Discourse on hygiene between hospitalized patients and health care workers as an accepted norm: Making it legitimate to remind health care workers about hand hygiene

Anat Gesser-Edelsburg, Ricky Cohen, Mina Zemach, Adva Mir Halavi

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Despite World Health Organization recommendations that patients should play a role in encouraging hand hygiene (HH) as a means of preventing infection, patient engagement remains an underused method. From the perspectives of hospitalized patients (HPs) and health care workers (HCWs) at 2 major public hospitals in Haifa, Israel, this research investigated (1) HP barriers to reminding HCWs to maintain HH, (2) HCW barriers to giving HPs instruction on proper hygiene, (3) what could help HPs and HCWs overcome these barriers, and (4) how video clips can be used to devise tailored strategies governing discourse on HH between HCWs and HPs. Methods: Intervention type 2 design and examination of 2 population groups—HPs and HCWs—before and after intervention by means of mixed methods research. Results: Both HPs and HCWs reported partial knowledge, embarrassment, and fears regarding commenting to staff, as well as a lack of cultural adaptation. The interviewees indicated that the video clips granted legitimacy to reminding HCWs about hygiene through strategies designed to identify and solve barriers, authenticity, and cultural adaptation. Conclusions: To overcome HP and HCW barriers to maintaining HH, tailored video clips on HH should specify barriers and solutions with which they can both identify, thus turning discourse on HH into an accepted norm.

Original languageEnglish
Pages (from-to)61-67
Number of pages7
JournalAmerican Journal of Infection Control
Volume48
Issue number1
DOIs
StatePublished - Jan 2020

Bibliographical note

Funding Information:
The authors thank the staff of the Department of Infectious Diseases and Infection Prevention at Bnai Zion Medical Center and Rambam Healthcare Campus, the staff of the Department of Orthopedics and the Department of Internal Medicine (Beit) at Bnai Zion Medical Center, and all of the participants of this study, as well as the Israel National Institute for Health Policy Research for funding the research.

Funding Information:
Funding/support: This research was funded by the Israel National Institute for Health Policy Research (grant no. 2016/134/?).

Publisher Copyright:
© 2019 Association for Professionals in Infection Control and Epidemiology, Inc.

Keywords

  • Barriers
  • Behavioral practices
  • Health care–associated infections
  • Hygienic hospital environment
  • Intervention type 2
  • Mixed methods
  • use of video clips

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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