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Squires JE, Suh KN, Linklater S, et al. Improving physician hand hygiene compliance using behavioural theories: a study protocol. Implement Sci. 2013;8:16doi: 10.1186/1748-5908-8-16.
Squires, J. E., Suh, K. N., Linklater, S., Bruce, N., Gartke, K., Graham, I. D., Karovitch, A., Read, J., Roth, V., Stockton, K., Tibbo, E., Woodhall, K., Worthington, J., & Grimshaw, J. M. (2013). Improving physician hand hygiene compliance using behavioural theories: a study protocol. Implementation science : IS, 816. https://doi.org/10.1186/1748-5908-8-16
Squires, Janet E, et al. "Improving physician hand hygiene compliance using behavioural theories: a study protocol." Implementation science : IS vol. 8 (2013): 16. doi: https://doi.org/10.1186/1748-5908-8-16
Squires JE, Suh KN, Linklater S, Bruce N, Gartke K, Graham ID, Karovitch A, Read J, Roth V, Stockton K, Tibbo E, Woodhall K, Worthington J, Grimshaw JM. Improving physician hand hygiene compliance using behavioural theories: a study protocol. Implement Sci. 2013 Feb 04;8:16. doi: 10.1186/1748-5908-8-16. PMID: 23379466; PMCID: PMC3571966.
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Implement Sci. 2013 Feb 04;8:16. doi: 10.1186/1748-5908-8-16.

Improving physician hand hygiene compliance using behavioural theories: a study protocol.

Implementation science : IS

Janet E Squires, Kathryn N Suh, Stefanie Linklater, Natalie Bruce, Kathleen Gartke, Ian D Graham, Alan Karovitch, Joanne Read, Virginia Roth, Karen Stockton, Emma Tibbo, Kent Woodhall, Jim Worthington, Jeremy M Grimshaw

Affiliations

  1. Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada. [email protected]

PMID: 23379466 PMCID: PMC3571966 DOI: 10.1186/1748-5908-8-16

Abstract

BACKGROUND: Healthcare-associated infections affect 10% of patients in Canadian acute-care hospitals and are significant and preventable causes of morbidity and mortality among hospitalized patients. Hand hygiene is among the simplest and most effective preventive measures to reduce these infections. However, compliance with hand hygiene among healthcare workers, specifically among physicians, is consistently suboptimal. We aim to first identify the barriers and enablers to physician hand hygiene compliance, and then to develop and pilot a theory-based knowledge translation intervention to increase physicians' compliance with best hand hygiene practice.

DESIGN: The study consists of three phases. In Phase 1, we will identify barriers and enablers to hand hygiene compliance by physicians. This will include: key informant interviews with physicians and residents using a structured interview guide, informed by the Theoretical Domains Framework; nonparticipant observation of physician/resident hand hygiene audit sessions; and focus groups with hand hygiene experts. In Phase 2, we will conduct intervention mapping to develop a theory-based knowledge translation intervention to improve physician hand hygiene compliance. Finally, in Phase 3, we will pilot the knowledge translation intervention in four patient care units.

DISCUSSION: In this study, we will use a behavioural theory approach to obtain a better understanding of the barriers and enablers to physician hand hygiene compliance. This will provide a comprehensive framework on which to develop knowledge translation interventions that may be more successful in improving hand hygiene practice. Upon completion of this study, we will refine the piloted knowledge translation intervention so it can be tested in a multi-site cluster randomized controlled trial.

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