Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review

Abstract

Objective: Evaluate, from the literature, the effectiveness of the implementation of the multimodal strategy for health professionals compliance with Hand Hygiene and its sustainability over time. Method: Integrative review, with a view to answering the following question: “Is the implementation of the multimodal strategy effective in health professionals compliance with Hand Hygiene and can it be sustained over time?”. The MEDLINE, SCOPUS, LILACS and CINAHL databases were used to retrieve the primary articles. Results: Twenty-five studies were analyzed. Among the components of the multimodal strategy, three need to be better worked: health education, feedback from practices and management involvement. Although it needs to focus more on its five elements, interventions based on the multimodal strategy have favored HH compliance and its long-term sustainability. Conclusion: The strategy proved to be effective for HH compliance, especially when all integrating components are adequately addressed.

Adherence to hand hygiene in critical sectors: Can we go on like this?

“…Several dispensers for alcohol preparations were out of reach, defective or empty. The literature shows that inadequate physical structure, with badly located sinks, and dispensers of alcohol solutions that are nonworking and out of reach, is an important factor that contributes to low adherence to HH (Pfäfflin et al., 2015; Valim et al., 2019; Vermeil et al., 2019).…”

“…The use of alcohol preparations is recognised worldwide as a method that requires less time to sanitise the hands and is more effective in preventing the transmission of pathogens (Salmon, Pittet, Sax, & McLaws, 2015). However, adherence to HH, in general, is sub‐optimal (Pfäfflin, Schmidt, Tufa, & Feldt, 2015; Valim et al., 2019).…”

Multimodal strategy for hand hygiene in field hospitals of COVID-19

“…It is emphasized that changes in the structure, with the availability of human resources and necessary materials in the appropriate places, are important for the care of patients with COVID-19. However, only the presence of inputs does not guarantee a change in the behavior of professionals, with regard to the practice of HH (4) .…”

“…The Strategy has shown promising results in the hospital and out-of-hospital area (3) , with emphasis on when all five components of that intervention are used, in an appropriate, articulated and interdependent manner (4) . In addition, the set of actions enables improvements in infrastructure, knowledge and perceptions of health professionals, diagnostic support services and leaders with regard to HH adherence and practice (5) .…”

Low Adherence To Hand Hygiene: Analysis Of The Impact Factors In Critical Sectors Of A Hospital

“…4 The strategy proved to be highly successful in improving HH good practices in a number of countries according to previous studies. [4][5][6][7] Despite the evidence that better HH practices reduce cross-contamination of microorganisms and consequently HAI rates, the adoption of this practice in clinical settings, when monitored, has achieved below-acceptable levels of adherence in several countries. [5][6][7][8] Among the factors contributing to the low adhesion to HH is the infrastructure of the health units (9), represented by the insufficient number of washbasins, a deficit in the supply of liquid soap and paper towels, the absence of posters on HH, the availability of alcoholic preparations outside patient care points, among others.…”