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An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting

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  • Mamdooh Alzyood
  • Debra Jackson
  • Joanne Brooke
  • Helen Aveyard

Abstract

Aims and objectives To review patients’ and healthcare professionals’ perceptions of patient involvement in promoting hand hygiene compliance in the hospital setting. Background Initiatives continue to emphasise the importance of involving patients in their safety at the point of care. A patient‐centred care approach aimed to empower patients to become active members of the healthcare team. However, understanding the perceptions of patients and healthcare professionals of patient involvement in promoting hand hygiene compliance among healthcare professionals has yet to be fully explored. Design Integrative literature review. Methods A five‐stage review process informed by Whittemore and Knafl's methodology was conducted. MEDLINE and CINAHL were searched for papers published between January 2009–July 2017. Data were extracted manually, organised using NVivo 11 and analysed using thematic analysis. Results From an identified 240 papers, 19 papers were included in this review. Thematic analysis revealed two main themes with three related subthemes. Patients were willing to remind healthcare professionals (especially nurses) to wash their hands, healthcare professionals perception towards patients’ involvement varied from one study to another. However, an overall positive attitude towards patient involvement was related to how patients asked and how healthcare professionals responded to being asked. Conclusion There is limited evidence regarding patients’ actual intention to ask healthcare professionals to wash their hands, and some evidence that patients are reluctant to do so. Further research is required to understand this area thoroughly, including which situations patients would feel more empowered to speak up. Relevance to clinical practice Simple messages promoting patient involvement may lead to complex reactions in both patients and healthcare professionals. It is unclear, yet how patients and staff react to such messages in clinical practice. There is a need for a deeper understanding of how they can work together to support harm free care.

Suggested Citation

  • Mamdooh Alzyood & Debra Jackson & Joanne Brooke & Helen Aveyard, 2018. "An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1329-1345, April.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:1329-1345
    DOI: 10.1111/jocn.14305
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    References listed on IDEAS

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    1. Catherine Houghton & Kathy Murphy & Ben Meehan & James Thomas & Dawn Brooker & Dympna Casey, 2017. "From screening to synthesis: using nvivo to enhance transparency in qualitative evidence synthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(5-6), pages 873-881, March.
    2. Mary Wyer & Debra Jackson & Rick Iedema & Su‐Yin Hor & Gwendolyn L Gilbert & Christine Jorm & Claire Hooker & Matthew Vincent Neil O'Sullivan & Katherine Carroll, 2015. "Involving patients in understanding hospital infection control using visual methods," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(11-12), pages 1718-1729, June.
    3. Mojtaba Vaismoradi & Sue Jordan & Mari Kangasniemi, 2015. "Patient participation in patient safety and nursing input – a systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(5-6), pages 627-639, March.
    4. Thompson, Andrew G.H., 2007. "The meaning of patient involvement and participation in health care consultations: A taxonomy," Social Science & Medicine, Elsevier, vol. 64(6), pages 1297-1310, March.
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    Cited by:

    1. Bo Sun & Birat Singh KC & Omar Faruk & Jimi Tjong & Mohini Sain & Bo Sun & Min Zhang & Weijun Wang & Fangong Kong & Bo Sun, 2019. "Antibacterial Cellulose Based Biomedical Hand Sanitizer- Current State and Future Trends," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 24(1), pages 17927-17933, December.
    2. Mamdooh Alzyood & Debra Jackson & Helen Aveyard & Joanne Brooke, 2020. "COVID‐19 reinforces the importance of handwashing," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 2760-2761, August.

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