Compliance of health care workers to hand hygiene: awareness of being observed is important

Maury, Éric; Moussa, Nael; Lakermi, Choukri; Barbut, Frédéric; Offenstadt, G.

doi:10.1007/s00134-006-0398-9

Cited by 41 publications

(21 citation statements)

References 6 publications

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“…Reactivity measured in this study was less than the 35% increase in hand cleaning frequency due to structured observation found by Ram and colleagues (2010) among female caregivers of young children [5]. Previous studies documenting reactivity to in-person observation have been principally conducted with adult subjects [17]–[19]. It is possible that students may be less likely than adults to exhibit reactivity to in-person observation, as they are accustomed to being watched by teachers.…”

Section: Discussioncontrasting

confidence: 56%

Video Surveillance Captures Student Hand Hygiene Behavior, Reactivity to Observation, and Peer Influence in Kenyan Primary Schools

et al. 2014

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BackgroundIn-person structured observation is considered the best approach for measuring hand hygiene behavior, yet is expensive, time consuming, and may alter behavior. Video surveillance could be a useful tool for objectively monitoring hand hygiene behavior if validated against current methods.MethodsStudent hand cleaning behavior was monitored with video surveillance and in-person structured observation, both simultaneously and separately, at four primary schools in urban Kenya over a study period of 8 weeks.FindingsVideo surveillance and in-person observation captured similar rates of hand cleaning (absolute difference <5%, p = 0.74). Video surveillance documented higher hand cleaning rates (71%) when at least one other person was present at the hand cleaning station, compared to when a student was alone (48%; rate ratio = 1.14 [95% CI 1.01–1.28]). Students increased hand cleaning rates during simultaneous video and in-person monitoring as compared to single-method monitoring, suggesting reactivity to each method of monitoring. This trend was documented at schools receiving a handwashing with soap intervention, but not at schools receiving a sanitizer intervention.ConclusionVideo surveillance of hand hygiene behavior yields results comparable to in-person observation among schools in a resource-constrained setting. Video surveillance also has certain advantages over in-person observation, including rapid data processing and the capability to capture new behavioral insights. Peer influence can significantly improve student hand cleaning behavior and, when possible, should be exploited in the design and implementation of school hand hygiene programs.

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Section: Discussioncontrasting

confidence: 56%

Video Surveillance Captures Student Hand Hygiene Behavior, Reactivity to Observation, and Peer Influence in Kenyan Primary Schools

et al. 2014

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“…Nevertheless, because HCP were aware of being observed, they may have displayed different behavior (Hawthorne effect). 23 Therefore, the HH compliance in our study may overestimate clinical reality, particularly in the setting of contact precautions where the 2 sole observers were physically close to the observed HCP (because patients on contact precautions are mostly located in single rooms). Our study has other limitations.…”

Section: Discussionmentioning

confidence: 90%

Improved hand hygiene compliance after eliminating mandatory glove use from contact precautions—Is less more?

Cusini

Nydegger

Kaspar

et al. 2015

American Journal of Infection Control

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“…However, there were several limitations. One limitation of the method used to measure hand hygiene compliance could lead to selection bias or information bias if the covert observers selected HCWs non-randomly or recorded incorrectly [19, 20]. In anticipation of this bias, we designed a large sample size, and all covert observers were trained and participated in an examination before monitoring hand hygiene behavior.…”

Section: Discussionmentioning

confidence: 99%

Role of quality control circle in sustained improvement of hand hygiene compliance: an observational study in a stomatology hospital in Shandong, China

Chen

Yuan

Sun

et al. 2016

Antimicrob Resist Infect Control

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BackgroundHand hygiene is an important element of the WHO multimodal strategy for healthcare-associated infection control, whereas compliance of hand hygiene among healthcare workers (HCWs) remains a challenge to sustain. In order to increase the hand hygiene compliance of HCWs, a quality control circle (QCC) program was carried out in our hospital, and the plan-do-check-act (PDCA) method was applied for 12 months.FindingsHand hygiene compliance rates improved over time, with significant improvement between preintervention (60.1%) and postintervention (97.2%) periods (P < 0.001). Nurses (88.3%) exhibited higher compliance than dentists (87.3%), and female (88.4%) HCWs were more likely to perform hand hygiene than males (85.6%), both P < 0.001. Overall hand hygiene compliance and observance of the five indications exhibited significant linear increases over time (P < 0.005).ConclusionThis study highlights the success of a multifaceted intervention, conducted by QCC program and PDCA method, which led to a significant improvement of hand hygiene compliance. Though training is the most basic intervention element, surveillance, evaluation and feedback should be explored as additional interventions to ensure that hand hygiene compliance is achieved and sustained at high levels.Electronic supplementary materialThe online version of this article (doi:10.1186/s13756-016-0160-1) contains supplementary material, which is available to authorized users.

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Compliance of health care workers to hand hygiene: awareness of being observed is important

Cited by 41 publications

References 6 publications

Video Surveillance Captures Student Hand Hygiene Behavior, Reactivity to Observation, and Peer Influence in Kenyan Primary Schools

Video Surveillance Captures Student Hand Hygiene Behavior, Reactivity to Observation, and Peer Influence in Kenyan Primary Schools

Improved hand hygiene compliance after eliminating mandatory glove use from contact precautions—Is less more?

Role of quality control circle in sustained improvement of hand hygiene compliance: an observational study in a stomatology hospital in Shandong, China

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