What are healthcare workers’ preferences for hand hygiene interventions? A discrete choice experiment

ABSTRACT:

Objectives

To understand the key attributes in designing effective interventions for improving healthcare workers’ (HCWs’) hand hygiene compliance and HCWs’ preference for these attributes.

Design

A discrete choice experiment (DCE) was conducted with five attributes extracted from the framework of Total Quality Management that can be applied in the design of hand hygiene interventions. They were hand hygiene monitoring, open discussion, message framing, resources accessibility and top management involvement. An addition attribute, peer hand hygiene performance, was considered as a contextual factor. Data were analysed by a conditional logit model to evaluate how these attributes impact HCWs’ hand hygiene compliance.

Setting

The DCE was conducted with participants from a university hospital in Taichung.

Participants

HCWs involved in daily patient-care activities (N=387).

Results

To enhance their compliance, HCWs had strong and consistent preferences in having open discussion of hand hygiene problems (

Conclusions

Each intervention design has its unique impact on HCWs’ hand hygiene compliant behaviour. The proposed approach can be used to evaluate HCWs’ preference and compliance of an intervention before it is implemented.

SUBMITTER: Chen W 

PROVIDER: S-EPMC8572395 | biostudies-literature |

REPOSITORIES: biostudies-literature