Computer screen saver hand hygiene information curbs a negative trend in hand hygiene behavior.

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 h...

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Publicado en:American Journal of Infection Control Vol. 40; no. 10; pp. 951 - 955
Autores principales: Helder, Onno K., Weggelaar, Anne Marie, Waarsenburg, Daniël C.J., Looman, Caspar W.N., van Goudoever, Johannes B., Brug, Johannes, Kornelisse, René F.
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Dec2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2012
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      pub: Elsevier B.V.
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        atl: Computer screen saver hand hygiene information curbs a negative trend in hand hygiene behavior.
      aug:
        au:
          Helder, Onno K.
          Weggelaar, Anne Marie
          Waarsenburg, Daniël C.J.
          Looman, Caspar W.N.
          van Goudoever, Johannes B.
          Brug, Johannes
          Kornelisse, René F.
        affil: Department of Pediatrics, Division of Neonatology, Erasmus MC-Sophia Children’s Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands
      sug:
        subj:
          Handwashing Education
          Handwashing Trends
          Cross Infection Prevention and Control
          Professional Compliance
          Computer-Assisted Instruction
          Staff Development
          Multidisciplinary Care Team Education
          Intensive Care, Neonatal
          Computer Terminals
          Time Series
          Intensive Care Units, Neonatal
          Handwashing Equipment and Supplies
          Netherlands
          Comparative Studies
          Hospitals, Pediatric
          Protocols
          kappa Statistic
          Power Analysis
          Linear Regression
          Pretest-Posttest Design
          Data Analysis Software
          Infant, Newborn
          Human
          Descriptive Statistics
          Infant, Newborn: birth-1 month
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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