The CleanYourHandsCampaign: critiquing policy and evidence base

Gould, Dinah; Hewitt‐Taylor, Jaqui; Drey, Nicholas; Gammon, John; Chudleigh, Jane; Weinberg, Johannes

doi:10.1016/j.jhin.2006.09.028

Cited by 74 publications

(48 citation statements)

References 67 publications

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“…In such environments, it can be a challenge to convince administrators to adopt a no-blame approach to audit results, achieve equitable collaboration between different healthcare professionals (especially doctors with nurses), or foster a genuine culture of collegial reminders such as in instances of hand hygiene non-compliance. 29 These have been the cornerstone of many successful infection prevention initiatives in the USA, UK and Northern Europe. 30 To ensure maximal uptake and impact, it is therefore crucial that ICAS interventions transposed from a different background are adapted to the local culture.…”

Section: Boxmentioning

confidence: 99%

Understanding the epidemiology of MRSA in Europe: do we need to think outside the box?

Borg

Camilleri

Waisfisz³

2012

Journal of Hospital Infection

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Background: The epidemiology of meticillin-resistant Staphylococcus aureus (MRSA) infections, using bacteraemia as a marker, shows a striking geographical pattern in Europe. The prevalence of MRSA is low in Northern European countries, increases into central Europe and reaches its highest levels in the Mediterranean region. This has been attributed to varying levels of implementation of infection control and antibiotic stewardship (ICAS) programmes, but reasons for this variation have not been clearly established. Aim: To investigate the possible impact of national cultural dimensions on the epidemiology of MRSA in Europe. Methods: Median proportions of MRSA bacteraemia were sourced for countries participating in the EARS-Net surveillance network in 2010, and correlated with the national cultural dimension scores of Hofstede et al. Findings: Significant associations were identified between MRSA proportions and the cultural constructs of uncertainty avoidance (UAI), masculinity (MAS) and power distance. Multiple regression models found significant associations for UAI, MAS and short-term orientation (R 2 adjusted ¼ 0.475; P < 0.001). The model was found to be predictive of MRSA trends identified in several European countries between 2006 and 2010. Conclusion: Implementation of ICAS programmes often requires behavioural change. Cultural dimensions appear to be key factors affecting perceptions and values among healthcare workers, which in turn are critical for compliance and uptake. Customizing ICAS initiatives to reflect the local cultural background may improve their chances of success.

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Section: Boxmentioning

confidence: 99%

Understanding the epidemiology of MRSA in Europe: do we need to think outside the box?

Borg

Camilleri

Waisfisz³

2012

Journal of Hospital Infection

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“…However, the cafeteria setting versus a patient-ward 17 setting may account for this result being at the lower end of estimates. In a study of 18 handwashing frequencies in retail food services it was found that hand hygiene rates in 19 restaurants were as low as 5%, but higher in schools (22%), childcare (31%) and assisted 20 living facilities (33%) (8). Other research has found HCWs practice hand hygiene more 21 frequently than non-HCWs (29), and this is expected as the HCW profession emphasizes 22 hand hygiene practices and hand hygiene training.…”

Section: Discussion 22mentioning

confidence: 98%

“…compliance with hand hygiene procedures remains low, with rates generally below 50% 20 of hand hygiene opportunities (6)(7)(8). 21 Handwashing compliance is defined as the ratio between hands washed or sanitized and 22 total number of handwashing opportunities.…”

Section: Disease Control and Prevention (Cdc) Recommends Hand Hygienementioning

confidence: 99%

Observation-based evaluation of hand hygiene practices and the effects of an intervention at a public hospital cafeteria

Filion

KuKanich

Chapman

et al. 2011

American Journal of Infection Control

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“…1 We argue that this suggestion is misinformed.First, within behavioural science, studies have shown that individuals habituate to external stimuli over time. 2 The phenomenon of habituation describes a decrease in behavioural response after repeated exposure to an external stimulus.…”

mentioning

confidence: 89%

Use of performance feedback to increase healthcare worker hand-hygiene behaviour

McAteer

Stone

Roberts

et al. 2007

Journal of Hospital Infection

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The CleanYourHandsCampaign: critiquing policy and evidence base

Cited by 74 publications

References 67 publications

Understanding the epidemiology of MRSA in Europe: do we need to think outside the box?

Understanding the epidemiology of MRSA in Europe: do we need to think outside the box?

Observation-based evaluation of hand hygiene practices and the effects of an intervention at a public hospital cafeteria

Use of performance feedback to increase healthcare worker hand-hygiene behaviour

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