Compliance With Antiseptic Hand Rub Use in Intensive Care Units: The Hawthorne Effect

To determine the influence the Hawthorne effect has on compliance with antiseptic hand rub (AHR) use among healthcare personnel. Observational study. Five intensive care units of a university hospital in Berlin, Germany. Medical personnel were monitored in 2 periods regarding compliance with AHR use...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 2006-09, Vol.27 (9), p.931-934
Main Authors: Eckmanns, Tim, Bessert, Jan, Behnke, Michael, Gastmeier, Petra, Rüden, Henning
Format: Article
Language:English
Subjects:
Anti-Infective Agents, Local
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiseptics
Biological and medical sciences
Compliance certificates
Germany
Guideline Adherence
Hand Disinfection - methods
Hawthorne effect
Humans
Intensive care units
Intensive Care Units - statistics & numerical data
Logistic Models
Logistic regression
Medical sciences
Miscellaneous
Nurses
Nursing
Observational research
Observational studies
Original Article
Patient compliance
Personnel, Hospital
Pharmacology. Drug treatments
Physicians
Public health. Hygiene
Public health. Hygiene-occupational medicine
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Summary:To determine the influence the Hawthorne effect has on compliance with antiseptic hand rub (AHR) use among healthcare personnel. Observational study. Five intensive care units of a university hospital in Berlin, Germany. Medical personnel were monitored in 2 periods regarding compliance with AHR use when there were indications for AHR use. In the first period, the personnel had no knowledge of being observed. The second observation period was announced to the staff of the intensive care units in advance and information about what the observer would be monitoring was provided. Potential confounders of compliance with AHR use included occupational groups (nurses, physicians, and other healthcare workers), intensive care units, and indications for AHR use before or after any procedure. Data were collected from 2,808 indications for AHR use. The overall rate of compliance was 29% (95% confidence interval, 26%-32%) in the first period and 45% (95% confidence interval, 43%-47%) in the second period. A logistic regression analysis with potential confounders revealed a significant odds ratio for the comparison between period 2 and period 1. The differences in compliance with AHR use were statistically significant (P
ISSN:0899-823X
1559-6834
DOI:10.1086/507294