Barriers and facilitators in the implementation of recommendations for hand eczema prevention among healthcare workers.
BACKGROUND
Evidence-based recommendations are available for the prevention of hand eczema among healthcare workers. However, the implementation of these recommendations is not always successful.


OBJECTIVE
To identify barriers and facilitators in the implementation of recommendations for the prevention of hand eczema among healthcare workers alongside a randomized controlled trial.


METHODS
A qualitative study was performed in which 19 healthcare workers were interviewed. The interview transcripts were open coded and also coded by means of a template by two researchers to identify relevant barriers and facilitators.


RESULTS
Most barriers and facilitators reported for the recommendations were found at the level of the innovation (e.g. the recommendations), whereas for the guideline as a whole, multiple levels (socio-political, organization, user, and facilities) were identified.


CONCLUSIONS
To enhance the implementation of recommendations for the prevention of hand eczema in a healthcare setting, having knowledge about these recommendations seems to be an important first step. In addition, maintaining the attention of the subject, testing the products beforehand and close collaboration with the infection control department might enhance implementation. Furthermore, it is important that the recommendations fit in with the work of the healthcare workers. When the implementation of the recommendations is prepared, these points should be taken into account.
Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Centre, van der Boechorststraat 7, 1007MB, Amsterdam, The Netherlands.
Esther W C
EW
van der Meer
Joost W J
JW
van der Gulden
Diana
D
van Dongen
Cécile R L
CR
Boot
Johannes R
JR
Anema
D000328:Adult; D001291:Attitude of Health Personnel; D009783:Dermatitis, Occupational / Q000517:prevention & control*; D004202:Disinfectants; D004485:Eczema / Q000517:prevention & control*; D005260:Female; D017575:Gloves, Protective; D019983:Guideline Adherence; D017408:Guidelines as Topic; D006229:Hand Dermatoses / Q000517:prevention & control*; D006235:Hand Disinfection / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006785:Hospitals, University; D006801:Humans; D007407:Interviews as Topic; D055498:Jewelry; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D036301:Qualitative Research; D063465:Skin Cream / Q000627:therapeutic use
D004202:Disinfectants
barriers; facilitators; guideline; hand eczema; healthcare workers; implementation