Evidence map›Paper›PMID 30722789›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2019

"Hand hygiene perception and self-reported hand hygiene compliance among emergency medical service providers: a Danish survey".

Heidi Storm Vikke, Svend Vittinghus, Martin Betzer, Matthias Giebner, Hans Jørn Kolmos, Karen Smith, Maaret Castrén, Veronica Lindström, Marja Mäkinen, Heini Harve and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 29 citations in OpenAlex.

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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

11 authors at 6 institutions in 4 countries.

Heidi Storm VikkeDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark. hevi@falck.dk.ORCID http://orcid.org/0000-0002-4195-886X
Svend VittinghusMedical Office, Falck Denmark A/S, Kolding, Denmark.
Martin BetzerMedical Office, Falck Denmark A/S, Kolding, Denmark.
Matthias GiebnerA&E Department, Sygehus Soenderjylland, Aabenraa, Denmark.
Hans Jørn KolmosDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Karen SmithAmbulance Victoria, Centre for Research and Evaluation, Melbourne, Australia.
Maaret CastrénHelsinki University Hospital, Department of emergency medicine and services, Helsinki University, Helsinki, Finland.
Veronica LindströmKarolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing & Academic EMS, Stockholm, Sweden.
Marja MäkinenHelsinki University Hospital, Department of emergency medicine and services, Helsinki University, Helsinki, Finland.
Heini HarveHelsinki University Hospital, Department of emergency medicine and services, Helsinki University, Helsinki, Finland.
Christian Backer MogensenFocused Research Unit in Emergency Medicine, Institute for Regional Health Research, University of Southern Denmark, Aabenraa, Denmark.
University of Helsinki · FIUniversity of Southern Denmark · DKKolding Hospital · DKAmbulance Victoria · AUKarolinska Institutet · SESygehus Sønderjylland · DK

Funding

Innovationsfonden 5016-00125B
6 · The paper itself

Abstract

backgroundHand hygiene (HH), a cornerstone in infection prevention and control, lacks quality in emergency medical services (EMS). HH improvement includes both individual and institutional aspects, but little is known about EMS providers' HH perception and motivations related to HH quality. Therefore, we aimed to investigate the HH perception and assess potential factors related to self-reported HH compliance among the EMS cohort.

methodsA cross-sectional, self-administered questionnaire consisting of 24 items (developed from the WHOs Perception Survey for Health-Care Workers) provided information on demographics, HH perceptions and self-reported HH compliance among EMS providers from Denmark.

resultsOverall, 457 questionnaires were answered (response rate 52%). Most respondents were advanced-care providers, males, had > 5 years of experience, and had received HH training < 3 years ago. HH was perceived a daily routine, and the majority rated their HH compliance rate ≥ 80%. Both infection severity and the preventive effect of HH were acknowledged. HH quality was perceived important to colleagues and patients, but not as much to managers. Access to supplies, simple instructions and having or being "a good example" were perceived most effective to improve HH compliance. Self-reported HH compliance was associated with years of experience and perceptions of HCAI's impact on patient outcome, HH's preventive effect, organizational priority, HH's importance to colleagues and patients, and the effort HH requires (p ≤ 0.05).

conclusionDanish EMS providers acknowledged the impact of infections and the preventive effect of HH, and perceived access to HH supplies at the point of care, having or being "a good example" and simple instructions effective to improve HH compliance. Moreover, several behavioral-, normative- and control beliefs were associated with self-reported HH compliance, and thus future improvement strategies should be multimodal.

Indexed as

Attitude of Health PersonnelEmergency Medical ServicesHand HygieneSelf ConceptCross InfectionCross-Sectional StudiesDenmarkFemaleGuideline AdherenceHealth PersonnelHumansMaleSelf ReportSurveys and Questionnaires

Identifiers

PMID30722789
PMCPMC6362569
OpenAlexW2915982744

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.