Interventions to improve healthcare workers’ hand hygiene compliance: A systematic review of systematic reviews

  title={Interventions to improve healthcare workers’ hand hygiene compliance: A systematic review of systematic reviews},
  author={Lesley Price and Jennifer J Macdonald and Lucyna Gozdzielewska and Tracey E. Howe and Paul Flowers and Lesley Shepherd and Yvonne Watt and Jacqui Reilly},
  journal={Infection Control \& Hospital Epidemiology},
  pages={1449 - 1456}
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… 

Multifaceted Interventions to Improve Hand Hygiene Compliance Among Nurses

The effects of multifaceted interventions on nurse hand hygiene compliance rates in a 12-bed adult trauma-surgical ICU as well as its effects on hospital acquired infections such as catheter associated urinary tract infections (CAUTI) and central line associated bloodstream infections (CLABSI).

Hand hygiene during facility-based childbirth in Cambodia: a theory-driven, mixed-methods observational study

A combination of disruption of the physical environment via nudges and cues, participatory education to the midwives and the promotion of new norms using social influence and affiliation may increase the birth attendants’ hand hygiene compliance in the authors' study settings.

Hand Hygiene during the Early Neonatal Period: A Mixed-Methods Observational Study in Healthcare Facilities and Households in Rural Cambodia

The findings indicate that an effective intervention in this context should be multi-modal to address the different key behaviour determinants and target a wide range of caregivers.

[Implementation of immediate feedback system into hand hygiene practice in the intensive care unit].

Hand hygiene technique during the study period was found to be highly and permanently appropriate, while compliance was lower than expected, although further interventions are needed for higher compliance rates.

Posters as a Tool to Improve Hand Hygiene among Health Science Students: Case—Control Study

The use of posters as a teaching method shows indications of efficacy in improving hand hygiene compliance and effectiveness among nursing students and prior hand contamination slightly affects the quality of HH.

Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A mixed-methods study.

These mixed-methods findings illustrate that healthcare personnel's perceptions do not always correspond to the observed results since risk behaviours frequently occurred regardless of the observed and perceived working conditions.

Poster as Tool to Improve Hand Hygiene Among Health Science Students: Case-control Study

The use of posters as a teaching method for improving hand hygiene shows indications of effectiveness, and prior contamination of the hands slightly affects the quality of hand hygiene after the practice.

Assessment of Hand Hygiene Practices of University Students in Vietnam Amid the COVID-19 Pandemic: A Brief Report

It is crucial to improve community education to help reinforce correct hand hygiene behaviors, including when to wash hands and which method should be used, as actual practices of handwashing are suboptimal.

Brazilian Mobile Phone Applications Related to Hand Hygiene and Their Applicability for Healthcare Professionals

These mobile applications can be used as complementary alternatives in addition to other available education strategies to improve the standards of hand hygiene and change the behavior of health professionals.

Comparison of two electronic hand hygiene monitoring systems in promoting hand hygiene of healthcare workers in the intensive care unit

Monitoring and feedback can improve the HH of HCWs and the EHHMS, with the function of real-time reminders and feedback, has a more noticeable effect on promoting HH.



A Systematic Review on the Effectiveness of Interventions to Improve Hand Hygiene Compliance of Nurses in the Hospital Setting

A systematic review showed that single and combined interventions do improve hand hygiene practices among nurses; however, there is a need for more methodologically robust studies to define the most effective and sustainable interventions.

Comparative efficacy of interventions to promote hand hygiene in hospital: systematic review and network meta-analysis

Network meta-analysis indicated considerable uncertainty in the relative effectiveness of interventions, but nonetheless provided evidence that WHO-5 is effective and that compliance can be further improved by adding interventions including goal setting, reward incentives, and accountability.

Efficacy of interventions to improve hand hygiene compliance in neonatal units: a systematic review and meta-analysis

Strategies to improve HHC in NICUs seem to be more effective when they include performance feedback at the personal or group levels, and Randomised controlled trials (RCTs) specifically assessing the benefits of performance feedback in improving HHC are needed.

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

Searching for an optimal hand hygiene bundle: a meta-analysis.

Three studies evaluated the interventions education, reminders, feedback, administrative support, and access to alcohol-based hand rub as a bundle, which was associated with improved hand hygiene compliance and should be further studied using high-quality study designs and compared with other interventions.

Overview of systematic reviews of the effectiveness of reminders in improving healthcare professional behavior

Reminders appear effective in improving different clinical behaviors across a range of settings and the effect size is consistent with other interventions that have been used to improve professional behavior.

A systematic review of hand hygiene improvement strategies: a behavioural approach

By focussing on determinants of behaviour change, this work found hidden and valuable components in HH improvement strategies that prompt good HH behaviour.

Features of educational interventions that lead to compliance with hand hygiene in healthcare professionals within a hospital care setting. A BEME systematic review: BEME Guide No. 22

It was not possible to identify individual features of educational interventions due to each study reporting multicomponent interventions, however, multiple, continuous interventions were better than single interventions in terms of eliciting and sustaining behaviour change.

Hand hygiene-related clinical trials reported since 2010: a systematic review.