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.
C. Stampfli, None
K. Matteson, None
C. Crnich, None