ArticleAntimicrobial resistance and infection control2022
Hand hygiene compliance and its drivers in long-term care facilities; observations and a survey.
Article in Antimicrobial resistance and infection control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 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
- Factors influencing hand hygiene compliance among elderly caregivers: based on the theory of planned behavior.Journal of exercise rehabilitation · 2026Article
- Hand hygiene adherence and associated factors among nursing staff in long-term care facilities: A cross-sectional study.Journal of Korean gerontological nursing · 2026Article
- Article
- Hand hygiene opportunities and consumption of alcohol-based handrub across nursing homes of canton of Vaud, Switzerland.Antimicrobial resistance and infection control · 2026Article
- Effect of individual feedback on hand hygiene compliance in nursing homes.Infection prevention in practice · 2026Article
- Omissions in nurses' infection prevention and control practices and their contributing factors: a CFIR-based sequential explanatory mixed-methods study.BMC nursing · 2026Article
- Determinants of hand hygiene compliance among healthcare workers in public and private hospitals of Addis Ababa, Ethiopia.Infection prevention in practice · 2026Article
- Prioritized barriers to implementation of personalized immunotherapy for sepsis patients.Implementation science communications · 2026Article
- Feasibility of the WHO Infection Prevention and Control Assessment Framework in long-term care facilities: a pilot study in the Netherlands.Antimicrobial resistance and infection control · 2026Article
- Elimination of Airborne Microorganisms Using Compressive Heating Air Sterilization Technology (CHAST): Laboratory and Nursing Home Setting.Microorganisms · 2025Article
- Impact of routine chlorhexidine bathing and nasal iodophor on MDRO colonization and environmental contamination in nursing homes.Infection control and hospital epidemiology · 2025Article
- Microbial Contamination of Handwashing Water and Tap Surfaces in Addis Ababa Hospitals: A Threat to Infection Prevention.Environmental health insights · 2025Article
- Enhancing hand hygiene compliance in healthcare settings: a long time intervention study.Frontiers in public health · 2025Article
- Mind the gap: knowledge, attitudes and perceptions on antimicrobial resistance, antimicrobial stewardship and infection prevention and control in long-term care facilities for people with disabilities in the Netherlands.Antimicrobial resistance and infection control · 2024Article
- The combined application of hand hygiene and non-sterile gloves by nurses in a tertiary hospital: a multi methods study.Antimicrobial resistance and infection control · 2024Article
- Multidrug-resistant organisms may be associated with bed allocation and utilization efficiency in healthcare institutions, based on national monitoring data from China (2014-2020).Scientific reports · 2023Article
- The Effects of an Advanced Air Purification Technology on Environmental and Clinical Outcomes in a Long-Term Care Facility.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- IMpleMenting Effective infection prevention and control in ReSidential aged carE (IMMERSE): protocol for a multi-level mixed methods implementation study.BMC geriatrics · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHand hygiene is an important measure to prevent healthcare-associated infections in long-term care facilities.
objectivesTo evaluate compliance with hand hygiene recommendations by different nursing professionals in long-term care facilities and to investigate determinants potentially influencing hand hygiene and whether these differed between the different cadres of staff.
methodsWe conducted two sub-studies: we measured hand hygiene compliance of 496 professionals in 14 long-term care facilities (23 wards) through direct observation using World Health Organisation's 'five moments of hand hygiene' observation tool. In addition, we performed a survey to examine determinants that may influence hand hygiene and to determine differences between different cadres of staff. We used a principal component analysis approach with varimax rotation to explore the underlying factor structure of the determinants.
resultsWe found an overall mean hand hygiene compliance of 17%. There was considerable variation between wards (5-38%) and between specific World Health Organization hand hygiene moments. In addition, hand hygiene compliance varied widely within and between different cadres of staff. The determinant analysis was conducted on 177 questionnaires. For all nursing professionals, we found multiple determinants in four domains: 'social context and leadership', 'resources', 'individual healthcare professional factors' and 'risk perception'. In two domains, several barriers were perceived differently by nursing assistants and nurses. In the domain 'social context and leadership', this included (1) how the manager addresses barriers to enable hand hygiene as recommended and (2) how the manager pays attention to correct adherence to the hand hygiene guidelines. In the 'risk perception' domain, this included a resident's risk of acquiring an infection as a result of the nursing professional's failure to comply with the hand hygiene guidelines.
conclusionHand hygiene compliance was low and influenced by multiple factors, several of which varied among different cadres of staff. When designing interventions to improve hand hygiene performance in long-term care facilities, strategies should take into account these determinants and how they vary between different cadres of staff. We recommend exploring hand hygiene determinants at ward level and among different cadres of staff, for example by using our exploratory questionnaire.
trial registrationRegistration number 50-53000-98-113, 'Compliance with hand hygiene in nursing homes: go for a sustainable effect' on ClinicalTrials.gov. Date of registration 28-6-2016.
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