ArticleBMC infectious diseases2014
A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene.
Article in BMC infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 32 citations in OpenAlex.
- "The role as a champion is to not only monitor but to speak out and to educate": the contradictory roles of hand hygiene champions.Implementation science : IS · 2019Trial
- Barriers to hand hygiene practice among healthcare workers in health centres of Kirkos and Akaki Kality sub-cities, Addis Ababa, Ethiopia: a qualitative study.Infection prevention in practice · 2025Article
- Enhancing hand hygiene compliance in healthcare settings: a long time intervention study.Frontiers in public health · 2025Article
- Article
- Auditor perspectives on barriers to achieving healthcare worker hand hygiene compliance goals.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- COVID-19 unanticipated benefits to hand washing coverage and practices in health care facilities in central Uganda.African health sciences · 2023Article
- Understanding Hand Hygiene Behavior in a Public Hospital in Benin Using the Theoretical Domain Frameworks: The First Step for Designing Appropriate Interventions.Healthcare (Basel, Switzerland) · 2022Article
- Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment.Antimicrobial resistance and infection control · 2022Article
- Strategies to Prevent Healthcare-Associated Infections: A Narrative Overview.Risk management and healthcare policy · 2020Review
- Efficacy of observational hand hygiene audit with targeted feedback on doctors' hand hygiene compliance: A retrospective time series analysis.Journal of infection prevention · 2019Article
- Recommendations to facilitate managers' compliance with quality standards at primary health care clinics.Curationis · 2019Article
- Cleaning Staff's Attitudes about Hand Hygiene in a Metropolitan Hospital in Australia: A Qualitative Study.International journal of environmental research and public health · 2019Article
- Hand hygiene among healthcare workers: A qualitative meta summary using the GRADE-CERQual process.Journal of infection prevention · 2017Review
- How can information systems provide support to nurses' hand hygiene performance? Using gamification and indoor location to improve hand hygiene awareness and reduce hospital infections.BMC medical informatics and decision making · 2017Article
- A Qualitative Study to Identify Skills and Competency Required for Hospital Managers.Electronic physician · 2016Article
- Personal hand gel for improved hand hygiene compliance on the regional anesthesia team.Journal of anesthesia · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite universal recognition of the importance of hand hygiene in reducing the incidence of healthcare associated infections, health care workers' compliance with best practice has been sub-optimal. Senior hospital managers have responsibilities for implementing patient safety initiatives and are therefore ideally placed to provide suggestions for improving strategies to increase hand hygiene compliance. This is an under-researched area, accordingly the aim of this study was to identify senior hospital managers' views on current and innovative strategies to improve hand hygiene compliance.
methodsQualitative design comprising face-to-face interviews with thirteen purposively sampled senior managers at a major teaching and referral hospital in Sydney, Australia. Data were analysed thematically.
resultsSeven themes emerged: culture change starts with leaders, refresh and renew the message, connect the five moments to the whole patient journey, actionable audit results, empower patients, reconceptualising non-compliance and start using the hammer.
conclusionsTo strengthen hand hygiene programmes, strategies based on the five moments of hand hygiene should be tailored to specific roles and settings and take into account the whole patient journey including patient interactions with clinical and non-clinical staff. Senior clinical and non-clinical leaders should visibly champion and mandate best practice initiatives and articulate that hand hygiene non-compliance is culturally and professionally unacceptable to the organization. Strategies that included a disciplinary component and which conceptualise hand hygiene non-compliance as a patient safety error may be worth evaluating in terms of staff acceptability and effectiveness.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.