Infectious disease incidence was documented by a staff member at each nursing home unit. The secondary outcome is infectious disease incidence among residents. The primary outcome is hand hygiene compliance of the nurses to the standards of the World Health Organization. We documented compliance with the World Health Organization’s 5 moments of hand hygiene, specifically before touching a patient, before a clean/aseptic procedure, after body fluid exposure risk, after touching a patient, and after touching patient surroundings. Hand hygiene was evaluated in nursing homes by direct observation at 4 timepoints. Methods: Nursing homes were randomly allocated to 1 of 3 trial arms: receiving the intervention at a predetermined date, receiving the identical intervention after an infectious disease outbreak, or serving as a control arm. Objective: This study aims to evaluate the effect of a multimodal intervention to increase hand hygiene compliance of nurses in nursing homes through a cluster randomized controlled trial (HANDSOME study). While hand hygiene interventions have frequently been implemented and assessed in hospitals, there is limited knowledge about hand hygiene compliance in other health care settings and which interventions and implementation methods are effective. Municipal Public Health Service Rotterdam-RijnmondĮmail: Hand hygiene compliance is considered the most (cost-)effective measure for preventing health care–associated infections. Online Journal of Public Health Informatics.Asian/Pacific Island Nursing Journal 15 articles.JMIR Bioinformatics and Biotechnology 38 articles.JMIR Biomedical Engineering 75 articles.Journal of Participatory Medicine 84 articles.JMIR Perioperative Medicine 102 articles.JMIR Rehabilitation and Assistive Technologies 231 articles.JMIR Pediatrics and Parenting 313 articles.Interactive Journal of Medical Research 344 articles.JMIR Public Health and Surveillance 1266 articles.Journal of Medical Internet Research 8056 articles.
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