Highlights
- •A minority of patients (24%) commented to medical personnel about maintaining hygiene.
- •31%–38% of patients did not pay attention to whether medical personnel maintained hygiene.
- •Most patients (~67%) took active steps to maintain a hygienic environment.
- •Visitors who had also been hospitalized took somewhat more hygienic measures.
- •Level of religiousness and sex were associated with patient decisions to make comments.
- •Priorities and patient visits to clinics were associated with self-initiated action.
Background
Most of the studies on hospital infections have focused on the perceptions and reported
behavior of the medical personnel. This research explore the practices undertaken
both by Israeli patients and visitors, in order to maintain a hygienic hospital environment,
and to locate the variables that are associated with them.
Methods
An online survey of national representative sample of Israeli hospital's visitors
and patients adult population, who were hospitalized in the five years before the
interview (n=209), and who visited patients in hospitals in the three years before
the interview (n=454).
Results
Only a minority of patients (24%) comment to medical personnel about maintaining hygiene,
while a majority (67%-69%) took active steps to maintain a hygienic environment. The
main variables that were found to be associated with patients' making comments were
level of religiousness and gender, whereas priorities, namely whether hospital infections
were a high priority, and the frequency of the patient's visits to hospital outpatient
clinics, were associated with self-initiated action.
Conclusions
In order to reduce barriers to commenting to hospital personnel, we propose framing
the subject of hospital hygiene as a matter of health literacy and a subject of public
discourse, rather than a sole medical issue
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Infection ControlAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Report on the burden of endemic health care-associated infection worldwide.(Geneva: World Health Organization)2011
- Systematic review of studies on compliance with hand hygiene guidelines in hospital care.Infect Control Hosp Epidemiol. 2010; 31: 283-294
- A systematic review of hand hygiene improvement strategies: a behavioural approach.Implement Sci. 2012; 7: 92
- Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus.Lancet Infect Dis. 2015; 15: 212-224
- Clean Care is Safer Care: a worldwide priority.Lancet. 2005; 366: 1246-1247
- Guide to implementation - a guide to the implementation of the WHO multimodal hand hygiene improvement strategy.(Geneva: World Health Organization)2009
- Guideline for hand hygiene in health-care settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America.MMWR Recomm Rep. 2002; 51 (quiz CE1-4): 1-45
- Compliance with hand hygiene best practices.in: Pittet D Boyce JM Allegranzi B Hand Hygiene: A Handbook for Medical Professionals. 1st ed. John Wiley & Sons, Hoboken (NJ)2017: 79
- Annual Control Report 63c for 2012 and for accounting for financial year 2011.(Jerusalem)2013
- Brief report: hospitalized patients' attitudes about and participation in error prevention.J Gen Intern Med. 2006; 21: 367-370
- Evaluation of patient participation in a patient empowerment initiative to improve hand hygiene practices in a Veterans Affairs medical center.Am J Infect Control. 2009; 37: 117-120
- Consumer attitudes about health care-acquired infections and hand hygiene.Am J Med Qual. 2006; 21: 342-346
- Patients' beliefs and perceptions of their participation to increase healthcare worker compliance with hand hygiene.Infect Control Hosp Epidemiol. 2009; 30: 830-839
- Public attitudes towards bacterial resistance: a qualitative study.J Antimicrob Chemother. 2007; 59: 1155-1160
- Applying psychological frameworks of behaviour change to improve healthcare worker hand hygiene: a systematic review.J Hosp Infect. 2015; 91: 202-210
- Sustained reduction in the clinical incidence of methicillin-resistant Staphylococcus aureus colonization or infection associated with a multifaceted infection control intervention.Infect Control Hosp Epidemiol. 2011; 32: 1-8
- Positive deviance: a new strategy for improving hand hygiene compliance.Infect Control Hosp Epidemiol. 2010; 31: 12-20
- A multicenter study using positive deviance for improving hand hygiene compliance.Am J Infect Control. 2013; 41: 984-988
- The power of positive deviance.BMJ. 2004; 329: 1177-1179
- Bundling hand hygiene interventions and measurement to decrease health care-associated infections.Am J Infect Control. 2012; 40: S18-S27
- SARS risk perception, knowledge, precautions, and information sources.Emerg Infect Dis. 2004; 10: 1486-1489
- Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene.J Hosp Infect. 2015; 89: 141-162
- An exploratory technique for investigating large quantities of categorical data.J R Stat Soc Ser C Appl Stat. 1980; 29: 119-127
- Perceptions, intentions and behavioral norms that affect pre-license driving among Arab youth in Israel.Accid Anal Prev. 2018; 111: 1-11
- Role of hand hygiene in healthcare-associated infection prevention.J Hosp Infect. 2009; 73: 305-315
- An explication of social norms.Commun Theory. 2005; 15: 127-147
- Social norms: a review.Rev Commun Res. 2016; 4: 1-28
- Quantifying the Hawthorne Effect in hand hygiene compliance through comparing direct observation with automated hand hygiene monitoring.Infect Control Hosp Epidemiol. 2015; 36: 957-962
Article Info
Publication History
Published online: June 05, 2018
Footnotes
Funding: This research was funded by the Israel National Institute for Health Policy Research , grant number 2016\134א .
Conflicts of interest: The authors declare that they have no conflicts of interest.
Identification
Copyright
© 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.