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Table 1 Description implementation strategies

From: Helping hands: A cluster randomised trial to evaluate the effectiveness of two different strategies for promoting hand hygiene in hospital nurses

State-of-the-art strategy

Extended strategy

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

 

• 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

 

• Screening and if necessary adapt products and appropriate facilities

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