Session: Poster Abstract Session: Healthcare Epidemiology: Advances in Hand Hygiene
Thursday, October 4, 2018
Room: S Poster Hall
  • IDSA 2018_DebMed qual poster template 9-18.pdf (462.6 kB)
  • Background: A cornerstone of healthcare-associated infection prevention is hand hygiene which has resulted in regulatory requirements to monitor hand hygiene compliance. Direct observation is the gold standard for hand hygiene compliance monitoring, but has several drawbacks. Electronic monitoring systems have begun to replace direct observation with several potential advantages including larger sample size and more timely feedback. End user acceptance and adoption is a critical step to evidence-based practice implementation. To evaluate potential barriers and facilitators to adoption, we conducted a qualitative evaluation of nursing perceptions following a trial of an electronic hand hygiene compliance monitoring system.

    Methods: We conducted four focus groups of 21 nursing staff on a medical/surgical inpatient unit at a tertiary care VA hospital. Nursing staff consisted of Registered Nurses, Nursing Assistants and Health Technicians of which there were 19 females and 2 males. Groups were audio recorded, and tapes transcribed. Content analysis of transcriptions was undertaken to identify codes, categories, and themes.

    Results: Themes identified as facilitators included: 1) unit champion; 2) electronic observation (vs. human observation); and 3) timely feedback. Themes identified as barriers included: 1) concern with data accuracy; 2) feasibility of frequent (daily) goal setting; and 3) staff knowledge of how system works.

    Conclusion: Nursing staff perceived electronic monitoring improved hand hygiene compliance. Staff verbalized negative perceptions with hand hygiene compliance monitoring but preferred electronic monitoring vs. human monitoring. Most barriers discussed revolved around the need to understanding how the electronic monitoring system works and need to believe the data is accurate. Implementation of this innovative technology will require extensive planning to address staff knowledge and understanding to ensure staff acceptance and adoption.

    Linda McKinley, RN, BSN, MPH, CIC, FAPIC1, Lakeatia Phillips, RN, BSN2, Cathy Stampfli, RN, BSN, MSN3, Kathy Matteson, RN, MSN, CIC3 and Christopher Crnich, MD, PhD4, (1)Infectious Disease, Madison VA Medical Center, Madison, WI, (2)Madison VA Hospital, Madison, WI, (3)Madison VA Medical Center, Madison, WI, (4)University of Wisconsin School of Medicine and Public Health, Madison, WI


    L. McKinley, None

    L. Phillips, None

    C. Stampfli, None

    K. Matteson, None

    C. Crnich, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 3rd with the exception of research findings presented at the IDWeek press conferences.