Lesley Price1, Jennifer MacDonald1, Lucyna Gozdzielewska1, Tracey Howe2, Paul Flowers1, Lesley Shepherd3, Yvonne Watt2, Jacqui Reilly1. 1. 1Safeguarding HealththroughInfection Prevention Research Group,School of Health and Life Sciences,Glasgow Caledonian University,Glasgow,Scotland,United Kingdom. 2. 2School of Health and Life Sciences,Glasgow Caledonian University,Glasgow,Scotland,United Kingdom. 3. 3Health Protection Scotland,Glasgow,Scotland,United Kingdom.
Abstract
OBJECTIVE: To synthesize the existing evidence base of systematic reviews of interventions to improve healthcare worker (HCW) hand hygiene compliance (HHC). METHODS: PRISMA 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. RESULTS: Overall, 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. CONCLUSIONS: This 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.
OBJECTIVE: To synthesize the existing evidence base of systematic reviews of interventions to improve healthcare worker (HCW) hand hygiene compliance (HHC). METHODS: PRISMA 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. RESULTS: Overall, 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. CONCLUSIONS: This 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.
Authors: Yolisa Nalule; Helen Buxton; Alison Macintyre; Por Ir; Ponnary Pors; Channa Samol; Supheap Leang; Robert Dreibelbis Journal: Int J Environ Res Public Health Date: 2021-04-21 Impact factor: 3.390
Authors: María Gázquez-López; Encarnación Martínez-García; Adelina Martín-Salvador; María Adelaida Álvarez-Serrano; Inmaculada García-García; Rafael A Caparros-Gonzalez; María Ángeles Pérez-Morente Journal: Int J Environ Res Public Health Date: 2021-10-22 Impact factor: 3.390
Authors: Kelly Ann Schmidtke; Navneet Aujla; Tom Marshall; Abid Hussain; Gerard P Hodgkinson; Kristopher L Arheart; David J Birnbach; Laura Kudrna; Ivo Vlaev Journal: Front Public Health Date: 2022-01-17