McKay Katherine J, Li Cecilia, Sotomayor-Castillo Cristina, Ferguson Patricia E, Wyer Mary, Shaban Ramon Z
Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, University of Sydney, Camperdown, NSW, Australia; Sydney Institute for Infectious Diseases, University of Sydney, Camperdown, NSW, Australia.
Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, University of Sydney, Camperdown, NSW, Australia; Sydney Institute for Infectious Diseases, University of Sydney, Camperdown, NSW, Australia.
Am J Infect Control. 2023 Jan;51(1):83-88. doi: 10.1016/j.ajic.2022.03.010. Epub 2022 Mar 24.
Hand hygiene is key to preventing health care-associated infections. Human observation is the gold standard for measuring compliance, but its utility is increasingly being questioned with calls for the use of video monitoring approaches. The utility of video-based systems to measure compliance according to the WHO 5 moments is largely unexamined, as is its acceptability amongst health care workers (HCW) and patients. This study examined HCW acceptability of video monitoring for hand hygiene auditing.
Following trial of a video monitoring system (reported elsewhere), 5 participating HCW attended 2 in-depth group interviews where they reviewed the footage and explored responses to the approach. Transcripts were analyzed using thematic analysis.
Four themes were identified: 1) Fears; 2) Concerns for patients; 3) Changes to feedback; and 4) Behavioral responses to the cameras. HCWs expressed fears of punitive consequences, data security, and confidentiality. For patients, HCWs raised issues regarding invasion of privacy, ethics, and consent. HCWs suggested that video systems may result in less immediate feedback but also identified potential to use the footage for feedback. They also suggested that the Hawthorne Effect was less potent with video systems than human observation.
The acceptability of video monitoring systems for hand hygiene compliance is complex and has the potential to complicate practical implementation. Additionally, exploration of the acceptability to patients is warranted.
COREQ.
手部卫生是预防医疗保健相关感染的关键。人工观察是衡量依从性的金标准，但随着视频监测方法的应用需求增加，其效用越来越受到质疑。基于视频的系统根据世界卫生组织的5个关键时刻来衡量依从性的效用在很大程度上尚未得到检验，其在医护人员（HCW）和患者中的可接受性也是如此。本研究调查了医护人员对用于手部卫生审核的视频监测的可接受性。
在对一个视频监测系统进行试验（其他地方有报道）之后，5名参与的医护人员参加了2次深入的小组访谈，他们查看了录像并探讨了对该方法的反应。使用主题分析法对访谈记录进行了分析。
确定了四个主题：1）恐惧；2）对患者的担忧；3）反馈的变化；4）对摄像头的行为反应。医护人员表达了对惩罚后果、数据安全和保密性的担忧。对于患者，医护人员提出了隐私侵犯、伦理和同意方面的问题。医护人员认为视频系统可能会减少即时反馈，但也指出了利用录像进行反馈的潜力。他们还认为视频系统的霍桑效应比人工观察的要弱。
视频监测系统用于手部卫生依从性的可接受性很复杂，有可能使实际实施变得复杂。此外，有必要探讨患者的可接受性。
COREQ。
