The effect of eye images and a social norms message on healthcare provider hand hygiene adherence
| Autor: | Sara M. Reese, Heather Young, Bryan Knepper, Sarah A Stella, Marisha Burden, Roger J Stace, Angela Keniston |
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| Rok vydání: | 2019 |
| Předmět: |
Microbiology (medical)
Epidemiology media_common.quotation_subject Certification Soaps Interrupted Time Series Analysis Unit (housing) 03 medical and health sciences 0302 clinical medicine Hygiene Intervention (counseling) Social Norms Humans Medicine Prospective Studies 030212 general & internal medicine Prospective cohort study media_common Cross Infection 0303 health sciences Ethanol 030306 microbiology business.industry medicine.disease Placard Personnel Hospital Infectious Diseases Cohort Anti-Infective Agents Local Guideline Adherence Medical emergency business Hospital Units Hand Disinfection |
| Zdroj: | Infection Control & Hospital Epidemiology. 40:748-754 |
| ISSN: | 1559-6834 0899-823X |
| DOI: | 10.1017/ice.2019.103 |
| Popis: | Background:Depictions of eye images and messages encouraging compliance with social norms have successfully motivated behavioral change in a variety of experimental and applied settings. We studied the effect of these 2 visual cues on hand hygiene adherence in a cohort of hospital-based healthcare providers participating in an electronic monitoring and feedback program.Methods:Prospective, quasi-experimental study utilizing an interrupted time-series design. Intervention placards depicting an image of eyes, a social norms message, or a control placard were placed near soap and alcohol-based hand-rub dispensers on 2 hospital units. Placards were alternated every 10 days. Hand hygiene opportunities and adherence rates were assessed electronically via the CenTrak Hand Hygiene Compliance Solution.Results:A total of 166 nurses and certified nursing assistants (74 on a medical-surgical unit and 92 on a progressive care unit) were monitored electronically over the 4-month study period. In total, 184,172 electronic observations were collected (110,903 on a medical-surgical unit and 73,269 on a progressive care unit). The median daily number of electronic observations was 1,471 (interquartile range, 1,337–1,584). The preintervention baseline hand hygiene adherence rate was 70%. No statistically significant increase in hand hygiene adherence was observed as a result of either intervention.Conclusion:Displaying eye images or a social norms message in the hospital environment did not result in measurable improvements in HH adherence in a cohort of healthcare providers participating in an electronic monitoring and feedback program. |
| Databáze: | OpenAIRE |
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