Helping Hands

Contact information:  

Anita Huis,¬†[email protected]

Originally developed by: A. Huis, IQ Healthcare, Radboud University Nijmegen
Country of origin: The Netherlands
Year of development: 2010-2012
Last updated: No
Next update: No
Available in the following languages: English,
Reason for not fulfilling the requirements: Study protocol, no tool

Type of tool: tool for promotion of a safety culture

Short description

Quality improvement strategy that not only takes into account state of the art interventions to promote hand hygiene (education, reminders, feedback) but is supplemented by interventions aiming at the team and  leadership (social influence, specific team and leader activities such as goal setting, analysis of barriers and facilitators and promoting openness and feedback). This broader perspective results from theories that promote the involvement of different levels (professional, team, organization) in order to target barriers to change in order to achieve lasting changes in hand hygiene routines.

Target audience

The tool was tested on a subgroup of nurses in a hospital setting, but might be used for other professionals as well.

Applicability (setting e.g. inpatient care, outpatient care, long term care etc.)

The tool was tested in a hospital setting, but might be beneficial for other settings as well.

Information on how the tool has been applied/tested in practice

The change strategy has been tested by means of a cluster randomised trial in three hospitals in the Netherlands. Results show a positive impact on compliance with hand hygiene guidelines, as well as insight into the cost effectiveness of the intervention.

Needed resources (financial, material, human)

Costs for the intervention per ward were about 12.000 Euro, about 25% of these are related to coaching and participation in discussion. The intervention is more cost effective than the state of the art strategy for improving hand hygiene, taking into account a reduction in hospital acquired infections.

Needed time for implementation

In the study, the strategy was delivered during a period of six months.

Strengths and limitations

The change strategy directly involves the team and team leaders, resulting in an increase in compliance to hand hygiene protocols.

The change strategy does not involve patients.

Additional references

Anita Huis (2013): Helping Hands. Strategies to improve hand hygiene compliance in hospital care. Doctoral thesis, Radboud University Nijmegen, the Netherlands.