Social cohesion: The missing factor required for a successful hand hygiene program

Highlights • Interviews exploring satisfaction with an automated hand hygiene surveillance system identified 2 factors that were present in only the ward that responded to daily rates and a behavioral intervention requiring staff to remind each other to comply. • Clinicians on both wards held positi...

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Bibliographic Details
Published in:American journal of infection control 2017-03, Vol.45 (3), p.222-227
Main Authors: Kwok, Yen Lee Angela, MBBS, MPH, MHM, PhD, Harris, Peter, MBBS, McLaws, Mary-Louise, DipTropPubHlth, MPHlth, PhDMed
Format: Article
Language:English
Subjects:
Australia
Automation - methods
Behavior Observation Techniques - methods
Compliance
Culture
Guideline Adherence - statistics & numerical data
Hand Hygiene - methods
Hands
Hospitals, Teaching
Humans
Hygiene
Infection Control
Infectious Disease
Interpersonal Relations
Intervention
Interviews
Medical personnel
Nudging
Qualitative
Tertiary Care Centers
Trial
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Summary:Highlights • Interviews exploring satisfaction with an automated hand hygiene surveillance system identified 2 factors that were present in only the ward that responded to daily rates and a behavioral intervention requiring staff to remind each other to comply. • Clinicians on both wards held positive hand hygiene beliefs, but compliance was different. • Nudging others to comply requires social cohesion between the professions. • Clinicians on the socially cohesive ward described a well-liked leader. • Social cohesiveness and positive ward culture were absent from the ward that did not improve compliance.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2016.10.021