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  • Identifying interventions to improve hand hygiene compliance in the intensive care unit through co-design with stakeholders.

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    Domegan504181-Published.pdf (738.0Kb)
    File version
    Version of Record (VoR)
    Author(s)
    Lambe, Kathryn
    Lydon, Sinéad
    McSharry, Jenny
    Byrne, Molly
    Squires, Janet
    Power, Michael
    Domegan, Christine
    O'Connor, Paul
    Griffith University Author(s)
    Domegan, Christine
    Year published
    2021
    Metadata
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    Abstract
    Background: Despite the effectiveness of hand hygiene (HH) for infection control, there is a lack of robust scientific data to guide how HH can be improved in intensive care units (ICUs).  The aim of this study is to use the literature, researcher, and stakeholder opinion to explicate potential interventions for improving HH compliance in the ICU, and provide an indication of the suitability of these interventions. Methods: A four-phase co-design study was designed. First, data from a previously completed systematic literature review was used in order to identify unique components of existing interventions to improve HH in ...
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    Background: Despite the effectiveness of hand hygiene (HH) for infection control, there is a lack of robust scientific data to guide how HH can be improved in intensive care units (ICUs).  The aim of this study is to use the literature, researcher, and stakeholder opinion to explicate potential interventions for improving HH compliance in the ICU, and provide an indication of the suitability of these interventions. Methods: A four-phase co-design study was designed. First, data from a previously completed systematic literature review was used in order to identify unique components of existing interventions to improve HH in ICUs. Second, a workshop was held with a panel of 10 experts to identify additional intervention components. Third, the 91 intervention components resulting from the literature review and workshop were synthesised into a final list of 21 hand hygiene interventions. Finally, the affordability, practicability, effectiveness, acceptability, side-effects/safety, and equity of each intervention was rated by 39 stakeholders (health services researchers, ICU staff, and the public). Results: Ensuring the availability of essential supplies for HH compliance was the intervention that received most approval from stakeholders. Interventions involving role models and peer-to-peer accountability and support were also well regarded by stakeholders. Education/training interventions were commonplace and popular. Punitive interventions were poorly regarded. Conclusions: Hospitals and regulators must make decisions regarding how to improve HH compliance in the absence of scientific consensus on effective methods. Using collective input and a co-design approach, the guidance developed herein may usefully support implementation of HH interventions that are considered to be effective and acceptable by stakeholders.
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    Journal Title
    HRB Open Research
    Volume
    4
    DOI
    https://doi.org/10.12688/hrbopenres.13296.1
    Copyright Statement
    © 2021 Dyson J. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Subject
    Nursing
    Critical care
    co-design
    hand disinfection
    hand hygiene
    infection control
    Publication URI
    http://hdl.handle.net/10072/406378
    Collection
    • Journal articles

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