Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review

ABSTRACT Objective: Evaluate, from the literature, the effectiveness of the implementation of the multimodal strategy for health professionals compliance with Hand Hygiene and its sustainability over time. Method: Integrative review, with a view to answering the following question: “Is the implementation of the multimodal strategy effective in health professionals compliance with Hand Hygiene and can it be sustained over time?”. The MEDLINE, SCOPUS, LILACS and CINAHL databases were used to retrieve the primary articles. Results: Twenty-five studies were analyzed. Among the components of the multimodal strategy, three need to be better worked: health education, feedback from practices and management involvement. Although it needs to focus more on its five elements, interventions based on the multimodal strategy have favored HH compliance and its long-term sustainability. Conclusion: The strategy proved to be effective for HH compliance, especially when all integrating components are adequately addressed.

摘要
研究目的：基于现有文献，评估多模式策略（multimodal strategy）在提升卫生专业人员手卫生（Hand Hygiene）依从性方面的实施效果，及其长期可持续性。
研究方法：采用整合性综述设计，旨在回答以下研究问题："多模式策略的实施是否可有效提升卫生专业人员的手卫生依从性，且该效果能否长期维持？"。本研究检索了MEDLINE、SCOPUS、LILACS及CINAHL数据库，以获取相关原始研究文献。
研究结果：共纳入25项研究进行分析。在多模式策略的各项组成要素中，健康教育、实践反馈及管理参与这三个维度有待进一步优化完善。尽管当前干预仍需更充分地覆盖五大核心要素，但基于多模式策略的干预措施已被证实可有效提升手卫生依从性及其长期可持续性。
研究结论：多模式策略可有效提升卫生专业人员的手卫生依从性，尤其当所有整合要素均得到充分落实时效果更为显著。