Computer screen saver hand hygiene information curbs a negative trend in hand hygiene behavior - 29/11/12
, Anne Marie Weggelaar, MSc b, Daniël C.J. Waarsenburg, MSc b, Caspar W.N. Looman, MSc c, Johannes B. van Goudoever, MD, PhD d, e, Johannes Brug, PhD f, René F. Kornelisse, MD, PhD a
Address correspondence to Onno K. Helder, RN, MSc, Department of Pediatrics, Division of Neonatology, Erasmus MC-Sophia Children’s Hospital, PO Box 2060, 3000 CB, Rotterdam, The Netherlands.Abstract |
Background |
Appropriate hand hygiene among health care workers is the most important infection prevention measure; however, compliance is generally low. Gain-framed messages (ie, messages that emphasize the benefits of hand hygiene rather than the risks of noncompliance) may be most effective, but have not been tested.
Methods |
The study was conducted in a 27-bed neonatal intensive care unit. We performed an interrupted time series analysis of objectively measured hand disinfection events. We used electronic devices in hand alcohol dispensers, which continuously documented the frequency of hand disinfection events. In addition, hand hygiene compliance before and after the intervention period were directly observed.
Results |
The negative trend in hand hygiene events per patient-day before the intervention (decrease by 2.3 [standard error, 0.5] per week) changed to a significant positive trend (increase of 1.5 [0.5] per week) after the intervention (P < .001). The direct observations confirmed these results, showing a significant improvement in hand hygiene compliance from 193 of 303 (63.6%) observed hand hygiene events at pretest to 201 of 281 (71.5%) at posttest.
Conclusions |
We conclude that gain-framed messages concerning hand hygiene presented on screen savers may improve hand hygiene compliance.
Le texte complet de cet article est disponible en PDF.Key Words : Infection control, Compliance, Infants, Neonatal intensive care unit, Electronic devices, Interrupted time series
Plan
| Conflict of interest: None to report. |
Vol 40 - N° 10
P. 951-954 - décembre 2012 Retour au numéro
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