State-of-the-art strategy | Extended strategy |
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Education | All elements of the state-of-the-art strategy |
Distribution of educational material/written information (leaflet) about hand hygiene | • Education, reminders, feedback, facilities and products |
• The importance of hand hygiene | Setting norms and targets within the team |
• Misconceptions about alcohol-based hand disinfection | • Three interactive team sessions that includes goal setting in hand hygiene performance at group level |
• Theory and practical indications for the use of hand hygiene | • Analysis of barriers and facilitators to determine how they could best adapt their behaviour in order to reach their goal |
Website http://www.gewoonhandenschoon.nl | • Nurses address each other in case of undesirable hand hygiene behaviour |
• Educational material/written information about hand hygiene | Gaining active commitment and initiative of ward management |
• Knowledge quiz | • Ward manager designates hand hygiene as a priority |
• Reward for the nursing ward with the most visitors to the website | • Ward manager actively supports team members and informal leaders |
Educational sessions on prevention of hospital acquired infections | • Ward manager discusses hand hygiene compliance rates with team members |
• Launching hospital wide campaign with practical demonstrations of hand hygiene | Modeling by informal leaders at the ward |
Reminders | • Informal leaders demonstrate good hand hygiene behaviour |
• Distribution of posters that emphasized the importance of hand hygiene, particularly alcohol-based hand disinfection | • Informal leaders models social skills in addressing behaviour of colleagues |
• Interviews and messages in newsletters or hospital magazines | • Informal leaders instruct and stimulate their colleagues in providing good hand hygiene behaviour |
• General reminders by opinion leaders/ward management |  |
Feedback | Â |
• Bar charts of hand hygiene rates of every nursing ward will be sent to the ward manager twice |  |
• Comparison ward performance and hospital performance |  |
Facilities and products | Â |
• Screening and if necessary adapt products and appropriate facilities |  |