Volume 9, Number 2—February 2003
Research
Influence of Role Models and Hospital Design on the Hand Hygiene of Health-Care Workers
Mary G. Lankford*†, Teresa R. Zembower‡, William E. Trick§, Donna M. Hacek*†, Gary A. Noskin*†‡, and Lance R. Peterson*†‡
Table 4
Effect of behavior of other health-care workers in the room on health-care workers’ hand-hygiene compliance, by multivariate analysis, Northwestern Memorial Hospitala
| Variableb | Odds ratio (95% confidence interval) | p value |
|---|---|---|
| Room entry alone (n=291) |
1.0 |
– |
| In a room when a peer performs hand hygiene (n=48) |
1.1 (0.6 to 2.3) |
0.7 |
| In a room when a higher ranking person performs hand hygiene (n=64) |
0.8 (0.4 to 1.3) |
0.3 |
| Highest ranking person in the room (n=144) |
0.6 (0.4 to 1.0) |
0.07 |
| In a room when peer does not perform hand hygiene (n=41) |
0.4 (0.2 to 1.0) |
0.05 |
| In a room when higher ranking person does not perform hand hygiene (n=111) | 0.2 (0.1 to 0.5) | <0.001 |
aAdjusted for variables significantly associated with increased hand-hygiene compliance, i.e., health-care worker glove use, hand hygiene on room entry, invasive procedures, patient contact, and old versus new hospital.
bNurses and physicians accounted for most observations for all categories.
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