Highlights
- •Use video clips to grant legitimacy to reminding health care workers about hand hygiene.
- •Specify barriers and solutions that hospitalized patients and health care workers can identify with.
- •Turn discourse on hand hygiene into an accepted norm and a joint responsibility.
Abstract
Background
Despite World Health Organization recommendations that patients should play a role
in encouraging hand hygiene (HH) as a means of preventing infection, patient engagement
remains an underused method. From the perspectives of hospitalized patients (HPs)
and health care workers (HCWs) at 2 major public hospitals in Haifa, Israel, this
research investigated (1) HP barriers to reminding HCWs to maintain HH, (2) HCW barriers
to giving HPs instruction on proper hygiene, (3) what could help HPs and HCWs overcome
these barriers, and (4) how video clips can be used to devise tailored strategies
governing discourse on HH between HCWs and HPs.
Methods
Intervention type 2 design and examination of 2 population groups—HPs and HCWs—before
and after intervention by means of mixed methods research.
Results
Both HPs and HCWs reported partial knowledge, embarrassment, and fears regarding commenting
to staff, as well as a lack of cultural adaptation. The interviewees indicated that
the video clips granted legitimacy to reminding HCWs about hygiene through strategies
designed to identify and solve barriers, authenticity, and cultural adaptation.
Conclusions
To overcome HP and HCW barriers to maintaining HH, tailored video clips on HH should
specify barriers and solutions with which they can both identify, thus turning discourse
on HH into an accepted norm.
Key Words
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Article info
Publication history
Published online: July 27, 2019
Footnotes
Research Group: Shikma Levi, Yasmine Hajeer, Talia Hefer, Jenny Abrahamof, Ludmila Vanik, Veronika Libkind, Natalia Yudkevich Tzalka, Nour Abed Elhadi Shahbari, Samera Ganeem Abed Elhadi, Rana Hijazi, Julia Mir, Alona Paz, Hila Halevi, Tamar Boumard, Suzanne Behar, Dan Shteinberg, Anna Maizel, Carmit Shteinberg, Khitam Hussein, Sigal Verman
Funding/support: This research was funded by the Israel National Institute for Health Policy Research (grant no. 2016/134/א).
Conflicts of interest: None to report.
Identification
Copyright
© 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
