2020
DOI: 10.1016/j.jhin.2019.09.013
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Hand hygiene compliance of patients' family members in India: importance of educating the unofficial ‘fourth category’ of healthcare personnel

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Cited by 15 publications
(12 citation statements)
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“…The frequent involvement of a wide range of caregivers in patient care activities is consistent with other facility-based studies in countries in Asia and Africa [11,29,30,59,68]. Influenced by social, religious, cultural and institutional factors, caregivers spend long periods of time in the HCF engaging in invasive and non-invasive patient contact and often with inadequate hand hygiene [11,29,30,59,68]. Family members providing in-patient care in a hospital in Bangladesh accounted for 54% of all hand hygiene opportunities with a 2% hand hygiene compliance rate [59].…”
Section: Discussionsupporting
confidence: 86%
“…The frequent involvement of a wide range of caregivers in patient care activities is consistent with other facility-based studies in countries in Asia and Africa [11,29,30,59,68]. Influenced by social, religious, cultural and institutional factors, caregivers spend long periods of time in the HCF engaging in invasive and non-invasive patient contact and often with inadequate hand hygiene [11,29,30,59,68]. Family members providing in-patient care in a hospital in Bangladesh accounted for 54% of all hand hygiene opportunities with a 2% hand hygiene compliance rate [59].…”
Section: Discussionsupporting
confidence: 86%
“…The frequent involvement of a wide range of caregivers in patient care activities is consistent with other facility-based studies in countries in Asia and Africa [11,33,34,55,64]. Influenced by social, religious, cultural and institutional factors, caregivers spend long periods of time in the HCF engaging in invasive and non-invasive patient contact and often with inadequate hand hygiene [11,33,34,55,64]. Family members providing in-patient care in a hospital in Bangladesh accounted for 54% of all hand hygiene opportunities with a 2% hand hygiene compliance rate [55].…”
Section: Discussionsupporting
confidence: 86%
“…Interventions may potentially overlook the critical role and engagement of fathers and extended family members in newborn contact [ 52 ]. In a tertiary hospital in India, Biswal et al [ 53 ] reported a 13% improvement of family member compliance following the implementation of a hand hygiene improvement strategy that included a caregiver-specific training component. Understanding the drivers of behaviours of the wider context within which the mother exists and how these behaviours are informed and modified by both the physical and social environment can help in the development of new interventions that target wider audiences in both the home and the healthcare [ 50 , 52 , 54 ].…”
Section: Discussionmentioning
confidence: 99%