Health care workers' compliance to the My 5 Moments for Hand Hygiene: Comparison of 2 interventional methods

Moghnieh, Rima; Soboh, Rami; Abdallah, Dania; El-Helou, Mona; Hassan, Salam Al; Ajjour, Lina; Tamim, Hani; Tabbah, Samaa Al; Nasreddine, Walid; Mugharbil, Anas

doi:10.1016/j.ajic.2016.08.012

Cited by 30 publications

(41 citation statements)

References 8 publications

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“…It is important to note that, although the study showed that the multimodal strategy, when correctly implemented, is capable of increasing workers' HH compliance, it is explicit that, in many cases, post-intervention compliance rates -even if statistically significant of p <0.05) -are below what is necessary and expected (5,7,(18)(19)(21)(22)26,28,(30)(31)(32)(33) .…”

Section: Discussionmentioning

confidence: 84%

“…An experimental study in Lebanon (31) verified that the group that received weekly feedback individually and collectively was the one that achieved the highest rate of HH compliance after intervention, with a statistically significant result (p <0.001). It is worth noting the study by Visan et al (8) , who during the meetings to feedback the practices, also provided certificates to the three best professionals of the adhesion, and together with the participation of management and active education, they sustained an index of 95.4% over four years.…”

Section: Discussionmentioning

confidence: 89%

“…According to the Global Human Development Index (HDI) (41) , approximately 85% (21/25) of the countries in which the studies included in this review occurred have a very high or high HDI (4)(5)(7)(8)13,(19)(20)(21)(23)(24)(25)(26)(27)(28)(29)(30)(31)(34)(35)(36)(37) . With respect to the medium and low HDI countries (4/25) (18,22,(32)(33) , all had a pre-intervention HH compliance of less than 30%, and a post-intervention compliance of less than 50%, except a study (18) (1/4) that reached 57% after the intervention.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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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.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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“…In the literature, primarily regarding hospital care, moment 4 generally has the highest compliance, followed by moment 3. [29][30][31][32][33][34][35][36][37][38] These are both moments after an HH-indicated activity. These moments may be prioritized because the healthcare provider wants to protect himself or herself.…”

Section: Discussionmentioning

confidence: 99%

Increased hand hygiene compliance in nursing homes after a multimodal intervention: A cluster randomized controlled trial (HANDSOME)

Teesing

Erasmus

Nieboer

et al. 2020

Infect. Control Hosp. Epidemiol.

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Objective: To assess the effect of a multimodal intervention on hand hygiene compliance (HHC) in nursing homes. Design, setting, and participants: HHC was evaluated using direct, unobtrusive observation in a cluster randomized controlled trial at publicly funded nursing homes in the Netherlands. In total, 103 nursing home organizations were invited to participate; 18 organizations comprising 33 nursing homes (n = 66 nursing home units) participated in the study. Nursing homes were randomized into a control group (no intervention, n = 30) or an intervention group (multimodal intervention, n = 36). The primary outcome measure was HHC of nurses. HHC was appraised at baseline and at 4, 7, and 12 months after baseline. Observers and nurses were blinded. Intervention: Audits regarding hand hygiene (HH) materials and personal hygiene rules, 3 live lessons, an e-learning program, posters, and a photo contest. We used a new method to teach the nurses the WHO-defined 5 moments of HH: Room In, Room Out, Before Clean, and After Dirty. Results: HHC increased in both arms. The increase after 12 months was larger for units in the intervention arm (from 12% to 36%) than for control units (from 13% to 21%) (odds ratio [OR], 2.10; confidence interval [CI], 1.35–3.28). The intervention arm exhibited a statistically significant increase in HHC at 4 of the 5 WHO-defined HH moments. At follow-up, HHC in the intervention arm remained statistically significantly higher (OR, 1.93; 95% CI, 1.59–2.34) for indications after an activity (from 37% to 39%) than for indications before an activity (from 14% to 27%). Conclusions: The HANDSOME intervention is successful in improving HHC in nursing homes.

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“…Fourteen studies presented the findings of multimodal campaigns featuring complex interventions that were either similar to or based on the WHO guidelines (see Table 2). Of the remaining studies, six focused on performance feedback with additional components (Armellino et al, 2012; Fisher et al, 2013; Fuller et al, 2012; Moghnieb et al, 2016; Stewardson et al, 2016; Talbot et al, 2013). Two studies evaluated education (Higgins et al, 2013; Huang et al, 2002), three studies evaluated cues such as signs or scent (Diegel-Vacek and Ryan, 2016; Grant and Hoffman, 2011; King et al, 2016) and one study assessed positioning of alcohol-based product in the clinical area (Munoz-Price et al, 2014).…”

Section: The Second Updatementioning

confidence: 99%

Interventions to improve hand hygiene compliance in patient care: Reflections on three systematic reviews for the Cochrane Collaboration 2007–2017

Gould

Moralejo

Drey

et al. 2018

Journal of Infection Prevention

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This article presents highlights from a recently updated systematic Cochrane review evaluating the effectiveness of interventions to improve hand hygiene compliance in patient care. It is an advance on the two earlier reviews we undertook on the same topic as it has, for the first time, provided very rigorous synthesis of evidence that such interventions can improve practice. In this article, we provide highlights from a recently updated Cochrane systematic review. We identify omissions in the information reported and point out important aspects of hand hygiene intervention studies that were beyond the scope of the review. A full report of the review is available free of charge on the Cochrane website.

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Health care workers' compliance to the My 5 Moments for Hand Hygiene: Comparison of 2 interventional methods

Cited by 30 publications

References 8 publications

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

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

Increased hand hygiene compliance in nursing homes after a multimodal intervention: A cluster randomized controlled trial (HANDSOME)

Interventions to improve hand hygiene compliance in patient care: Reflections on three systematic reviews for the Cochrane Collaboration 2007–2017

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