Michael Meng1, Michaela Sorber2, Andreas Herzog3, Christoph Igel4, Christiane Kugler5. 1. Institute of Nursing Science, Faculty of Medicine, University of Freiburg, Freiburg, Germany; Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Witten, Germany. Electronic address: michael.meng@uniklinik-freiburg.de. 2. Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Witten, Germany. 3. HyHelp AG, Frankfurt am Main, Germany. 4. Educational Technology Lab, German Research Center for Artificial Intelligence, Berlin, Germany. 5. Institute of Nursing Science, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Abstract
BACKGROUND: Hand hygiene is crucial for preventing nosocomial infections; however, adherence rates need further attention. Prevention of nosocomial infections through regular hand hygiene monitoring and feedback is recommended by the World Health Organization. Technology holds the potential for achieving this goal. The aim of this study was to assess the influence of technological behavior monitoring innovations on hand hygiene adherence and their acceptance by healthcare professionals. METHODS: A rapid review of the literature was conducted. A literature search was performed in electronic databases (Cochrane Library, Scopus, PubMed, CINAHL, PsycINFO, PsycARTICLES, PSYNDEX) and via citation tracking in November 2017. Records were screened for eligibility. Included studies were analyzed and synthesized in a narrative, tabular way. RESULTS: Overall, 2,426 studies were identified, and 12 were included. Findings indicated that behavior monitoring technology improves hand hygiene adherence, resulting in adherence increases between 6.40%-54.97%. The majority of systems provided real-time feedback. Factors influencing acceptance of technology by healthcare professionals include transparency and confidentiality, user attitude and environment, device function, and device usability. CONCLUSIONS: Recognizing the importance of hand hygiene adherence, active communication between behavior monitoring technology and healthcare workers seems to mediate improvement in sustainable hand hygiene adherence behavior.
BACKGROUND: Hand hygiene is crucial for preventing nosocomial infections; however, adherence rates need further attention. Prevention of nosocomial infections through regular hand hygiene monitoring and feedback is recommended by the World Health Organization. Technology holds the potential for achieving this goal. The aim of this study was to assess the influence of technological behavior monitoring innovations on hand hygiene adherence and their acceptance by healthcare professionals. METHODS: A rapid review of the literature was conducted. A literature search was performed in electronic databases (Cochrane Library, Scopus, PubMed, CINAHL, PsycINFO, PsycARTICLES, PSYNDEX) and via citation tracking in November 2017. Records were screened for eligibility. Included studies were analyzed and synthesized in a narrative, tabular way. RESULTS: Overall, 2,426 studies were identified, and 12 were included. Findings indicated that behavior monitoring technology improves hand hygiene adherence, resulting in adherence increases between 6.40%-54.97%. The majority of systems provided real-time feedback. Factors influencing acceptance of technology by healthcare professionals include transparency and confidentiality, user attitude and environment, device function, and device usability. CONCLUSIONS: Recognizing the importance of hand hygiene adherence, active communication between behavior monitoring technology and healthcare workers seems to mediate improvement in sustainable hand hygiene adherence behavior.
Authors: Eduardo Casaroto; Jose Roberto Generoso; Bruna Marques Tofaneto; Luigi Makowski Bariani; Mariana de Amorim Auler; Nathalia Xavier; Marcelo Prado; Elivane da Silva Victor; Takaaki Kobayashi; Michael B Edmond; Fernando Gatti de Menezes; Alexandre R Marra Journal: Am J Infect Control Date: 2022-01-31 Impact factor: 4.303