Three successful interventions in health care workers that improve compliance with hand hygiene: Is sustained replication possible?

Whitby, Michael; McLaws, Mary‐Louise; Slater, Karen; Tong, Edward; Johnson, B. Julienne

doi:10.1016/j.ajic.2007.07.016

Cited by 74 publications

(62 citation statements)

References 24 publications

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“…A previous systematic review of behaviour change strategies in infection prevention and control found no interventions that specifically mentioned any theory. 22 However, that review considered all infection prevention and control behaviours, not just hand hygiene, and included only studies conducted in acute care settings. To our knowledge, this is the first review of psychological theories that have been applied to hand hygiene compliance in healthcare settings.…”

Section: Discussionmentioning

confidence: 99%

Applying psychological frameworks of behaviour change to improve healthcare worker hand hygiene: a systematic review

Srigley

Corace

Hargadon

et al. 2015

Journal of Hospital Infection

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Section: Discussionmentioning

confidence: 99%

Applying psychological frameworks of behaviour change to improve healthcare worker hand hygiene: a systematic review

Srigley

Corace

Hargadon

et al. 2015

Journal of Hospital Infection

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“…Its effectiveness in these studies has been assumed, not formally tested and in one study it was unsuccessful because health workers became aware of the real purpose of data collection 33 . Misleading staff is not recommended by the WHO 5 because it could promote distrust between clinicians and managers and is impossible to maintain if audit forms part of an intervention to promote hand hygiene.…”

Section: Approaches To Overcoming the Hawthorne Effect During Directlmentioning

confidence: 99%

Impact of observing hand hygiene in practice and research: a methodological reconsideration

Gould

Creedon

Jeanes

et al. 2017

Journal of Hospital Infection

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Direct observation is the recommended audit method but is associated with a number of disadvantages, including potential for being observed to alter usual behaviour. The Hawthorne effect in relation to hand hygiene is equated with productivity by increasing the frequency that hand hygiene is undertaken. Permanent repository linkUnobtrusive and/or frequent observation to accustom staff to the presence of observers are considered acceptable ways of reducing the Hawthorne effect but little has been written about how to implement these techniques or assess their effectiveness. There is evidence that awareness of being watched can disrupt the usual behaviour of individuals in complex and unpredictable ways other than simple productivity effect. Health workers might defer or avoid activities that require hand hygiene in the presence of auditors but these issues are not

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“…The modest positive effect of educational interventions for improving hand hygiene and PPE adherence has been shown in previous studies. 5,24,26,[29][30][31] The primary limitation of this study is its reliance on self-reporting. It is almost certain that direct observational assessment of PPE use at individual sites would have provided more accurate information regarding the use of PPE by pediatric emergency physicians.…”

Section: Discussionmentioning

confidence: 99%

Use of personal protective equipment in Canadian pediatric emergency departments

Reid

Farion

Suh

et al. 2011

CJEM

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Objective: Numerous barriers to maintaining infection control practices through the use of personal protective equipment (PPE) exist in the emergency department (ED). This study examined the knowledge, self-reported behaviours, and barriers to compliance with infection control practices and the use of PPE in Canadian pediatric EDs. Methods: A self-administered survey instrument consisting of 21 questions was developed and piloted for this study. The survey was mailed to all individuals listed in the Pediatric Emergency Research Canada database of physicians practicing pediatric emergency medicine in Canada. Results: A total of 186 physicians were surveyed, and 123 (66%) participated. Twenty-two percent of participants reported that they had never received PPE training and 32% had not been trained in the previous 2 years. Fifty-three percent reported being very or somewhat comfortable with their knowledge of transmission-based isolation practices. Participants were correct on a mean of 4.9 of 11 knowledge-based questions (SD 1.7). For scenarios assessing self-reported use of PPE, participants selected answers that reflected PPE use in accordance with national infection control standards in a mean of 1.0 of 6 scenarios (SD 1.0). Participants reported that they would be more likely to use PPE if patients were clearly identified prior to physician assessment, equipment was accessible, and PPE use was made a priority in their ED. Conclusions: Knowledge and self-reported adherence to recommended infection control practices among Canadian pediatric emergency physicians is suboptimal. Early identification of patients requiring PPE, convenient access to PPE, and improved education regarding isolation and PPE practices may improve adherence.

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Three successful interventions in health care workers that improve compliance with hand hygiene: Is sustained replication possible?

Cited by 74 publications

References 24 publications

Applying psychological frameworks of behaviour change to improve healthcare worker hand hygiene: a systematic review

Applying psychological frameworks of behaviour change to improve healthcare worker hand hygiene: a systematic review

Impact of observing hand hygiene in practice and research: a methodological reconsideration

Use of personal protective equipment in Canadian pediatric emergency departments

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