<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-1578</journal-id>
<journal-title><![CDATA[Revista de Investigação & Inovação em Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[RIIS]]></abbrev-journal-title>
<issn>2184-1578</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa, Unidade de Investigação e Desenvolvimento]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-15782021000100075</article-id>
<article-id pub-id-type="doi">10.37914/riis.v4i1.122</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Nurse-led interventions to promote hospitalized patients&#8217; adherence to hand hygiene: narrative review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Intervenções de Enfermagem para a promoção da adesão à higienização das mãos em pessoas hospitalizadas: revisão narrativa da literatura]]></article-title>
<article-title xml:lang="es"><![CDATA[Intervenciones de enfermería para promover la adhesión a la higiene de manos en personas hospitalizadas: revisión narrativa de la literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrasquinho]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos-Costa]]></surname>
<given-names><![CDATA[Paulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[Luciene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serambeque]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parreira]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Anabela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Nursing School of Coimbra Health Sciences Research Unit: Nursing ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Nursing School of Coimbra Health Sciences Research Unit: Nursing ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Federal University of Viçosa Medicine and Nursing department ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Nursing School of Coimbra Health Sciences Research Unit: Nursing ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Nursing School of Coimbra Health Sciences Research Unit: Nursing ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>4</volume>
<numero>1</numero>
<fpage>75</fpage>
<lpage>85</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-15782021000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-15782021000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-15782021000100075&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  during the hospital admission, nurses play a fundamental role in the adherence to hand hygiene (HH) measures by patients and their families, enhancing the quality and safety of care.  Objective:  synthesize the latest scientific evidence regarding nurse-led interventions focused on hospitalized patients&#8217; adherence to HH and its impact on preventing Healthcare-Associated Infections (HAIs).  Methodology:  following the PICOD mnemonic, a narrative review was conducted in MEDLINE (via PubMed), CINAHL (via EBSCO), and Cochrane Library. Two independent reviewers analyzed the relevance of the studies, extracted and synthesized data.  Results:  seven studies were included for review, published between 2016 and 2018. Three central themes emerged: i) nurse-led interventions that promote patients&#8217; adherence to HH; ii) patients&#8217; HH adherence and HAIs prevention; iii) the importance of person-centered nursing care in this scope.  Conclusion:  isolated interventions do not lead to adequate behavioural changes. Although educational interventions are the most common actions used by nurses, visual cues, distribution of informational material, provision of HH material, and creation of specific moments for HH are complementary strategies that enhance the efficiency and quality of the intervention.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  durante o período de internamento hospitalar, os enfermeiros desempenham um papel fundamental na adesão às medidas de higienização das mãos (HM) por parte das pessoas doentes e seus familiares, potenciando a qualidade e segurança dos cuidados.  Objetivo:  sintetizar a evidência científica mais recente respeitante às intervenções de enfermagem focadas na promoção da adesão à HM em pessoas hospitalizadas e o seu impacte na prevenção de Infeções Associadas aos Cuidados de Saúde (IACS).  Metodologia:  através da mnemónica PICOD, conduziu-se uma revisão narrativa da literatura na MEDLINE (PubMed), CINAHL (EBSCO) e Cochrane Library. Dois revisores independentes analisaram a relevância dos estudos, extraíram e sintetizaram os dados.  Resultados:  sete estudos foram incluídos na revisão final, publicados entre 2016 e 2018. Emergiram três temas centrais: intervenções de enfermagem focadas na promoção da adesão à HM por pessoas hospitalizadas; ii) adesão das pessoas à HM e prevenção de IACS; iii) a importância dos cuidados de enfermagem centrados na pessoa neste âmbito temático.  Conclusão:  intervenções isoladas não fomentam alterações comportamentais adequadas. Ainda que as intervenções educacionais sejam as mais recorrentemente utilizadas por enfermeiros, lembretes visuais, material informativo, distribuição de material e criação de momentos específicos para a HM são estratégias complementares que potenciam a eficiência e qualidade da intervenção.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  durante la estancia hospitalaria, el enfermero juega un papel fundamental en el cumplimiento de las medidas de higiene de manos (HM) por parte de los enfermos y sus familiares, mejorando la calidad y seguridad de la atención.  Objetivo:  sintetizar la evidencia científica más reciente sobre las intervenciones dirigidas por enfermeros centradas en la adherencia de los pacientes hospitalizados a la HM y su impacto en la prevención de las Infecciones Asociadas a la Atención Sanitária (IAAS).  Metodología:  utilizando el mnemónico PICOD, se realizó una revisión narrativa de la literatura en MEDLINE (PubMed), CINAHL (EBSCO) y Cochrane Library. Dos revisores independientes analizaron la relevancia de los estudios, extrajeron y sintetizaron los datos.  Resultados:  se incluyeron siete estudios para revisión, publicados entre 2016 y 2018. Surgieron tres temas centrales: i) intervenciones dirigidas por enfermeras que promueven la adherencia de los pacientes a la HM; ii) adherencia de los pacientes a la HM y prevención de las IAAS; iii) la importancia del cuidado de enfermería centrado en la persona en este ámbito.  Conclusión:  las intervenciones aisladas no conducen a cambios de comportamiento adecuados. Si bien las intervenciones educativas son las acciones más utilizadas en enfermería, las señales visuales, material informativo, la provisión de material y la creación de momentos específicos para HM son estrategias complementarias que mejoran la eficiencia y calidad de la intervención.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[hand hygiene]]></kwd>
<kwd lng="en"><![CDATA[nurses]]></kwd>
<kwd lng="en"><![CDATA[patient-centered care]]></kwd>
<kwd lng="pt"><![CDATA[higiene das mãos]]></kwd>
<kwd lng="pt"><![CDATA[enfermeiras e enfermeiros]]></kwd>
<kwd lng="pt"><![CDATA[assistência centrada no paciente]]></kwd>
<kwd lng="es"><![CDATA[higiene de las manos]]></kwd>
<kwd lng="es"><![CDATA[enfermeras y enfermeros]]></kwd>
<kwd lng="es"><![CDATA[atención dirigida al paciente]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Graveto]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Rebola]]></surname>
<given-names><![CDATA[R. I. F.]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[E. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[P. J. D. S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hand hygiene: Nurses&#8217; adherence after training]]></article-title>
