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Table 2 Parameters and instruments

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

Effect parameter Description Instruments
Hand hygiene compliance
Other parameters
The percentage of opportunities at which hand hygiene was performed according to the National Guideline 'Handhygiene' of the Working group Infection Prevention (WIP) and the WHO Guidelines on Hand Hygiene in Healthcare
The percentage of presence of jewelry and long-sleeved clothes
Hand hygiene monitoring tool
Team Climate Dimensions 'participation safety,' 'task orientation,' support for innovation,' and 'interaction.' Team Climate Inventory
Costs and health effects Comparing resource consumption and HAIs rate between the two implementation strategies Activity-based costing;
Decision analysis
Process parameter Description Instruments
Performance of the strategies State-of-the-art strategy - Knowledge - number of nurses that completed the knowledge quiz, presence of instruction leaflets. - Reminders - check of presence of posters. - Performance feedback - actual delivery of performance feedback to team members. Survey, direct observations; systematic registration of time and meeting minutes
  Extended strategy - Coaching of ward management- number of coaching sessions, total time spent on coaching, topics dealt with, managers evaluations of coaching. - Coaching of informal leaders - number of coaching sessions, total time spent on coaching, topics dealt with, informal leaders evaluations of coaching. - Team discussions for norm- and target setting - number of nurses attending per ward, time investment per ward, actual norms and targets decided on, nurses' evaluations of team discussions  
Barriers to change Including determinants like awareness, knowledge, reinforcement, control, social norms, leadership, and facilities Barrier questionnaire
Ward structure Information about existing structures and resources like actual presence of facilities, workload, nurse-bed ratio -under-staffing and support from the management Ward structure questionnaire