Trial reportImplementation science : IS2019
"The role as a champion is to not only monitor but to speak out and to educate": the contradictory roles of hand hygiene champions.
Trial report in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Implementing palliative care in the intensive care unit: a systematic review and mapping of knowledge to the implementation research logic model.Intensive care medicine · 2024Pooled it
- Enhancing Primary Care and Mental Health Integration for Women Veterans with Complex Healthcare Needs Using Evidence-Based Quality Improvement.Journal of general internal medicine · 2024Trial
- The effect of a prospective intervention program with automated monitoring of hand hygiene performance in long-term and acute-care units at a Veterans Affairs medical center.Infection control and hospital epidemiology · 2024Trial
- Building capacity for change: developing an evidence-based competencies framework to power champions.BMJ quality & safety · 2026Article
- Culture eats evidence for breakfast: how culture influences implementation of evidence-based practices.Implementation science communications · 2026Article
- From theory to practice: A mixed-method evaluation of a program to implement high-intensity rehabilitation in skilled nursing facilities.Physical therapy · 2026Article
- Listening to the note: clinician perspectives on ambient artificial intelligence scribes in medical documentation.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Champions as catalysts for change: a realist evaluation of their impact in primary care.BMC health services research · 2025Article
- Implementation science promotes clinical practice of guidelines: a scoping review.BMC health services research · 2025Article
- Evaluating spoke facilitation costs of implementing TelePain in the Veterans Health Administration.Implementation science communications · 2025Article
- Article
- Auditor perspectives on barriers to achieving healthcare worker hand hygiene compliance goals.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Conceptualizing vaccine champions from an implementation science perspective: Findings from a national survey of primary care health professionals.Preventive medicine · 2024Article
- Gaps in communication theory paradigms when conducting implementation science research: qualitative observations from interviews with administrators, implementors, and evaluators of rural health programs.Implementation science : IS · 2024Article
- Using implementation science to promote the use of the fascia iliaca blocks in hip fracture care.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
- Exploring Shared Implementation Leadership of Point of Care Nursing Leadership Teams on Inpatient Hospital Units: Protocol for a Collective Case Study.JMIR research protocols · 2024Article
- Examining barriers to implementing a surgical-site infection bundle.Infection control and hospital epidemiology · 2024Article
- Moving behavioral interventions in nursing homes from planning to action: a work system evaluation of a urinary tract infection toolkit implementation.Implementation science communications · 2023Article
- Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea.PLOS global public health · 2023Article
- Moving towards patient-reported outcomes in routine clinical practice: implementation lessons from the BREAST-Q.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundImplementation science experts define champions as "supporting, marketing, and driving through an implementation, overcoming indifference or resistance that the intervention may provoke in an organization." Many hospitals use designated clinical champions-often called "hand hygiene (HH) champions"-typically to improve hand hygiene compliance. We conducted an ethnographic examination of how infection control teams in the Veterans Health Administration (VHA) use the term "HH champion" and how they define the role.
methodsAn ethnographic study was conducted with infection control teams and frontline staff directly involved with hand hygiene across 10 geographically dispersed VHA facilities in the USA. Individual and group semi-structured interviews were conducted with hospital epidemiologists, infection preventionists, multi-drug-resistant organism (MDRO) program coordinators, and quality improvement specialists and frontline staff from June 2014 to September 2017. The team coded the transcripts using thematic content analysis content based on a codebook composed of inductive and deductive themes.
resultsA total of 173 healthcare workers participated in interviews from the 10 VHA facilities. All hand hygiene programs at each facility used the term HH champion to define a core element of their hand hygiene programs. While most described the role of HH champions as providing peer-to-peer coaching, delivering formal and informal education, and promoting hand hygiene, a majority also included hand hygiene surveillance. This conflation of implementation strategies led to contradictory responsibilities for HH champions. Participants described additional barriers to the role of HH champions, including competing priorities, staffing hierarchies, and turnover in the role.
conclusionsHealthcare systems should consider narrowly defining the role of the HH champion as a dedicated individual whose mission is to overcome resistance and improve hand hygiene compliance-and differentiate it from the role of a "compliance auditor." Returning to the traditional application of the implementation strategy may lead to overall improvements in hand hygiene and reduction of the transmission of healthcare-acquired infections.
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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.