Promoting Hand Hygiene With a Lighting Prompt

Diegel-Vacek, Lauren; Ryan, Catherine

doi:10.1177/1937586716651967

Cited by 12 publications

(20 citation statements)

References 21 publications

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“…We confirmed this finding. Some publications contained particularly detailed interpretation and commentary [6,8,9,23,25], others comparatively little [7,10,17,19]. [6, 8, 9, 11, 12, 14, 16, 17, 18 19, 20, 24].…”

Section: Discussionmentioning

confidence: 99%

“…[6, 8, 9, 11, 12, 14, 16, 17, 18 19, 20, 24]. In eight publications it was suggested that observing hand hygiene in the control group might have caused a Hawthorne effect, reducing the difference between control and test group outcomes [9,10,12,15,16,17,19]. In three publications it was suggested that installing extra hand hygiene dispensers in control wards might have the same effect [11,12,20].…”

Section: Discussionmentioning

confidence: 99%

“…Twenty one publications were included: eleven randomised trials [6,7,8,9,10,11,12,13,14,15,16]; one non-randomised trial [17]; and nine interrupted time series [ITS] studies meeting specific criteria adopted by the Cochrane Collaboration [18,19,20,21,22,23,24,25,26].…”

Section: Included Publicationsmentioning

confidence: 99%

“…Similar descriptive themes were apparent in many of the studies. For example the descriptive theme: 'Concerns about the Hawthorne effect and controlling for bias' emerged in twelve publications [6,8,9,11,12,14,16,17,18,20,24] and the descriptive theme: 'Seeking and obtaining organisational support for HHI is important but not always successful' also appeared in a number of publications.…”

Section: Provisional Descriptive Themesmentioning

confidence: 99%

“…'Theory: why did it help?' Theoretical frameworks were considered valuable by all the research teams applying them [6,7,9,10,17].…”

Section: 'Challenges Of Determining Which Components Of Bundled Hhis mentioning

confidence: 99%

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Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care

et al. 2020

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ObjectivesHand hygiene is considered the most important preventive measure for healthcare-associated infections, but adherence is suboptimal. We previously undertook a Cochrane Review that demonstrated that interventions to improve adherence are moderately effective. Impact varied between organisations and sites with the same intervention and implementation approaches. This study seeks to explore these differences.MethodsA thematic synthesis was applied to the original authors’ interpretation and commentary that offered explanations of how hand hygiene interventions exerted their effects and suggested reasons why success varied. The synthesis used a published Cochrane Review followed by three-stage synthesis.ResultsTwenty-one papers were reviewed: 11 randomised, 1 non-randomised and 9 interrupted time series studies. Thirteen descriptive themes were identified. They reflected a range of factors perceived to influence effectiveness. Descriptive themes were synthesised into three analytical themes: methodological explanations for failure or success (eg, Hawthorne effect) and two related themes that address issues with implementing hand hygiene interventions: successful implementation needs leadership and cooperation throughout the organisation (eg, visible managerial support) and understanding the context and aligning the intervention with it drives implementation (eg, embedding the intervention into wider patient safety initiatives).ConclusionsThe analytical themes help to explain the original authors’ perceptions of the degree to which interventions were effective and suggested new directions for research: exploring ways to avoid the Hawthorne effect; exploring the impact of components of multimodal interventions; the use of theoretical frameworks for behaviour change; potential to embed interventions into wider patient safety initiatives; adaptations to demonstrate sustainability; and the development of systematic approaches to implementation. Our findings corroborate studies exploring the success or failure of other clinical interventions: context and leadership are important.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Included Publicationsmentioning

confidence: 99%

Section: Provisional Descriptive Themesmentioning

confidence: 99%

“…'Theory: why did it help?' Theoretical frameworks were considered valuable by all the research teams applying them [6,7,9,10,17].…”

Section: 'Challenges Of Determining Which Components Of Bundled Hhis mentioning

confidence: 99%

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Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care

et al. 2020

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Interventions to improve hand hygiene compliance in patient care

Gould

Moralejo

Drey

et al. 2017

Cochrane Database of Systematic Reviews

323

170

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Background Health care-associated infection is a major cause of morbidity and mortality. Hand hygiene is regarded as an e ective preventive measure. This is an update of a previously published review. Objectives To assess the short-and long-term success of strategies to improve compliance to recommendations for hand hygiene, and to determine whether an increase in hand hygiene compliance can reduce rates of health care-associated infection.

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