All studies identified that hand hygiene compliance was relatively low amongst all HCWs. Interestingly, two studies of the four compared...
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...o the impact of hand hygiene compliance (Hugonnet et al., 2002; Mathai et al., 2011; Sharma et al., 2011). Mathai et al. (2011) identified the most frequent reason for lack of compliance was nurses were too busy. In support of Mathai et al. (2011), Sharma et al. (2011) found that when the activity index was higher and workload was heavy, there was an increase in demand for hand hygiene and therefore more hand hygiene opportunities; hence, lower compliance rates resulted. Moreover, De Wandel et al. (2010) stated that increased work pressure in the ICU did not seem to have a direct influence on hand hygiene behavior on their sample. Differences in these findings, suggest further investigation on the impact of workload in ICUs and focus on one specific sample group, as these three studies, one had a sample of nurses only, whilst the other two had a combination of HCWs.
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