Effects of Audio-Visual Stimulation on Hand Hygiene Compliance among Family and Non-Family Visitors of Pediatric Wards: A Quasi-Experimental Pre-post Intervention Study

• Published in: Journal of pediatric nursing 2019-05, Vol.46, p.e92-e97
• Main Authors: Kim, Duri, Lee, Ogcheol
• Format: Article
• Language: English
• Subjects: Audiovisual Aids; Cross Infection - prevention & control; Family; Hand hygiene; Hand Hygiene - methods; Healthcare-associated infection; Hospitals, Pediatric; Humans; Pediatric; Visitor; Visitors to Patients
• ISSN: 0882-5963; 1532-8449
• DOI: 10.1016/j.pedn.2019.03.017

This study aimed to identify the differences in interventional effects on hand hygiene compliance (HHC) among families and visitors in pediatric wards. A total of 2787 family and non-family visitors entering through the glass sliding door of 6 pediatric wards at a university children's hospital were observed for 4 h, respectively, before and after interventions between April 27 and May 20, 2018. In the first intervention, a visual stimulus emphasized the location of the hand sanitizer. In the second intervention, an additional auditory stimulus transmitted a cue through a motion sensor speaker. During the preliminary observation, the HHC rates of family and non-family visitors were 0.0% and 1.5%, respectively; after the visual stimulus, they were 0.6% and 5.4%, and after the audio-visual stimulus, 1.8% and 8.2%. There was a significant increase in the overall HHC with the visual (OR, 5.22; 95% CI, 1.76–20.90) and audio-visual (OR, 8.67; 95% CI, 3.08–33.70) stimuli (Fisher's exact test, p