Effects of Audio-Visual Stimulation on Hand Hygiene Compliance among Family and Non-Family Visitors of Pediatric Wards: A Quasi-Experimental Pre-post Intervention Study.
Duri Kim, Ogcheol Lee
PMID 30935725WHAT IT FOUND
Audio-visual reminders increased hand hygiene compliance among pediatric ward visitors from 0.4% to 3.8%.
Compliance remained clinically low, especially among family members staying with patients, who showed higher rates than non-family visitors but still rarely sanitized hands.
Key findings
01Before intervention, only 4 out of 894 visitors used hand sanitizer.
02Audio-visual stimulation increased hand hygiene compliance to 3.8% of visitors.
03Family members wearing access cards had lower compliance rates than non-family visitors even after interventions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single-center study in Korea, limiting generalizability to other hospital cultures. Observers pretended to be guardians, which may have affected authenticity of observations. Did not measure persistence of compliance over time or preference for water vs alcohol sanitizers. Classification of family vs non-family relied on access cards, which may not reflect actual relationships in all cultures.
Declared interests
None declared.
The easy way to misread this
Do not interpret the statistical significance of the increase in hand hygiene compliance as clinical success. The absolute compliance rate remained very low at 3.8% after audio-visual stimulation, meaning the vast majority of visitors still did not sanitize their hands.