Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Department of Medical Sciences, Unit for Clinical Microbiology and Infectious Medicine, Uppsala University, Uppsala, Sweden.
J Hosp Infect. 2021 Feb;108:197-204. doi: 10.1016/j.jhin.2020.12.005. Epub 2020 Dec 10.
Healthcare-associated infections (HCAIs) have a large negative impact on morbidity, mortality, and quality of life. Approximately 9% of all patients hospitalized in Sweden suffer from HCAI. Hand hygiene plays a key role and is considered the single most important measure to reduce HCAI. The hospital organization works actively to reduce HCAI. Implementing electronic systems to remind and/or notify healthcare workers raises awareness of and adherence to hand hygiene. However, there is a paucity of studies addressing individuals' perceptions of having such a system and how the organization works.
To investigate healthcare workers' perceptions of infection prevention in the healthcare organization and perceptions and acceptance of an electronic reminder system that encourages good hand hygiene.
Qualitative descriptive design with data collected in eight focus group interviews including assistant nurses, nurses, and physicians (N = 38). Content analysis was applied and data were related to the Theory of Planned Behaviour.
Healthcare workers perceive lack of feedback from the hospital organization and are positive towards an electronic reminder system to increase adherence to hand hygiene. The electronic reminder system should not register data at an individual level since it could be used as an instrument for control by the management that could be stressful for staff.
In general, there is positive acceptance of the electronic reminder system, and the respondents perceived it as having the ability to change behaviour. However, the concept has to be further developed to protect the individual's integrity and needs to be used with feedback on a group level.
医疗保健相关感染（HAI）对发病率、死亡率和生活质量有很大的负面影响。瑞典约有 9%的住院患者患有 HAI。手部卫生是关键，被认为是减少 HAI 的最重要措施。医院组织积极致力于减少 HAI。实施电子系统来提醒和/或通知医护人员，可提高对手部卫生的意识和遵守程度。然而，关于个人对该系统的看法以及组织运作方式的研究很少。
调查医护人员对医疗机构感染预防的看法，以及对鼓励良好手部卫生的电子提醒系统的看法和接受程度。
采用定性描述性设计，通过 8 次焦点小组访谈收集数据，包括助理护士、护士和医生（N=38）。应用内容分析法，将数据与计划行为理论相关联。
医护人员认为医院组织缺乏反馈，对增加手部卫生依从性的电子提醒系统持积极态度。电子提醒系统不应在个人层面上记录数据，因为它可能被管理层用作控制工具，这可能会给员工带来压力。
总体而言，医护人员对电子提醒系统有积极的接受度，他们认为该系统有能力改变行为。然而，该概念需要进一步发展，以保护个人的完整性，并需要在群体层面上使用反馈。
