Evidence map›Paper›PMID 30092024›Full record

ArticlePloS one2018

How to make hand hygiene interventions more attractive to nurses: A discrete choice experiment.

Qian Zhao, Miles M Yang, Yu-Ying Huang, Wenlin Chen

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Hand hygiene compliance in intensive care units: An observational study.International journal of nursing practice · 2020
    Observational
  8. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Qian ZhaoSchool of Information Science and Engineering, Chengdu University, Chengdu, Sichuan, China.
Miles M YangMacquarie University, Sydney, Australia.
Yu-Ying HuangHealthcare Services Department, Commerce Development Research Institute, Taipei, Taiwan.
Wenlin ChenBusiness School, The University of New South Wales, Sydney, Australia.ORCID 0000-0001-9835-2968
Chengdu University · CNMacquarie University · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBetter understanding of the characteristics of interventions which are attractive to nurses is required in order to implement effective hand hygiene interventions.

methodsThe intervention characteristics were derived from diffusion of innovation theory (DIT): relative advantage, compatibility, simplicity, trialability, and observability. To identify nurses' preferences for the five characteristics, a discrete choice experiment (DCE) was conducted. Participants were nurses working at Taiwanese tertiary care hospitals selected through stratified sampling. In addition, the hand hygiene moment (before or after patient contact) was taken into consideration in the DCE to investigate whether nurses' preferences for the intervention characteristics were the same at different hand hygiene moments.

resultsThis survey was conducted between 1 October and 31 December 2014. Among 200 nurses from three Taiwanese tertiary care hospitals, significant preferences for the five intervention characteristics were observed. That is, when an intervention makes the hand hygiene activity more convenient (p<0.001), when nurses participate in the design of the intervention (p<0.001), when an intervention is explained well to nurses before implementing it (p<0.001), when the evidence of hand hygiene is provided at a trial stage to show its effectiveness (p<0.001), and when nurses' hand hygiene performance is observable to their peers (p<0.001), nurses are more willing to wash their hands with high compliance. In addition, nurses preferred for providing evidence at a trial stage most, and well explanation about the intervention to increase simplicity was least. The rankings of the preference for the five intervention characteristics were the same at different hand hygiene moments (p = 0.453).

conclusionsThe findings suggest policy directions for decision makers aiming to improve overall hand hygiene compliance in healthcare facilities.

Indexed as

Guideline AdherenceNursesAdultAttitude of Health PersonnelCross InfectionDiffusion of InnovationFemaleHand DisinfectionHand HygieneHumansMaleMiddle AgedModels, EconometricNursingProbabilitySurveys and Questionnaires

Identifiers

PMID30092024
PMCPMC6084975
OpenAlexW2886049560

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.