Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene

R. Davis*, A. Parand, A. Pinto, S. Buetow

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

38 Citations (Scopus)

Abstract

Background: Patients could help to improve the hand hygiene (HH) compliance of healthcare professionals (HCPs) by reminding them to sanitize their hands. Aim: To review the effectiveness of strategies aimed at increasing patient involvement in reminding HCPs about their HH. Methods: A systematic review was conducted across Medline, EMBASE and PsycINFO between 1980 and 2013. Findings: Twenty-eight out of a possible 1956 articles were included. Of these, 23 articles evaluated the effectiveness of developed patient-focused strategies and five articles examined patients' attitudes towards hypothetical strategies. Sixteen articles evaluated single-component strategies (e.g. videos) and 12 articles evaluated multi-modal approaches (e.g. combination of video and leaflet). Overall, the strategies showed promise in helping to increase patients' intentions and/or involvement in reminding HCPs about their HH. HCP encouragement appeared to be the most effective strategy. However, the methodological quality of the articles in relation to addressing the specific aims of this review was generally weak. Conclusion: A number of strategies are available to encourage patients to question HCPs about their HH. Better controlled studies with more robust outcome measures will enhance understanding about which strategies may be most successful and why.

Original languageEnglish
Pages (from-to)141-162
Number of pages22
JournalJournal of Hospital Infection
Volume89
Issue number3
Early online date16 Dec 2014
DOIs
Publication statusPublished - Mar 2015

Keywords

  • Hand hygiene compliance
  • Hospital-acquired infections
  • Patient involvement
  • Systematic review

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