Using a theory of planned behaviour framework to explore hand hygiene beliefs

"Improving hand hygiene among health care workers (HCWs) is the single most effective intervention to reduce health care associated infections in hospitals. Understanding the cognitive determinants of hand hygiene decisions for HCWs with the greatest patient contact (nurses) is essential to improve compliance."

Using a theory of planned behaviour framework to explore hand hygiene beliefs at the ‘5 critical moments’ among Australian hospital-based nurses

KM White et al.
BMC Health Services Research 2015, 15:59  doi:10.1186/s12913-015-0718-2

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Quantification of the Hawthorne effect in hand hygiene compliance monitoring

"Hand hygiene event rates were approximately threefold higher in hallways within eyesight of an auditor compared with when no auditor was visible and the increase occurred after the auditors’ arrival. This is consistent with the existence of a Hawthorne effect localised to areas where the auditor is visible and calls into question the accuracy of publicly reported hospital hand hygiene compliance rates."

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study
JA Srigley, CD Furness, GR Baker, M Gardam
BMJ Quality and Safety 2014;23:974-980 doi:10.1136/bmjqs-2014-003080

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Barriers and levers to best hand hygiene practice among healthcare practitioners

"This study has produced encouraging findings suggesting the potential for improved hand hygiene and resulting effects on the human and financial costs of healthcare associated infection."

Development of a theory-based instrument to identify barriers and levers to best hand hygiene practice among healthcare practitioners
J Dyson, R Lawton, C Jackson, F Cheater
Implementation Science, 2013, 8:111

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Two different strategies for promoting hand hygiene in hospital nurses

"In summary, with this study we were able to look inside the ‘black box’ of two hand hygiene improvement strategies, to generate insights into which strategy components are effective."

Explaining the effects of two different strategies for promoting hand hygiene in hospital nurses: a process evaluation alongside a cluster randomised controlled trial
A Huis, G Holleman, T van Acterberg, R Grol, L Schoonhoven, M Hulscher
Implementation Science, 2013, 8:41

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A systematic review of hand hygiene improvement strategies

"Addressing only determinants such as knowledge, awareness, action control, and facilitation is not enough to change hand hygiene behaviour."

A systematic review of hand hygiene improvement strategies: a behavioural approach
A Huis, T van Achterberg, M de Bruin, R Grol, L Schoonhoven, M Hulscher
Implementation Science, 2012, 7:92

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Use of hand hygiene interventions improves with psychological theory

"This qualitative study demonstrated the value in using psychological theories commonly used in knowledge translation to explore barriers and facilitators to current hand hygiene (HH) practices and when implementing an intervention to improve HH practice."

Using psychological theory to inform methods to optimize the implementation of a hand hygiene intervention
VM Boscart, GR Fernie, JH Lee, SB Jaglal
Implementation Science, 2012, 7:77

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