Systematic reviews of hand hygiene in patient care post 2010

Chudleigh, Jane; Drey, Nicholas; Moralejo, Donna; Gould, Dinah

doi:10.1016/j.jhin.2016.05.022

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Across the other systematic reviews, before-and-after studies were common, 18 , 28 , 31 – 33 , 35 , 36 / 37 , 38 – 40 although 5 reviewers did not specify the design of the included primary studies 25 34 , 41 – 43 Although Kingston et al 29 described all primary studies as ‘clinical trials,’ this term was not defined, and ITS and before-and-after studies were included 47 …”

Section: Resultsmentioning

confidence: 99%

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Interventions to improve healthcare workers’ hand hygiene compliance: A systematic review of systematic reviews

Price

MacDonald

Gozdzielewska

et al. 2018

Infect. Control Hosp. Epidemiol.

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ObjectiveTo synthesize the existing evidence base of systematic reviews of interventions to improve healthcare worker (HCW) hand hygiene compliance (HHC).MethodsPRISMA guidelines were followed, and 10 information sources were searched in September 2017, with no limits to language or date of publication, and papers were screened against inclusion criteria for relevance. Data were extracted and risk of bias was assessed.ResultsOverall, 19 systematic reviews (n=20 articles) were included. Only 1 article had a low risk of bias. Moreover, 15 systematic reviews showed positive effects of interventions on HCW HHC, whereas 3 reviews evaluating monitoring technology did not. Findings regarding whether multimodal rather than single interventions are preferable were inconclusive. Targeting social influence, attitude, self-efficacy, and intention were associated with greater effectiveness. No clear link emerged between how educational interventions were delivered and effectiveness.ConclusionsThis is the first systematic review of systematic reviews of interventions to improve HCW HHC. The evidence is sufficient to recommend the implementation of interventions to improve HCW HHC (except for monitoring technology), but it is insufficient to make specific recommendations regarding the content or how the content should be delivered. Future research should rigorously apply behavior change theory, and recommendations should be clearly described with respect to intervention content and how it is delivered. Such recommendations should be tested for longer terms using stronger study designs with clearly defined outcomes.

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Section: Resultsmentioning

confidence: 99%

“…25,34,[41][42][43] Although Kingston et al 29 described all primary studies as 'clinical trials,' this term was not defined, and ITS and before-and-after studies were included. 47…”

Section: Study Designsmentioning

confidence: 99%