Hand hygiene compliance: the elephant in the room

Stevens, Stella; Hemmings, Lynn; White, Craig; Lawler, Anthony

doi:10.1071/hi12056

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…With our results, we hope to illustrate the multiple perspectives of healthcare providers that need to be considered when striving for a real-life, contextual understanding of the challenges of hand hygiene management and infection prevention in this field. Our findings contribute to a more comprehensive and nuanced understanding of applied hand hygiene and infection prevention in complex care systems by identifying the role of organisational factors in facilitating or hindering the implementation and management of effective infection prevention in nursing homes [46, 47].…”

Section: Discussionmentioning

confidence: 99%

Nurses’ knowledge, behaviour and compliance concerning hand hygiene in nursing homes: a cross-sectional mixed-methods study

Hammerschmidt

Manser

2019

BMC Health Serv Res

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Background Effective hand hygiene is one of the most important measures for protecting nursing home residents from nosocomial infections. Infections with multi-resistant bacteria’s, associated with healthcare, is a known problem. The nursing home setting differs from other healthcare environments in individual and organisational factors such as knowledge, behaviour, and attitude to improve hand hygiene and it is therefore difficult to research the influential factors to improve hand hygiene. Studies have shown that increasing knowledge, behaviour and attitudes could enhance hand hygiene compliance in nursing homes. Therefore, it may be important to examine individual and organisational factors that foster improvement of these factors in hand hygiene. We aim to explore these influences of individual and organisational factors of hand hygiene in nursing home staff, with a particular focus on the function of role modelling by nursing managers. Methods We conducted a mixed-methods study surveying 165 nurses and interviewing 27 nursing managers from nursing homes in Germany. Results Most nurses and nursing managers held the knowledge of effective hand hygiene procedures. Hygiene standards and equipment were all generally available but compliance to standards also depended upon availability in the immediate work area and role modelling. Despite a general awareness of the impact of leadership on staff behaviour, not all nursing managers fully appreciated the impact of their own consistent role modelling regarding hand hygiene behaviours. Conclusion These results suggest that improving hand hygiene should focus on strategies that facilitate the provision of hand disinfectant materials in the immediate work area of nurses. In addition, nursing managers should be made aware of the impact of their role model function and they should implement this in daily practice.

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Section: Discussionmentioning

confidence: 99%

Nurses’ knowledge, behaviour and compliance concerning hand hygiene in nursing homes: a cross-sectional mixed-methods study

Hammerschmidt

Manser

2019

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…We eliminated research that provided findings reported solely in quantitative or statistical terms, even when the findings were originally derived from qualitative data collection. We eliminated 12 reports in this stage that included two (Stevens et al, 2013; Whitby et al, 2006) reviewed by Smiddy et al (2015).…”

Section: Methodsmentioning

confidence: 99%