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Dyson J, Madeo M. Investigating the use of an electronic hand hygiene monitoring and prompt device: influence and acceptability. J Infect Prev. 2017;18(6):278-287doi: 10.1177/1757177417714045.
Dyson, J., & Madeo, M. (2017). Investigating the use of an electronic hand hygiene monitoring and prompt device: influence and acceptability. Journal of infection prevention, 18(6), 278-287. https://doi.org/10.1177/1757177417714045
Dyson, Judith, and Madeo, Maurice. "Investigating the use of an electronic hand hygiene monitoring and prompt device: influence and acceptability." Journal of infection prevention vol. 18,6 (2017): 278-287. doi: https://doi.org/10.1177/1757177417714045
Dyson J, Madeo M. Investigating the use of an electronic hand hygiene monitoring and prompt device: influence and acceptability. J Infect Prev. 2017 Nov;18(6):278-287. doi: 10.1177/1757177417714045. Epub 2017 Jul 04. PMID: 29344097; PMCID: PMC5761932.
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J Infect Prev. 2017 Nov;18(6):278-287. doi: 10.1177/1757177417714045. Epub 2017 Jul 04.

Investigating the use of an electronic hand hygiene monitoring and prompt device: influence and acceptability.

Journal of infection prevention

Judith Dyson, Maurice Madeo

Affiliations

  1. University of Hull, Hull, UK.
  2. Infection Prevention and Control, North Lincolnshire and Goole NHS Foundation Trust, Lincolnshire, UK.

PMID: 29344097 PMCID: PMC5761932 DOI: 10.1177/1757177417714045

Abstract

INTRODUCTION: Hand hygiene (HH) prevents the transmission of healthcare-associated infections. Electronic HH monitoring and prompt devices have been developed to overcome problems with monitoring HH and to improve compliance. Devices monitor room entry and exit and soap use through communication between ceiling sensors and badges worn by practitioners and the badges sense alcohol rub.

OBJECTIVES: To investigate (1) the impact of devices on HH compliance, (2) how devices influence behaviour and (3) the experience and opinions of practitioners on the use devices.

METHODS: HH compliance was monitored (before, during and after system installation) by observations and alcohol rub usage. Compliance during installation was also monitored by the device. Healthcare practitioner interviews (n = 12) explored how the device influenced behaviour and experiences and opinions of wearing the device.

RESULTS: HH compliance improved during the period the device was installed. Practitioners reported the device increased their awareness, enhancing their empathy for patients and encouraged patients and colleagues to prompt when HH was needed. Practitioners' reported better HH, gaming the system and feelings of irritation.

CONCLUSION: HH prompt and monitoring systems seem to improve compliance but improvements may be undermined by practitioner irritation and system gaming.

Keywords: Hand hygiene; behaviour change; compliance; electronic monitor and prompt; healthcare-associated infections; infection control; qualitative research

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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