An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting

Alzyood, Mamdooh; Jackson, Debra; Brooke, Joanne; Aveyard, Helen

doi:10.1111/jocn.14305

Cited by 26 publications

(35 citation statements)

References 53 publications

(111 reference statements)

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“…[47,48] Regarding patients, patient involvement in supporting their own safety has been widely discussed. [49][50][51]. Patient involvement in HH-such as praising HCWs for practicing HH or reminding HCWs to wash their hands-and its impact on HH behaviour has not been extensively studied [51], but our results show that it would be acceptable to HCWs for patients to recognize nurses for practicing HH.…”

Section: Plos Onementioning

confidence: 74%

Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study

Sands

Aunger

2020

PLoS ONE

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Hand hygiene is the simplest and most effective measure for preventing healthcareassociated infections. Despite the simplicity of this procedure and advances made in infection control, hospital health care workers' compliance to hand hygiene recommendations is generally low. Nurses have the most frequent patient care interactions, and thus more opportunities to practice hand hygiene. As such, it is important to identify and understand determinants of nurses' reported compliance. Formative research was undertaken to assess the potential impact of several unexamined factors that could influence HH among nurses: professional role and status, social affiliation, social norms, and physical modifications to the work environment (as well as institutional factors like safety climate). A survey questionnaire was developed primarily to inform the creation of a behaviour change intervention. The survey looked at how these factors influence HH among nurses and sought to identify barriers and levers to reported hand hygiene. It was administered to a survey panel of acute care nurses, working in US hospitals, with a year or more of experience. Multivariate regression modelling suggested that reported hand hygiene compliance was most likely to be a function of a hospital management's communication openness, perceived performance by peers, increased interactions with patients and other staff members, and the reduction in stress, busyness, and cognitive load associated with role performance. A powerful, effective intervention on HH among nurses therefore could be directed at improving communication openness, consider the impact of perceived performance by peers, increase interactions with patients and staff, and determine how to reduce the stress and cognitive load associated with role performance.

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Section: Plos Onementioning

confidence: 74%

Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study

Sands

Aunger

2020

PLoS ONE

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“…Although partnerships with the patient and their family in hand hygiene strategies are addressed, as well as patient empowerment programs, the ultimate purpose is to increase hand hygiene compliance among HCWs through patient empowerment. 125 This perspectives toward HCWs being the primary actors in the acute care facility is reflected throughout the guidelines from WHO, 42,46,48,49,53,54,56,58,65 CDC, 71,77 United Kingdom, 106,110,111 and Canada, 25,99,[101][102][103] and it was noted in the pilot study performed in Bangladesh prior to the implementation of the WHO hand hygiene guideline. 56 Bangladesh was one of the pilot sites for the implementation of the WHO hand hygiene guideline.…”

Section: Hand Hygiene Only For Hcwsmentioning

confidence: 99%

Examining the inclusion of patients and their family members in infection prevention and control policies and guidelines across Bangladesh, Indonesia, and South Korea

Park

Pardosi

Seale

2020

American Journal of Infection Control

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“…We have identified a few studies that have addressed physicians' perspectives on patient involvement for safer care; two studies have used hypothetical hand hygiene and medication error scenarios. Schwappach et al conducted a study in Switzerland involving 1141 health care professionals (15% of which were physicians).…”

Section: Introductionmentioning

confidence: 99%

Determinants of patient participation for safer care: A qualitative study of physicians' experiences and perceptions

Schildmeijer

Nilsén

Ericsson

et al. 2018

Health Science Reports

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ObjectiveThere is a paucity of research on physicians' perspectives on involving patients to achieve safer care. This study aims to explore determinants of patient participation for safer care, according to physicians in Swedish health care.MethodsWe used a deductive descriptive design, applying qualitative content analysis based on the Capability‐Opportunity‐Motivation‐Behaviour framework. Semi‐structured interviews were conducted with 13 physicians in different types of health care units, to achieve a heterogeneous sample. The main outcome measure was barriers and facilitators to patient participation of potential relevance for patient safety.ResultsAnalysis of the data yielded 14 determinants (ie, subcategories) functioning as barriers and/or facilitators to patient participation of potential relevance for patient safety. These determinants were mapped to five categories: physicians' capability to involve patients in their care; patients' capability to become involved in their care, as perceived by the physicians; physicians' opportunity to achieve patient participation in their care; physicians' motivation to involve patients in their care; and patients' motivation to become involved in their care, as perceived by the physicians.ConclusionThere are many barriers to patient participation to achieve safer care. There are also facilitators, but these tend to depend on initiatives of individual physicians and patients, because organizational‐level support may be lacking. Many of the determinants are interdependent, with physicians' perceived time constraints influencing other barriers.

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An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting

Cited by 26 publications

References 53 publications

Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study

Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study

Examining the inclusion of patients and their family members in infection prevention and control policies and guidelines across Bangladesh, Indonesia, and South Korea

Determinants of patient participation for safer care: A qualitative study of physicians' experiences and perceptions

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