A qualitative study of senior hospital managers’ views on current and innovative strategies to improve hand hygiene

BMC Infectious Diseases

Dinah Gould³  Sandy Middleton¹  Rosemary Phillips²  Elizabeth McInnes¹ 

[1] School of Nursing, Midwifery and Paramedicine, Australian Catholic University, 33 Berry Street, North Sydney 2060, NSW, Australia;Nursing Research Institute, St Vincent’s Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5, de Lacy Building, 390 Darlinghurst Road, Darlinghurst 2010, NSW, Australia;School of Healthcare Sciences, Cardiff University, Eastgate House, Newport Road, Cardiff CF24 OAB, UK

关键词: Innovative strategies;    Patient safety;    Hospital managers;    Compliance;    Qualitative interviews;    Hand hygiene;   

Others  :  1122009
DOI  :  10.1186/s12879-014-0611-3

 received in 2014-06-25, accepted in 2014-11-04,  发布年份 2014

【 摘 要 】

Background

Despite universal recognition of the importance of hand hygiene in reducing the incidence of healthcare associated infections, health care workers’ compliance with best practice has been sub-optimal. Senior hospital managers have responsibilities for implementing patient safety initiatives and are therefore ideally placed to provide suggestions for improving strategies to increase hand hygiene compliance. This is an under-researched area, accordingly the aim of this study was to identify senior hospital managers’ views on current and innovative strategies to improve hand hygiene compliance.

Methods

Qualitative design comprising face-to-face interviews with thirteen purposively sampled senior managers at a major teaching and referral hospital in Sydney, Australia. Data were analysed thematically.

Results

Seven themes emerged: culture change starts with leaders, refresh and renew the message, connect the fivemoments to the whole patient journey, actionable audit results, empower patients,reconceptualising non-compliance and start using the hammer.

Conclusions

To strengthen hand hygiene programmes, strategies based on the five moments of hand hygiene should be tailored to specific roles and settings and take into account the whole patient journey including patient interactions with clinical and non-clinical staff. Senior clinical and non-clinical leaders should visibly champion and mandate best practice initiatives and articulate that hand hygiene non-compliance is culturally and professionally unacceptable to the organization. Strategies that included a disciplinary component and which conceptualise hand hygiene non-compliance as a patient safety error may be worth evaluating in terms of staff acceptability and effectiveness.

【 授权许可】

   
2014 McInnes et al.; licensee BioMed Central Ltd.

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