SynthesisBMC infectious diseases2025
Uncovering the obstacles: a comprehensive analysis of barriers to hand hygiene adherence among healthcare providers: a systematic review.
Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Article
- Mapping policy gaps and governance challenges in Kenya's hand hygiene environment: a health policy triangle analysis.Health policy and planning · 2026Article
- Infection prevention and control strategies for multidrug-resistant Gram-negative bacteria in healthcare: a narrative review.JAC-antimicrobial resistance · 2026Review
- Factors influencing hand hygiene compliance among elderly caregivers: based on the theory of planned behavior.Journal of exercise rehabilitation · 2026Article
- Article
- Mitigating Climate Impacts of "Hygiene Theatre" in Health Care: Perspectives of Primary Health Care Providers in Ontario, Canada.Healthcare (Basel, Switzerland) · 2026Article
- Omissions in nurses' infection prevention and control practices and their contributing factors: a CFIR-based sequential explanatory mixed-methods study.BMC nursing · 2026Article
- Attitudes and Perceptions Toward Hand Hygiene Among Nursing Students and Nurses: A Cross-Sectional Comparative Survey.Journal of advanced nursing · 2026Article
- Strategies for Preventing Nosocomial Influenza in Acute-Care Hospitals: A Narrative Review.Medicina (Kaunas, Lithuania) · 2026Review
- Improving Hand Hygiene Compliance in a Resource-Limited ICU Using a Low-Cost Multimodal Quality Improvement Intervention.Healthcare (Basel, Switzerland) · 2026Article
- Handwashing as a socially co-produced practice: an analysis through cultural-historical activity theory.Frontiers in public health · 2026Review
- The Need of Handwash Station Resources in Health Education Institutions to Promote Standardized WHO Handwashing Models.Interdisciplinary perspectives on infectious diseases · 2026Article
- Hand hygiene compliance among healthcare workers before and after a CFIR-guided role-stratified intervention: a mixed-methods study in a tertiary hospital.Frontiers in public health · 2026Observational
- Implementing adaptive strategies for infection prevention and control in resource-limited settings.Frontiers in medicine · 2026Article
- Effectiveness of a gamified educational intervention on hand hygiene among Nursing professionals: a quasi-experimental study.Revista latino-americana de enfermagem · 2026Article
- Kidney transplantation beyond immunosuppression: shifting the focus from graft survival to patient health.Frontiers in immunology · 2026Review
- Does a multimodal educational intervention involving pre-intern 'hand hygiene covert observers' improve hand hygiene compliance among medical interns?Antimicrobial resistance and infection control · 2025Article
- Barriers to the prevention and control of healthcare-associated infections in public hospitals: a qualitative study of Sistan and Baluchistan province, Iran.BMC nursing · 2025Article
- Case Report: From lung to peritoneum: genomic and immunologic insights into a rare dual-siteFrontiers in immunology · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHand hygiene is the most effective and feasible infection prevention and control measure within the healthcare facilities. Despite the ease and simplicity of the technique, the adherence rate among health professionals remains suboptimal. Hence, developing targeted interventions to improve adherence requires a clear understanding of these obstacles. Therefore, this systematic reviews of existing literature aims to fully understand the context specific barriers of hand hygiene to answer why barriers persisted despite the interventions to maintaining hand hygiene practices among healthcare providers.
methodsThis systematic review was conducted to synthesize existing evidence according to the Joanna Briggs Institute (JBI) qualitative studies review methodology on qualitative studies publish between the year 2010 and 2024. The study is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guideline (PRISMA) and the protocol for the study was published on PROSPERO (CRD42024573753) before commencing the study.
resultThe review included twenty eight studies that are conducted in different regions of the world representing six of the continents. The study identified four interconnected themes of barriers with many subthemes. Behavioural barriers and organizational barriers were the most highlighted themes within the review. Physical barriers were one of the significant themes, where unavailability and inconvenience of hand hygiene resources gain the most attention by study participants across the studies. The fourth theme was societal/interpersonal barriers characterized by negative social influence and unsupportive colleagues.
conclusionThe study highlights that the barriers to hand hygiene adherence among healthcare professionals are intertwined and complex, with the main interplaying among behavioural, societal/interpersonal, physical, and organizational barriers. The findings underscore that the intertwined nature of these barriers requires a multifaceted approach involving the relevant stakeholders to improve hand hygiene adherence among healthcare providers.
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