A multimodal approach as a strategy to improve hand hygiene compliance: A literature review

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Objective: This study aimed to identify the effectiveness of using a multimodal approach to improve hand hygiene compliance among nurses. This research identifies how far the effectiveness of this method and its barriers. Method: We used the following databases to find full-text articles; Springer Link, Science Direct, and The Wiley Library. We used a “multimodal approach,” “hand hygiene,” “compliance,” and “infection control” as keywords. This article is a literature review. Results: Based on the articles reviewed, a multimodal approach is effective in improving hand hygiene compliance, but the range of compliance differ among countries. Commonly used approaches include the educational approach, which is particularly effective in improving hand hygiene compliance. Potential barriers complicate the process, including work culture, nurse beliefs, and organizational climate. Conclusion: Hand hygiene compliance can be improved using a multimodal approach. Improving hand hygiene compliance is proven to decrease hospital-acquired infections. To overcome barriers that complicate this health campaign and to optimize all strategies, research and development must be continuously conducted.

Original languageEnglish
JournalEnfermeria Clinica
Publication statusPublished - 1 Jan 2019


  • Compliance
  • Hand hygiene
  • Infection control
  • Multimodal approach


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