Date of Award

Summer 2025

Project Type

Thesis

College or School

CHHS

Department

Nursing

Program or Major

Direct Entry Master's in Nursing

Degree Name

Master of Science

First Advisor

Elizabeth Evans

Abstract

BACKGROUND:

Hospital-acquired infections (HAIs) are a major problem in healthcare, increasing patient morbidity, mortality, and costs. While staff hand hygiene is a well-established infection control measure, less attention is paid to patient hand hygiene (PHH) despite CDC recommendations.

LOCAL PROBLEM:

An intensive care unit (ICU) in northeastern Massachusetts had no formal policy for patient hand hygiene, and hospital leadership expressed support for enhancing infection control practices.

METHODS:

Using the Plan-Do-Study-Act model, a quality improvement project was implemented to encourage PHH before meals. Baseline PHH rates were collected through observation. The intervention involved registered nurses (RNs) directing patients to use hand sanitizer before eating. Pre- and post-intervention surveys gathered RN opinions about feasibility, supply availability, patient receptivity, and safety.

INTERVENTION:

Eligible patients received personal containers of alcohol-based hand sanitizer on meal trays and were verbally prompted by RNs to conduct hand hygiene before meals.

RESULTS:

PHH increased from 0% at baseline to 73.53% post-intervention. Survey results showed improved RN perceptions of feasibility and supply availability. While RN beliefs about the role of PHH in patient safety remained high, perceived patient receptivity improved only slightly.

CONCLUSION:

Directing PHH was a viable, cost-effective method that significantly improved hand hygiene compliance. The results suggest that PHH can be added to RN workflows to promote infection control and patient safety.

Included in

Nursing Commons

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