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The Hawthorne Effect on the Adherence to Hand Hygiene

손위생 수행률에 대한 호손효과

  • Song, Ju Yeoun (Infection Control Team, Pusan National University Yangsan Hospital) ;
  • Jeong, Ihn Sook (College of Nursing, Pusan National University)
  • 송주연 (양산부산대학교병원 감염관리실) ;
  • 정인숙 (부산대학교 간호대학)
  • Received : 2014.12.23
  • Accepted : 2015.01.19
  • Published : 2015.04.30

Abstract

Purpose: This observational study was aimed to determine the influence of the Hawthorne effect on the adherence to hand hygiene (HH) among healthcare workers (HCWs) in South Korea. Methods: HCWs were monitored in 2 periods regarding adherence to HH when there were indications for HH. In first period, HCWs recognized that their behavior of hand hygiene being observed (overt observation), and did not recognize in second period (covert observation). Results: The overall difference in HH rate between two periods was 45.0% point (77.8% vs 32.8%). There were significant differences between profession but in nurse aids. The differences in HH rate between two periods were 46.1% point in nurses, 29.9% point in physicians, 64.0% in radiologists, 62.5% point in laboratory technicians, 36.4% point in physio-therapist, and 1.0% point in nurse aids. The Hawthorne effect on the adherence to HH lasted more than 3 months. Conclusion: The Hawthorne effect markedly influence on the adherence to HH regardless of profession except nurse aids. Therefore, Hawthorne effect can be useful tool to improve and sustain the adherence to HH among HCWs in South Korea.

Keywords

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