  
Behavioral Determinants ◽  
Behavior Change Interventions ◽  
Health Related ◽  
Change Framework ◽  
Hygiene Compliance

Objective.To identify the behavioral determinants—both barriers and enablers—that may impact physician hand hygiene compliance.Design.A qualitative study involving semistructured key informant interviews with staff physicians and residents.Setting.An urban, 1,100-bed multisite tertiary care Canadian hospital.Participants.A total of 42 staff physicians and residents in internal medicine and surgery.Methods.Semistructured interviews were conducted using an interview guide that was based on the theoretical domains framework (TDF), a behavior change framework comprised of 14 theoretical domains that explain health-related behavior change. Interview transcripts were analyzed using thematic content analysis involving a systematic 3-step approach: coding, generation of specific beliefs, and identification of relevant TDF domains.Results.Similar determinants were reported by staff physicians and residents and between medicine and surgery. A total of 53 specific beliefs from 9 theoretical domains were identified as relevant to physician hand hygiene compliance. The 9 relevant domains were knowledge; skills; beliefs about capabilities; beliefs about consequences; goals; memory, attention, and decision processes; environmental context and resources; social professional role and identity; and social influences.Conclusions.We identified several key determinants that physicians believe influence whether and when they practice hand hygiene at work. These beliefs identify potential individual, team, and organization targets for behavior change interventions to improve physician hand hygiene compliance.Infect Control Hosp Epidemiol2014;35(12):1511–1520

scholarly journals A Decade in Trying to Increase Hand Hygiene—Finally Success

2020 ◽  
Vol 41 (S1) ◽  
pp. s93-s94
Author(s):  
Linda Huddleston ◽  
Sheila Bennett ◽  
Christopher Hermann
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Compliance Rate ◽  
Bloodstream Infections ◽  
Central Line ◽  
Second Phase ◽  
Two Phase ◽  
Hygiene Compliance ◽  
Tract Infections ◽  
The Voice

Background: Over the past 10 years, a rural health system has tried 10 different interventions to reduce hospital-associated infections (HAIs), and only 1 intervention has led to a reduction in HAIs. Reducing HAIs is a goal of nearly all hospitals, and improper hand hygiene is widely accepted as the main cause of HAIs. Even so, improving hand hygiene compliance is a challenge. Methods: Our facility implemented a two-phase longitudinal study to utilize an electronic hand hygiene reminder system to reduce HAIs. In the first phase, we implemented an intervention in 2 high-risk clinical units. The second phase of the study consisted of expanding the system to 3 additional clinical areas that had a lower incidence of HAIs. The hand hygiene baseline was established at 45% for these units prior to the voice reminder being turned on. Results: The system gathered baseline data prior to being turned on, and our average hand hygiene compliance rate was 49%. Once the voice reminder was turned on, hand hygiene improved nearly 35% within 6 months. During the first phase, there was a statistically significant 62% reduction in the average number of HAIs (catheter associated urinary tract infections (CAUTI), central-line–acquired bloodstream infections (CLABSIs), methicillin-resistant Staphylococcus aureus (MRSA), multidrug-resistant organisms (MDROs), and Clostridiodes difficile experienced in the preliminary units, comparing 12 months prior to 12 months after turning on the voice reminder. In the second phase, hand hygiene compliance increased to >65% in the following 6 months. During the second phase, all HAIs fell by a statistically significant 60%. This was determined by comparing the HAI rates 6 months prior to the voice reminder being turned on to 6 months after the voice reminder was turned on. Conclusions: The HAI data from both phases were aggregated, and there was a statistically significant reduction in MDROs by 90%, CAUTIs by 60%, and C. difficile by 64%. This resulted in annual savings >$1 million in direct costs of nonreimbursed HAIs.Funding: NoneDisclosures: None

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