Investigating the use of an electronic hand hygiene monitoring and prompt device: influence and acceptability

Dyson, Judith; Madeo, Maurice

doi:10.1177/1757177417714045

Cited by 32 publications

(47 citation statements)

References 25 publications

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“…Semantically and syntactically more simplistic past tenses appear to benefit from CF at a high beginner level, but not at a low intermediate level. Perhaps learners at higher proficiency levels have passed an opportune time for emphasis, lending support to findings within past research, which assert that grammar is teachable only when introduced at a specific stage of learner development (Dyson, 2018;Dyson & Håkansson, 2017;Pienemann, 1989). Smaller effect sizes for indirect written feedback of the English article at the high intermediate level (d = .38) may also suggest that a key time in learner development has passed for this feature, making pedagogical intervention ineffective.…”

Section: Resultssupporting

confidence: 57%

“…Timing of corrective feedback may be a crucial determinant of efficacy. This view is supported in research, which suggests that a grammatical feature just above a learner's level of proficiency may be "teachable" (Dyson, 2018;Dyson & Håkansson, 2017;Pienemann, 1989). At initial stages of development, learners begin a second language by using basic lexical features such as nouns and verbs for agents and actions, respectively (Pienemann, 2005;VanPatten, 2004).…”

Section: Literature Reviewmentioning

confidence: 98%

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Using meta-analysis of technique and timing to optimize corrective feedback for specific grammatical features

Schenck

2020

Asian. J. Second. Foreign. Lang. Educ.

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Grammar varies in semantic, morphosyntactic, and phonological complexity, which may influence what type of Corrective Feedback (CF) is effective. The present study was designed to investigate the best form of CF for each grammatical feature, in conjunction with associated variables such as learner proficiency level and L1 influence. Fifteen studies, all of which had English as a Foreign Language (EFL) learners with a Korean L1 and productive measures of speech or writing, were selected for study. Results suggest that grammatical features which are very similar to the L1 may benefit more from implicit reformulations (recasts). Explicit CF (direct and metalinguistic feedback) appears more useful for semantically and syntactically complex features such as the English article and past hypothetical conditional. Finally, research of proficiency level suggests that timely emphasis of specific grammatical features is needed in order for CF to be effective.

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Section: Resultssupporting

confidence: 57%

Section: Literature Reviewmentioning

confidence: 98%

Using meta-analysis of technique and timing to optimize corrective feedback for specific grammatical features

Schenck

2020

Asian. J. Second. Foreign. Lang. Educ.

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“…Entering the patient zone to bring meal trays has been associated with poor adherence in other studies (Dufour et al, 2017). Manipulating the system ("gaming") to falsely register hand hygiene events has been reported (Dyson and Madeo, 2017) but there were no reports of gaming in our study.…”

Section: Discussionmentioning

confidence: 55%

Electronic hand hygiene monitoring systems can be well-tolerated by health workers: Findings of a qualitative study

Kelly

Purssell

Wigglesworth

et al. 2021

Journal of Infection Prevention

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Background: Electronic hand hygiene monitoring overcomes limitations associated with manual audit but acceptability to health workers varies and may depend on culture of the ward and the nature of the system. Objectives: Evaluate the acceptability of a new fifth type electronic monitoring system to frontline health workers in a National Health Service trust in the UK. Methods: Qualitative interviews with 11 informants following 12 months experience using an electronic monitoring system. Results: Informants recognised the importance of hand hygiene and embraced technology to improve adherence. Barriers to hand hygiene adherence included heavy workload, dealing with emergencies and ergonomic factors related to placement of alcohol dispensers. Opinions about the validity of the automated readings were conflicting. Some health workers thought they were accurate. Others reported problems associated with differences in the intelligence of the system and their own clinical decisions. Opinions about feedback were diverse. Some health workers thought the system increased personal accountability for hand hygiene. Others ignored feedback on suboptimal performance or ignored the data altogether. It was hard for health workers to understand why the system registered some instances of poor performance because feedback did not allow omissions in hand hygiene to be related to the context of care. Conclusion: Electronic monitoring can be very well tolerated despite some limitations. Further research needs to explore different reactions to feedback and how often clinical emergencies arise. Electronic and manual audit have complementary strengths.

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“…Clinical staff and patients should have easy access to sinks and alcohol-based hand rub (ABHR) as part of a comprehensive strategy to improve compliance [2]. Prospective monitoring through direct observation or electronically assisted monitoring with real-time feedback can increase hand hygiene compliance [3,4].…”

Section: Hand Hygienementioning

confidence: 99%

Hospital Epidemiology and Infection Control in the Transplant Center

Patel¹,

Hochman²

2020

Emerging Transplant Infections

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Both solid organ and hematopoietic stem cell transplant candidates and recipients are at high risk for healthcare-associated infections due to their underlying diseases, comorbid conditions, as well as the receipt of augmented immunosuppression to prevent rejection. Partnership between transplant physicians, institutional leaders, and infection preventionists allows for the accommodation of this growing vulnerable patient population into institutional risk assessments and hazard analyses. In addition, advancements in diagnostics and molecular typing have provided important information regarding sources of transmission of multidrug-resistant or opportunistic pathogens, thus informing strategies for mitigating risk and controlling outbreaks. Here we review common healthcare-associated infections and strategies for source control, prevention, and curbing outbreaks when detected.

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Investigating the use of an electronic hand hygiene monitoring and prompt device: influence and acceptability

Abstract: HH prompt and monitoring systems seem to improve compliance but improvements may be undermined by practitioner irritation and system gaming.

Cited by 32 publications

References 25 publications

Using meta-analysis of technique and timing to optimize corrective feedback for specific grammatical features

Using meta-analysis of technique and timing to optimize corrective feedback for specific grammatical features

Electronic hand hygiene monitoring systems can be well-tolerated by health workers: Findings of a qualitative study

Hospital Epidemiology and Infection Control in the Transplant Center

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