ArticleJournal of infection prevention2021
What are the predictors of hand hygiene compliance in the intensive care unit? A cross-sectional observational study.
Article in Journal of infection prevention, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Infection Control and Prevention Awareness Among Intensive and Cardiac Care Nurses: Implications for Managers and Policymakers.Nursing open · 2026Article
- Barriers to hand hygiene practice among healthcare workers in health centres of Kirkos and Akaki Kality sub-cities, Addis Ababa, Ethiopia: a qualitative study.Infection prevention in practice · 2025Article
- Article
- CHANGES IN PRE-AND POST-INTERVENTION HAND HYGIENE COMPLIANCE IN ICU ON WHO HANDWASHING POSTERS.Acta clinica Croatica · 2024Observational
- Determinants of hand hygiene compliance among healthcare workers in intensive care units: a qualitative study.BMC public health · 2024Article
- Predictors of hand hygiene attitudes among Saudi healthcare workers of the intensive care unit in Saudi Arabia.Scientific reports · 2024Article
- Barriers to hand hygiene compliance in intensive care units during the COVID-19 pandemic: A qualitative study.Frontiers in public health · 2022Article
- Identifying interventions to improve hand hygiene compliance in the intensive care unit through co-design with stakeholders.HRB open research · 2021Article
- Understanding hand hygiene behaviour in the intensive care unit to inform interventions: an interview study.BMC health services research · 2020Article
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Authors and funding
12 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough appropriate hand hygiene (HH) practices are recognised as the most effective preventative strategy for infection, adherence is suboptimal. Previous studies in intensive care units (ICUs) have found differences in HH compliance between those moments that protect the patient, and those that protect the healthcare provider. However, such studies did not control for other variables known to impact HH compliance.
aimTo examine HH among healthcare workers (HCWs) in ICU settings, and identify whether there is a statistical difference in HH compliance between patient-protective and self-protective moments, while controlling for other variables known to influence HH compliance (i.e. professional role, unit and shift time).
methodsA cross-sectional observational study was conducted in four ICUs across three Irish hospitals. Compliance was assessed according to the WHO's 'five moments for hand hygiene'. HCW professional role, total number of 'opportunities' for HH and whether compliance was achieved were recorded.
resultsA total of 712 HH opportunities were recorded, with an overall compliance rate of 56.9%. Logistic regression analysis revealed that physicians, allied healthcare professionals and auxiliary staff were less likely than nurses to engage in HH. HCWs were more likely to comply during night shifts compared to morning shifts, and with self-protective as compared to patient-protective HH moments.
conclusionThe information provided in this study provides a data-driven approach that ICUs can use to tailor HH interventions to where, when and for whom they are most required.
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