Barriers and motivating factors in the use of alcohol based products: The key to a multimodal strategy to increase compliance with hand hygiene practices. qualitative systematic review.

Abstract

Introduction: The compliance with HH (hand hygiene) practices by health personnel is 38.7% worldwide. Using a multimodal strategy of the WHO (World Health Organization), alcohol based products was introduced. The campaign “The five moments of HH” encourages the use of this product which offers countless benefits, an important one being that it takes much less time compared to hand washing. Objective: To discover what the motivating factors or barriers are that favor or hinder the use of alcohol based products by health personnel, in order to increase compliance with HH according to the WHO multimodal strategy. Methods: Two databases were used; PubMed and CINHAL (from 2009-2019) The articles were selected according to inclusion-exclusion criteria. Results: From 30 articles, 12 were selected that had HH compliance, health personnel and alcohol based products as their main topics. They were organized into motivating factors and barriers: using infrastructure, product presentation and staff training. Discussion: Discovering the motivating factors and the barriers is essential to directing the efforts of strategies that include these points and to increase the compliance of HH with health personnel in order to reduce the HCAI (Health Care Associated Infection) and provide safe healthcare.