ArticlePloS one2020
Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled 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.
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
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Uncovering the obstacles: a comprehensive analysis of barriers to hand hygiene adherence among healthcare providers: a systematic review.BMC infectious diseases · 2025Pooled it
- Prevalence and determinants of hand hygiene behavior among Indian population: a systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Compared hand hygiene compliance among healthcare providers before and after the COVID-19 pandemic: A rapid review and meta-analysis.American journal of infection control · 2022Pooled it
- Microbiological contamination of nursing mobile workstations: assessing their role in pathogen transmission in healthcarefacilities.Infection prevention in practice · 2026Article
- Determinants of hand hygiene compliance among healthcare workers in public and private hospitals of Addis Ababa, Ethiopia.Infection prevention in practice · 2026Article
- High Bed Occupancy Rates in Internal Medicine Departments Are Associated with Lower Hand Hygiene Compliance.Medicina (Kaunas, Lithuania) · 2026Article
- Evaluation of hand hygiene belief and practice among healthcare workers at tertiary hospital, mogadishu, somalia: a cross-sectional study.Scientific reports · 2026Article
- Nursing perception and practices in N95 mask reuse in intensive care: a cross-sectional study.Revista brasileira de enfermagem · 2026Article
- Nurses' Attitudes and Clinical Judgment on Skin Disinfection Before Subcutaneous Injection: Impact of Setting, Experience, and Normative Beliefs.Nursing reports (Pavia, Italy) · 2025Article
- Antibacterial properties of novel transparent copper films: a potential new tool to reduce healthcare-associated infections in hospitals and healthcare facilities.BMC microbiology · 2025Article
- Reducing the frequency of hand hygiene to maintain skin integrity among nurses in the growing care unit: A pilot study.Fujita medical journal · 2025Article
- Compliance with infection control practices among healthcare workers in radiology departments: a participant observation study and adenosine triphosphate assay evaluation of environmental cleanliness.Infection prevention in practice · 2025Article
- Determinants of non-compliance with hand hygiene using a covert direct observation methodology.Infection prevention in practice · 2025Article
- Article
- Enhancing hand hygiene compliance in healthcare settings: a long time intervention study.Frontiers in public health · 2025Article
- Profiling and comprehensive analysis of microbiome and ARGs of nurses and nursing workers in China: a cross-sectional study.Scientific reports · 2024Article
- Association of hospital safety climate and compliance with occupational safety practices among nurse interns: A cross-sectional study using canonical correlation analysis.Health science reports · 2024Article
- Process Evaluation of an Acute-Care Nurse-Centred Hand Hygiene Intervention in US Hospitals.Evaluation review · 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
- Hand hygiene, knowledge and training motivational drives: findings from a survey in a university hospital.Frontiers in public health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hand hygiene is the simplest and most effective measure for preventing healthcare-associated infections. Despite the simplicity of this procedure and advances made in infection control, hospital health care workers' compliance to hand hygiene recommendations is generally low. Nurses have the most frequent patient care interactions, and thus more opportunities to practice hand hygiene. As such, it is important to identify and understand determinants of nurses' reported compliance. Formative research was undertaken to assess the potential impact of several unexamined factors that could influence HH among nurses: professional role and status, social affiliation, social norms, and physical modifications to the work environment (as well as institutional factors like safety climate). A survey questionnaire was developed primarily to inform the creation of a behaviour change intervention. The survey looked at how these factors influence HH among nurses and sought to identify barriers and levers to reported hand hygiene. It was administered to a survey panel of acute care nurses, working in US hospitals, with a year or more of experience. Multivariate regression modelling suggested that reported hand hygiene compliance was most likely to be a function of a hospital management's communication openness, perceived performance by peers, increased interactions with patients and other staff members, and the reduction in stress, busyness, and cognitive load associated with role performance. A powerful, effective intervention on HH among nurses therefore could be directed at improving communication openness, consider the impact of perceived performance by peers, increase interactions with patients and staff, and determine how to reduce the stress and cognitive load associated with role performance.
Indexed as
Identifiers
What OpenQuestion holds
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.