title: Hand hygiene: The impact of incentive strategies on adherence among healthcare workers from a newborn intensive care unit.
abstract: We carried out a before-after non-controlled intervention study to assess the impact of different handwashing strategies in health care workers at a neonatal ICU in Goiânia - Goiás, Brazil. All ethical aspects were considered. Data was collected by using a check list in order to register hand hygiene opportunities during six months. Three strategies were elaborated together with the hospital team. We observed 1358 handwashing opportunities. Incentive strategies caused a small impact on the increase of adherence to hand hygiene during and after the implementation period. However, we noticed that this increase mainly occurred after the procedures were realized. On the whole, adherence levels were similar before (62.2%) and after (61.6%) the procedures. The study showed that health care workers were more worried about individual risks.
authors.affiliation: zilahcandida@yahoo.com.br
authors.forename: Zilah Cândida Pereira
authors.initials: ZC
authors.lastname: das Neves
authors.forename: Anaclara Ferreira Veiga
authors.initials: AF
authors.lastname: Tipple
authors.forename: Adenícia Custódia
authors.initials: AC
authors.lastname: Silva e Souza
authors.forename: Milca Severino
authors.initials: MS
authors.lastname: Pereira
authors.forename: Dulcelene de Sousa
authors.initials: Dde S
authors.lastname: Melo
authors.forename: Lucimar Rodrigues
authors.initials: LR
authors.lastname: Ferreira
mesh_terms: D001938:Brazil; D003625:Data Collection; D004509:Education, Nursing, Continuing; D019983:Guideline Adherence; D006235:Hand Disinfection / Q000592:standards; D006282:Health Personnel; D006801:Humans; D017053:Infection Control; D007363:Intensive Care Units, Neonatal; D013997:Time Factors