ArticleBMC health services research2019
Nurses' knowledge, behaviour and compliance concerning hand hygiene in nursing homes: a cross-sectional mixed-methods study.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06403956 (The Effect of Hand Hygiene Training Given With Different Methods on Students' Hand Hygiene Beliefs, Practices and Skills), which is not on this map. Cited by 31 papers.
What it found
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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.
The Effect of Hand Hygiene Training Given With Different Methods on Students' Hand Hygiene Beliefs, Practices and Skills
Who cites it
31 citing papers in PubMed.
- Implementation of the OHS-interRAI for regular oral health assessments by non-dental caregivers: focus group study using a SWOT analysis.BMC public health · 2025Trial
- Article
- Capability, opportunity, and motivation: a structural equation model of hand hygiene behavior based on the COM-B framework in a Chinese hospital setting.Frontiers in public health · 2026Article
- Latent profile analysis of knowledge, attitude and practice of hospital infection prevention and control among haemodialysis nurses in Sichuan, China: a multicenter study.Frontiers in public health · 2026Article
- An Action Plan to Facilitate the Transfer of Pain Management Competencies Among Nurses.Nursing reports (Pavia, Italy) · 2025Article
- Self-reported knowledge attitude and practice of healthcare professionals in the management of infection and antimicrobial stewardship: a systematic review.JAC-antimicrobial resistance · 2025Review
- Mapping Nurses' Knowledge, Attitudes, and Practices to Guide Competency-Based Infection Control Training.Cureus · 2025Article
- Determinants of Infection Prevention and Control Practices in Japanese Nursing Homes: A Scoping Review.Nursing & health sciences · 2025Article
- Article
- Study on hand disinfection in inpatient geriatric care on the superiority of cold plasma aerosol versus alcohol-based disinfection methods in a parallel group design.Scientific reports · 2024Article
- Association between Hand Hygiene Knowledge and Self-Efficacy in Nursing Students: A Multicenter Cross-Sectional Study within the Framework of the Erasmus Project.Nursing reports (Pavia, Italy) · 2024Article
- Development and validation of a scale to measure the care needs of Crohn's disease patients: a mixed-methods study.BMC nursing · 2024Article
- Healthcare-Associated Infections and Prevention Programs in General Nursing versus Residential Homes-Results of the Point Prevalence Survey in Polish Long-Term Care Facilities.Medicina (Kaunas, Lithuania) · 2024Article
- Hand hygiene, knowledge and training motivational drives: findings from a survey in a university hospital.Frontiers in public health · 2024Article
- Knowledge and Training Needs in Nosocomial Infection among Hospital Staff in the City of Kielce, Poland: A Cross-Sectional Study.Journal of nursing management · 2024Article
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- Article
- Beyond the control of the care home: A meta-ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people.Health expectations : an international journal of public participation in health care and health policy · 2022Review
- Hand hygiene compliance and its drivers in long-term care facilities; observations and a survey.Antimicrobial resistance and infection control · 2022Article
- Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundEffective hand hygiene is one of the most important measures for protecting nursing home residents from nosocomial infections. Infections with multi-resistant bacteria's, associated with healthcare, is a known problem. The nursing home setting differs from other healthcare environments in individual and organisational factors such as knowledge, behaviour, and attitude to improve hand hygiene and it is therefore difficult to research the influential factors to improve hand hygiene. Studies have shown that increasing knowledge, behaviour and attitudes could enhance hand hygiene compliance in nursing homes. Therefore, it may be important to examine individual and organisational factors that foster improvement of these factors in hand hygiene. We aim to explore these influences of individual and organisational factors of hand hygiene in nursing home staff, with a particular focus on the function of role modelling by nursing managers.
methodsWe conducted a mixed-methods study surveying 165 nurses and interviewing 27 nursing managers from nursing homes in Germany.
resultsMost nurses and nursing managers held the knowledge of effective hand hygiene procedures. Hygiene standards and equipment were all generally available but compliance to standards also depended upon availability in the immediate work area and role modelling. Despite a general awareness of the impact of leadership on staff behaviour, not all nursing managers fully appreciated the impact of their own consistent role modelling regarding hand hygiene behaviours.
conclusionThese results suggest that improving hand hygiene should focus on strategies that facilitate the provision of hand disinfectant materials in the immediate work area of nurses. In addition, nursing managers should be made aware of the impact of their role model function and they should implement this in daily practice.
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