Relationship between systems-level factors and hand hygiene adherence

Ann Margaret Dunn-Navarra, Bevin Cohen, Patricia W. Stone, Monika Pogorzelska, Sarah Jordan, Elaine Larson

Research output: Contribution to journalArticlepeer-review


This study was a cross-sectional descriptive survey of acute care hospitals in California to describe staff hand hygiene compliance and related predictors and explore the relationship between hand hygiene adherence and health care-associated infections. Although there was a relatively small sample size, institutions with morning huddles reported a significantly higher proportion of 95% or more hand hygiene compliance. Huddles are an organizational tool to improve teamwork and communication and may offer promise to influence hand hygiene adherence.

Original languageEnglish (US)
Pages (from-to)30-38
Number of pages9
JournalJournal of Nursing Care Quality
Issue number1
StatePublished - 2011


  • Hand hygiene adherence
  • Health care-associated infection
  • Huddles
  • Systems-level factors

ASJC Scopus subject areas

  • Nursing(all)


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