Identifying interventions to improve hand hygiene compliance in the ICU through co-design with stakeholders [dataset]

This file contains the raw data from phases 1, 2, 3, and 4 of this study. <strong>Background.</strong> Despite the effectiveness of hand hygiene (HH) for infection control, there is a lack of robust scientific data to guide how HH can be improved in intensive care units (ICUs). The aim of this study is to use the literature, researcher, and stakeholder opinion to explicate potential interventions for improving HH compliance in the ICU, and provide an indication of the suitability of these interventions. <strong>Methods. </strong>A four-phase co-design study was designed. First, a systematic literature review was completed in order to identify unique components of existing interventions to improve HH in ICUs. Second, a workshop was held with a panel of ten experts to identify additional intervention components. Third, the 91 intervention components resulting from the literature review and workshop were synthesised into a final list of 21 hand hygiene interventions. Finally, the affordability, practicability, effectiveness, acceptability, side-effects/safety, and equity of each intervention was rated by 39 stakeholders (health services researchers, ICU staff, and the public). <strong>Results.</strong> Ensuring the availability of essential supplies for HH compliance was the intervention that received most approval from stakeholders. Interventions involving role models and peer-to-peer accountability and support were also well regarded by stakeholders. Education/training interventions were commonplace and popular. Punitive interventions were poorly regarded. <strong>Conclusions.</strong> Hospitals and regulators must make decisions regarding how to improve HH compliance in the absence of scientific consensus on effective methods. Using collective input and a co-design approach, the guidance developed herein may usefully support implementation of HH interventions that are considered to be effective and acceptable by stakeholders.本文件包含本研究第1、2、3、4阶段的原始数据。<strong>研究背景</strong>：尽管手卫生（Hand Hygiene, HH）在感染防控中成效显著，但目前仍缺乏可靠的科学数据以指导如何在重症监护病房（Intensive Care Unit, ICU）中优化手卫生实践。本研究旨在结合文献、研究者及利益相关方的意见，阐明可用于提升ICU手卫生依从性的潜在干预方案，并评估这些方案的适配性。<strong>研究方法</strong>：本研究采用四阶段协同设计框架。第一阶段，完成系统文献综述，以梳理现有ICU手卫生优化干预方案的独有组成模块；第二阶段，邀请10名专家组成专家组开展研讨会，补充识别额外的干预组成模块；第三阶段，将文献综述与研讨会得到的91项干预组成模块整合凝练，最终形成21项手卫生干预方案；第四阶段，由39名利益相关方（含卫生服务研究者、ICU医护人员及社会公众）对每项干预方案的可负担性、实用性、有效性、可接受性、副作用/安全性及公平性进行评分。<strong>研究结果</strong>：研究结果显示，保障手卫生依从性所需基本物资供应的干预方案，获得了利益相关方的最高认可度；涉及榜样示范及同伴问责与支持的干预方案，同样获得高度认可；教育/培训类干预方案较为常见且广受好评，而惩罚性干预方案则认可度较低。<strong>研究结论</strong>：在尚无针对有效手卫生优化手段的科学共识的背景下，医院与监管机构仍需制定相关决策以提升手卫生依从性。本研究通过汇集多方意见并采用协同设计方法形成的指导建议，可有效助力推广那些被利益相关方认定为有效且可接受的手卫生干预方案。