ArticleInternational journal of environmental research and public health2019
Cleaning Staff's Attitudes about Hand Hygiene in a Metropolitan Hospital in Australia: A Qualitative Study.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Application of the behaviour-centred design to understand facilitators and deterrents of hand hygiene among healthcare providers: findings from a formative phase of a cluster randomised trial in the Kampala Metropolitan area.BMC health services research · 2024Trial
- Hand hygiene among cleaning staff in acute care hospitals: a scoping review.Frontiers in public health · 2026Article
- Enhancing hand hygiene compliance in healthcare environmental services staff: a systematic approach to indicator development.Antimicrobial resistance and infection control · 2025Article
- "I Know What I Have to Do, but I Don't Do It": The Relationship Between Knowledge and Adherence to Hand Hygiene in Healthcare Settings.Healthcare (Basel, Switzerland) · 2025Article
- Effectiveness of a Glo Germ-based assessment and educational intervention to improve hand hygiene compliance among hospital cleaning staff.Frontiers in public health · 2025Article
- Infection prevention and control: knowledge, practices and associated factors among cleaners at a National Referral Hospital in Uganda.Infection prevention in practice · 2024Article
- Re: 'Personal protective equipment protecting healthcare workers in the Chinese epicenter of COVID-19' by Zhao et al.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2020Article
- Containment of COVID-19 among ancillary healthcare workers: an integral component of infection control.The Journal of hospital infection · 2020Article
- Emojis in public health and how they might be used for hand hygiene and infection prevention and control.Antimicrobial resistance and infection control · 2020Review
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2009, the National Hand Hygiene Initiative (NHHI) was implemented in hospitals across Australia with the aim of improving hand hygiene practices and reducing healthcare-associated infections. Audits conducted post-implementation showed the lowest rates of compliance with hand hygiene practices are among operational staff including hospital cleaners. There is limited information about hand hygiene issues in hospital cleaners to inform development of evidence-based interventions to improve hand hygiene compliance in this group.
aimThis qualitative study was undertaken to explore the attitudes of hospital cleaning staff regarding hand hygiene and the National Hand Hygiene Initiative. METHODOLOGY: Focus groups were conducted with 12 cleaning staff at a large Australian hospital implementing the National Hand Hygiene Initiative.
findingsHospital cleaners recognise the importance of hand hygiene in preventing healthcare-associated infections. Cleaners cite peer support, leadership, and the recognition and reward of those excelling in hand hygiene as strong motivators. Barriers to optimal hand hygiene practice include the presence of multiple conflicting guidelines, hand hygiene "overload" and a lack of contextualised education programs. This exploratory qualitative study reveals three themes about attitudes of hospital cleaning staff towards hand hygiene. These themes are: (1) "The culture of hand hygiene: It's drummed into us"; (2) "Reminders and promotion for hand hygiene: We just need a big 'Please wash your hands' sign"; and (3) "The personal value of hand hygiene: Like he said, it's second nature to us".
conclusionHand-hygiene messages and training need to be more consistent and contextualised to achieve improvements in hand hygiene practices in hospital cleaning staff in Australia.
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