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Improving hand hygiene in hospitals: comparing the effect of a nudge and a boost on protocol compliance

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  • van Roekel, Henrico
  • Reinhard, Joanne
  • Grimmelikhuijsen, Stephan

Abstract

Nudging has become a well-known policy practice. Recently, ‘boosting’ has been suggested as an alternative to nudging. In contrast to nudges, boosts aim to empower individuals to exert their own agency to make decisions. This article is one of the first to compare a nudging and a boosting intervention, and it does so in a critical field setting: hand hygiene compliance of hospital nurses. During a 4-week quasi-experiment, we tested the effect of a reframing nudge and a risk literacy boost on hand hygiene compliance in three hospital wards. The results show that nudging and boosting were both effective interventions to improve hand hygiene compliance. A tentative finding is that, while the nudge had a stronger immediate effect, the boost effect remained stable for a week, even after the removal of the intervention. We conclude that, besides nudging, researchers and policymakers may consider boosting when they seek to implement or test behavioral interventions in domains such as healthcare.

Suggested Citation

  • van Roekel, Henrico & Reinhard, Joanne & Grimmelikhuijsen, Stephan, 2022. "Improving hand hygiene in hospitals: comparing the effect of a nudge and a boost on protocol compliance," Behavioural Public Policy, Cambridge University Press, vol. 6(1), pages 52-74, January.
    • Handle: RePEc:cup:bpubpo:v:6:y:2022:i:1:p:52-74_4
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    Cited by:

    1. James Alm & Lilith Burgstaller & Arrita Domi & Amanda März & Matthias Kasper, 2023. "Nudges, Boosts, and Sludge: Using New Behavioral Approaches to Improve Tax Compliance," Economies, MDPI, vol. 11(9), pages 1-22, September.
    2. Tafur Gómez, Jorge Andrés & Martínez Giraldo, Jhully Paulin, 2024. "Students' perception of the application of nudges," Revista Tendencias, Universidad de Narino, vol. 25(2), pages 190-218, July.
    3. Karola Bastini & Rudolf Kerschreiter & Maik Lachmann & Matthias Ziegler & Tim Sawert, 2024. "Encouraging Individual Contributions to Net-Zero Organizations: Effects of Behavioral Policy Interventions and Social Norms," Journal of Business Ethics, Springer, vol. 192(3), pages 543-560, July.
    4. Banerjee, Sanchayan & Galizzi, Matteo M. & John, Peter & Mourato, Susana, 2022. "What works best in promoting climate citizenship? A randomised, systematic evaluation of nudge, think, boost and nudge+," LSE Research Online Documents on Economics 115032, London School of Economics and Political Science, LSE Library.

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