Valim MD, Rocha ILDS, Souza TPM, Cruz YAD, Bezerra TB, Baggio É, Morais RBD, Ribeiro AC. Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review.
Rev Bras Enferm 2019;
72:552-565. [PMID:
31017221 DOI:
10.1590/0034-7167-2018-0584]
[Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Accepted: 09/01/2018] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE
Evaluate, from the literature, the effectiveness of the implementation of the multimodal strategy for health professionals compliance with Hand Hygiene and its sustainability over time.
METHOD
Integrative review, with a view to answering the following question: "Is the implementation of the multimodal strategy effective in health professionals compliance with Hand Hygiene and can it be sustained over time?". The MEDLINE, SCOPUS, LILACS and CINAHL databases were used to retrieve the primary articles.
RESULTS
Twenty-five studies were analyzed. Among the components of the multimodal strategy, three need to be better worked: health education, feedback from practices and management involvement. Although it needs to focus more on its five elements, interventions based on the multimodal strategy have favored HH compliance and its long-term sustainability.
CONCLUSION
The strategy proved to be effective for HH compliance, especially when all integrating components are adequately addressed.
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