304. Healthcare Providersí Motivations for Hand Hygiene Compliance
Session: Poster Abstract Session: Hand Hygiene in Healthcare Settings
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
  • HCP motivation of HH compliance.pdf (316.5 kB)
  • Background:

    This study aims to understand the motivation behind adherence, or lack thereof, to hand hygiene (HH) regulations. 


    A convenience sample of physicians and nurses working in an intensive care unit of an academic medical center were observed for HH compliance and were subsequently asked a series of questions concerning their HH compliance practices.


    A total of 96 health care providers (HCPs) were interviewed, 66 nurses and 30 physicians.  HH compliance was 38.5% (37/96) overall, 37.9% for nurses (25/66) and 40% (12/30) for physicians. When asked about the greatest factor which deterred them from washing their hands consistently, 28.8% (17/59) of non-compliant and 5.4% (2/37) of compliant participants cited availability of hand gel dispensers (p=.007).  10.2% (6/59) of noncompliant and 45.9% (17/37) of compliant participants cited patient emergency as a deterrent (p=.0002). When asked about what motivated them to wash their hands, 32.2% (19/59) of noncompliant participants cited patient safety, while only 8.1% (3/37) of compliant participants agreed (p=.0063). Additionally, when asked when they most wash their hands, 86.5% (32/37) of complaint participants answered exit, while 54.2% (32/59) of noncompliant participants agreed (p=.0016). 


    Significant differences were demonstrated between responses from those who were observed to wash their hands (compliant) and those who were not (noncompliant). Most notably, compliant participants claimed to only miss a HH opportunity due to an emergency far more often than noncompliant participants. These results can help to further the understanding of HCPs HH habits and could help direct future HH promotion programs.

    Annika Gomez, Illinois Mathematics and Science Academy, Aurora, IL; Illinois Mathematics and Science, Aurora, IL, Heather Limper, MPH, Infectious Diseases and Global Health, University of Chicago Medicine, Chicago, IL and Emily Landon, MD, Infectious Diseases and Global Health, The University of Chicago Medicine, Chicago, IL


    A. Gomez, None

    H. Limper, None

    E. Landon, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.