Highlights
- •Hand hygiene monitoring and feedback are recommended by the WHO.
- •This review focuses on technological behavior monitoring innovations in hand hygiene.
- •Technological behavior monitoring innovations can improve hand hygiene adherence.
- •The acceptance of technological behavior monitoring innovations is crucial.
Background
Hand hygiene is crucial for preventing nosocomial infections; however, adherence rates
need further attention. Prevention of nosocomial infections through regular hand hygiene
monitoring and feedback is recommended by the World Health Organization. Technology
holds the potential for achieving this goal. The aim of this study was to assess the
influence of technological behavior monitoring innovations on hand hygiene adherence
and their acceptance by healthcare professionals.
Methods
A rapid review of the literature was conducted. A literature search was performed
in electronic databases (Cochrane Library, Scopus, PubMed, CINAHL, PsycINFO, PsycARTICLES,
PSYNDEX) and via citation tracking in November 2017. Records were screened for eligibility.
Included studies were analyzed and synthesized in a narrative, tabular way.
Results
Overall, 2,426 studies were identified, and 12 were included. Findings indicated that
behavior monitoring technology improves hand hygiene adherence, resulting in adherence
increases between 6.40%-54.97%. The majority of systems provided real-time feedback.
Factors influencing acceptance of technology by healthcare professionals include transparency
and confidentiality, user attitude and environment, device function, and device usability.
Conclusions
Recognizing the importance of hand hygiene adherence, active communication between
behavior monitoring technology and healthcare workers seems to mediate improvement
in sustainable hand hygiene adherence behavior.
Key Words
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References
- Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level.World Health Organization, Geneva, Switzerland2017
- Global infection prevention and control priorities 2018-22: a call for action.Lancet Glob Health. 2017; 5: e1178-e1180
- A review of electronic hand hygiene monitoring: considerations for hospital management in data collection, healthcare worker supervision, and patient perception.J Healthc Manag. 2015; 60: 348-361
- New approaches to prevent healthcare-associated infection.Clin Infect Dis. 2017; 65: 50-54
- Hand hygiene compliance rates in the United States—a one-year multicenter collaboration using product/volume usage measurement and feedback.Am J Med Qual. 2009; 24: 205-213
- Hand hygiene: an update.Infect Dis Clin North Am. 2016; 30: 591-607
- Systematic review of studies on compliance with hand hygiene guidelines in hospital care.Infect Control Hosp Epidemiol. 2010; 31: 283-294
- Interventions to improve hand hygiene compliance in patient care.Cochrane Database Syst Rev. 2017; 9CD005186
- Adherence or compliance? Changes in terminology.Ann Pharmacother. 2004; 38: 161-162
- Compliance with therapeutic regimens.Johns Hopkins University Press, Baltimore (MD)1976
- Adherence to long-term therapies: evidence for action.World Health Organization, Geneva, Switzerland2003
- 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
- Electronic monitoring and voice prompts improve hand hygiene and decrease nosocomial infections in an intermediate care unit.Crit Care Med. 2004; 32: 358-363
- New technologies to monitor healthcare worker hand hygiene.Clin Microbiol Infect. 2014; 20: 29-33
- Using human factors engineering to improve the effectiveness of infection prevention and control.Crit Care Med. 2010; 38: 269-281
- Motivating process compliance through individual electronic monitoring: an empirical examination of hand hygiene in healthcare.Manage Sci. 2017; 63: 1563-1585
- Assessing user acceptance towards automated and conventional sink use for hand decontamination using the technology acceptance model.Ergonomics. 2017; 60: 1621-1633
- Perceived usefulness, perceived ease of use, and user acceptance of information technology.MIS Q. 1989; 13: 319-340
- A typology of reviews: an analysis of 14 review types and associated methodologies.Health Info Libr J. 2009; 26: 91-108
- A scoping review of rapid review methods.BMC Med. 2015; 13: 224
- Expediting systematic reviews: methods and implications of rapid reviews.Implement Sci. 2010; 5: 56
- Systematic reviews to support evidence-based medicine. How to review and apply findings of healthcare research.2nd ed. Hodder & Stoughton, London (England)2011
- How CLIP became ECLIPSE: a mnemonic to assist in searching for health policy/management information.Health Info Libr J. 2002; 19: 113-115
- Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.PLoS Med. 2009; 6e1000097
Critical Appraisal Skills Program. CASP (case-control, cohort study, qualitative research, quantitative research, systematic reviews) checklist. Available from: https://casp-uk.net/casp-tools-checklists/. Accessed November 20, 2018.
- Effectiveness of an electronic hand hygiene monitoring system on healthcare workers’ compliance to guidelines.J Infect Public Health. 2015; 8: 117-126
- Real-time feedback for improving compliance to hand sanitization among healthcare workers in an open layout ICU using radiofrequency identification.J Med Syst. 2015; 39: 68
- Hand hygiene compliance monitoring: the state of the art.Curr Infect Dis Rep. 2015; 17: 470
- Hand hygiene monitoring technology: a systematic review of efficacy.J Hosp Infect. 2015; 89: 51-60
- Automated monitoring: a potential solution for achieving sustainable improvement in hand hygiene practices.Comput Inform Nurs. 2014; 32: 397-403
- The use of real-time feedback via wireless technology to improve hand hygiene compliance.Am J Infect Control. 2014; 42: 608-611
- Automated measures of hand hygiene compliance among healthcare workers using ultrasound: validation and a randomized controlled trial.Infect Control Hosp Epidemiol. 2013; 34: 919-928
- The effect of automated monitoring and real-time prompting on nurses’ hand hygiene performance.Comput Inform Nurs. 2013; 31: 498-504
- Healthcare personnel perceptions of hand hygiene monitoring technology.Infect Control Hosp Epidemiol. 2011; 32: 1091-1096
- Acceptability of a wearable hand hygiene device with monitoring capabilities.J Hosp Infect. 2008; 70: 216-222
- Social psychology.6th ed. Pearson Studium, München (Germany)2008
- The use of rapid review methods in health technology assessments: 3 case studies.BMC Med Res Methodol. 2016; 16: 108
- Evidence summaries: the evolution of a rapid review approach.Syst Rev. 2012; 1: 10
Article info
Publication history
Published online: December 05, 2018
Footnotes
M. Meng is a doctoral student at Witten/Herdecke University.
Funding/support: This study was supported by a grant from the German Ministry of Education and Research (Joint Project Number V4IIP041; PräBea 16SV7749).
Conflicts of interest: None to report.
Identification
Copyright
© 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
