University of Oulu

Helena Ojanperä, Anne Korhonen, Merja Meriläinen, Hannu Syrjälä, Outi Kanste, The role of managers in promoting good hand hygiene in a Finnish tertiary care hospital, American Journal of Infection Control, Volume 49, Issue 6, 2021, Pages 753-758, ISSN 0196-6553,

The role of managers in promoting good hand hygiene in a Finnish tertiary care hospital

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Author: Ojanperä, Helena1,2; Korhonen, Anne3; Meriläinen, Merja4;
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
2Department of Infection Control, Oulu University Hospital, Medical Research Center Oulu, Oulu, Finland
3Nursing Research Foundation, Finland
4Department of Administration, Oulu University Hospital, Medical Research Center Oulu, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
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Language: English
Published: Elsevier, 2021
Publish Date: 2021-12-05


Background: Hospital managers play an essential role in implementing strategies to promote good hand hygiene (HH) among health care workers. We investigated the managers’ views on their roles, challenges and developmental ideas in promoting good HH practice.

Methods: A descriptive cross-sectional study with an online survey of both medical and nursing managers was conducted within a single tertiary care hospital in Finland. Three open-ended questions were analyzed using inductive content analysis.

Results: A total of 78 managers out of 168 responded to the survey (response rate 46%). Managers helped promote HH practices by enabling the proper environment for adherence to good HH, visible commitment, and using various means to instruct staff about HH. Challenges included the acute hospital setting and practical problems related to the managers’ numerous responsibilities. Developmental ideas included information communication technology applications for monitoring HH as an indicator of the quality of care, versatile responses to HH audits, and clarifying the roles of different management levels.

Conclusions: Managers are committed to and use various methods to promote HH. Managers would benefit from information communication technology applications to provide easy and targeted information regarding compliance with HH.

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Series: American journal of infection control
ISSN: 0196-6553
ISSN-E: 1527-3296
ISSN-L: 0196-6553
Volume: 49
Issue: 6
Pages: 753 - 758
DOI: 10.1016/j.ajic.2020.11.026
Type of Publication: A1 Journal article – refereed
Field of Science: 3141 Health care science
Funding: Support was provided by state research funding for the Oulu University Hospital.
Copyright information: © 2020 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0 license