Evidence map›Paper›PMID 40168668›Full record

SynthesisJournal of nursing care quality

Patient Hand Hygiene Before Meals: A Systematic Review.

Ariel Kamen, Rebecca Clark, Michelle B Bass, Claudette Fonshell, Sara Holland, Judith O'Donnell, Nikhil K Mull, Matthew D Mitchell

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of nursing care quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ariel KamenAuthor Affiliations: Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania (Miss Kamen and Dr Clark); Center for Evidence-based Practice, University of Pennsylvania Health System, Philadelphia, Pennsylvania (Miss Kamen, Drs Clark, Mull, and Mitchell); Pennsylvania Hospital, University of Pennsylvania Hospital System, Philadelphia, Pennsylvania (Drs Clark, Bass, Ms Fonshell); Division of Hospital Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Drs Holland and Mull); Penn Presbyterian Medical Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (Dr O'Donnell); Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Dr O'Donnell) .
Rebecca Clark
Michelle B Bass
Claudette Fonshell
Sara Holland
Judith O'Donnell
Nikhil K Mull
Matthew D Mitchell

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
NINR NIH HHS T32 NR007104
6 · The paper itself

Abstract

backgroundHand hygiene is recognized as an effective way to prevent health care-associated infections (HAIs). However, there is limited attention to patient hand hygiene (PHH). PURPOSE: The purpose of this systematic review was to summarize evidence, interventions, and outcomes of PHH before meals.

methodsLiterature was searched from 1999 to 2024 in 4 databases. The Grading of Recommendations, Assessment, Development, and Evaluation was used to appraise the strength of evidence.

resultsTen reports were included in the review. Five categories of PHH interventions were identified: direct observation, reminders, education, policy change, and bundles of more than one intervention. There is insufficient evidence to establish a direct causal link between PHH before meals and a reduction in HAIs.

conclusionsThe limited and moderate level of evidence highlights a significant gap in understanding PHH. Hand hygiene is a fundamental infection prevention strategy that warrants additional research in hospitalized patient populations to determine the clinical efficacy and causal effects on HAIs.

Indexed as

Cross InfectionHand HygieneInfection ControlHumanshand hygieneinfection controlinpatientsnursing researchpatient compliance

Identifiers

PMID40168668
PMCPMC13008498

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

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.