How to make hand hygiene interventions more attractive to nurses: A discrete choice experiment

BackgroundBetter understanding of the characteristics of interventions which are attractive to nurses is required in order to implement effective hand hygiene interventions.MethodsThe intervention characteristics were derived from diffusion of innovation theory (DIT): relative advantage, compatibility, simplicity, trialability, and observability. To identify nurses’ preferences for the five characteristics, a discrete choice experiment (DCE) was conducted. Participants were nurses working at Taiwanese tertiary care hospitals selected through stratified sampling. In addition, the hand hygiene moment (before or after patient contact) was taken into consideration in the DCE to investigate whether nurses’ preferences for the intervention characteristics were the same at different hand hygiene moments.ResultsThis survey was conducted between 1 October and 31 December 2014. Among 200 nurses from three Taiwanese tertiary care hospitals, significant preferences for the five intervention characteristics were observed. That is, when an intervention makes the hand hygiene activity more convenient (pConclusionsThe findings suggest policy directions for decision makers aiming to improve overall hand hygiene compliance in healthcare facilities.