Graduation Semester and Year
Fall 2024
Language
English
Document Type
Thesis
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Dr. Dianne Ross
Second Advisor
Dr. Yungfei Kao
Abstract
Healthcare-associated infections (HAIs) in hospitals threaten patient safety and quality of care, which leads to increased healthcare costs. Despite national and state-level progress in hand hygiene compliance (HHC), the 2022 CDC annual report on HAIs highlighted ongoing concerns for standard infection ratios (SIRs) and called for improved HHC to reduce HAIs. Many hospitals use trained observers to collate HHC data; their audits are limited and often skewed by the Hawthorne Effect (HE) and observer bias, resulting in inaccurate HHC data. This project aimed to create guidelines for implementing electronic hand hygiene monitoring systems (EHHMSs) to help hospital inpatient units adopt EHHMSs.
The author conducted a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL), Trip Medical Database, and the Agency for Healthcare Research and Quality (AHRQ) and found no guidelines for implementing EHHMSs. The author systematically reviewed the literature on EHHMSs and gathered stakeholders' recommendations through a 5-point Likert scale survey. The literature review and stakeholder feedback indicated that EHHMSs could significantly improve HHC and reduce HAIs. Implementing EHHMSs in hospital inpatient units could enhance HHC, reduce HAIs, and improve patient safety. The guidelines provided a framework for hospitals to adopt EHHMSs effectively.
Keywords
hand hygiene, healthcare-associated infections, electronic hand hygiene monitoring systems, Hawthorne Effect
Disciplines
Occupational and Environmental Health Nursing | Other Nursing | Public Health and Community Nursing
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Opaleye, Olaoti, "Establishing Guidelines for Implementing Electronic Hand Hygiene Monitoring Systems" (2024). Doctor of Nursing Practice (DNP) Scholarly Projects. 84.
https://mavmatrix.uta.edu/nursing_dnpprojects/84
Included in
Occupational and Environmental Health Nursing Commons, Other Nursing Commons, Public Health and Community Nursing Commons
Comments
Faculty Project Advisor: Dianne Ross, PhD, MSHS, RN
I extend my heartfelt gratitude to Dr. Dianne Ross for her exceptional guidance, support, and encouragement throughout this project. Your expertise and dedication have been invaluable.
Statistician: Yungfei Kao, Ph.D
I am deeply thankful to Dr. Yungfei Kao for her meticulous statistical analysis and insightful contributions. Your expertise was crucial to the success of this project.
Thank you both for your unwavering support and mentorship.