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Hand hygiene: the impact of incentive strategies on adherence among healthcare workers from a newborn intensive care unit

2006; UNIVERSIDADE DE SÃO PAULO; Volume: 14; Issue: 4 Linguagem: Inglês

10.1590/s0104-11692006000400012

1518-8345

Zilah Cândida Pereira das Neves, Anaclara Ferreira Veiga Tipple, Adenícia Custódia Silva e Souza, Milca Severino Pereira, Dulcelene de Sousa Melo, Lucimar Rodrigues Ferreira,

Healthcare Decision-Making and Restraints

We carried out a before-after non-controlled intervention study to assess the impact of different handwashing strategies in health care workers at a neonatal ICU in Goiânia - Goiás, Brazil. All ethical aspects were considered. Data was collected by using a check list in order to register hand hygiene opportunities during six months. Three strategies were elaborated together with the hospital team. We observed 1358 handwashing opportunities. Incentive strategies caused a small impact on the increase of adherence to hand hygiene during and after the implementation period. However, we noticed that this increase mainly occurred after the procedures were realized. On the whole, adherence levels were similar before (62.2%) and after (61.6%) the procedures. The study showed that health care workers were more worried about individual risks.