<source><![CDATA[Revista Brasileira De Enfermagem]]></source>
<year>2018</year>
<volume>71</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1189-93</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Graveto]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[P. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Alarico]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Osório]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Albano]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hand hygiene management among nurses: Collective health challenges]]></article-title>
<source><![CDATA[Revista Brasileira De Enfermagem]]></source>
<year>2018</year>
<volume>71</volume>
<numero>suppl 1</numero>
<issue>suppl 1</issue>
<page-range>562-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Haverstick]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Goodrich]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Freeman]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[James]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Kullar]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Ahrens]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patients&#8217; Hand Washing and Reducing Hospital-Acquired Infection]]></article-title>
<source><![CDATA[Critical Care Nurse]]></source>
<year>2017</year>
<volume>37</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>e1-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Istenes]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Bingham]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Hazelett]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Fleming]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Kirk]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patients&#8217; potential role in the transmission of health care-associated infections: Prevalence of contamination with bacterial pathogens and patient attitudes toward hand hygiene]]></article-title>
<source><![CDATA[American Journal of Infection Control]]></source>
<year>2013</year>
<volume>41</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>793-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="book">
<collab>Joint Commission</collab>
<source><![CDATA[Patients as partners in the infection prevention and control process]]></source>
<year>2009</year>
<publisher-name><![CDATA[Joint Commission Resources]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kickbusch]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Pelikan]]></surname>
<given-names><![CDATA[J. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Apfel]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Tsouros]]></surname>
<given-names><![CDATA[A. D.]]></given-names>
</name>
</person-group>
<collab>World Health Organization</collab>
<source><![CDATA[Health literacy: The solid facts]]></source>
<year>2013</year>
<publisher-name><![CDATA[World Health Organization Regional Office for Europe]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Knighton]]></surname>
<given-names><![CDATA[S. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Dolansky]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Donskey]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Warner]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Rai]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Higgins]]></surname>
<given-names><![CDATA[P. A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of a verbal electronic audio reminder with a patient hand hygiene bundle to increase independent patient hand hygiene practices of older adults in an acute care setting]]></article-title>
<source><![CDATA[American Journal of Infection Control]]></source>
<year>2018</year>
<volume>46</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>610-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Landers]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Abusalem]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Coty]]></surname>
<given-names><![CDATA[M.-B.]]></given-names>
</name>
<name>
<surname><![CDATA[Bingham]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patient-centered hand hygiene: The next step in infection prevention]]></article-title>
<source><![CDATA[American Journal of Infection Control]]></source>
<year>2012</year>
<volume>40</volume>
<numero>4^sSuppl 1</numero>
<issue>4^sSuppl 1</issue>
<supplement>Suppl 1</supplement>
<page-range>S11-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moher]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Liberati]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Tetzlaff]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Altman]]></surname>
<given-names><![CDATA[D. G.]]></given-names>
</name>
</person-group>
<collab>PRISMA Group</collab>
<article-title xml:lang=""><![CDATA[Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement]]></article-title>
<source><![CDATA[PLoS Medicine]]></source>
<year>2009</year>
<volume>6</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Okada]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Yamamizu]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
<name>
<surname><![CDATA[Fukai]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effectiveness of hand hygiene depends on the patient&#8217;s health condition and care environment]]></article-title>
<source><![CDATA[Japan Journal of Nursing Science: JJNS]]></source>
<year>2016</year>
<volume>13</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>413-23</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ong]]></surname>
<given-names><![CDATA[A. Y. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Tan]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Yeo]]></surname>
<given-names><![CDATA[H. L.]]></given-names>
</name>
<name>
<surname><![CDATA[Goh]]></surname>
<given-names><![CDATA[M. L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patient-centred hand hygiene information in orthopaedics units: An evidence-based implementation project]]></article-title>
<source><![CDATA[International Journal of Evidence-Based Healthcare]]></source>
<year>2017</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>22-9</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Park]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Seale]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Examining the online approaches used by hospitals in Sydney, Australia to inform patients about healthcare associated infections and infection prevention strategies]]></article-title>
<source><![CDATA[BMC Infectious Diseases]]></source>
<year>2017</year>
<volume>17</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>788</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pokrywka]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Buraczewski]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Frank]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Dixon]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrelli]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Shutt]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Yassin]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Can improving patient hand hygiene impact Clostridium difficile infection events at an academic medical center?]]></article-title>
<source><![CDATA[American Journal of Infection Control]]></source>
<year>2017</year>
<volume>45</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>959-63</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rai]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Knighton]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Zabarsky]]></surname>
<given-names><![CDATA[T. F.]]></given-names>
</name>
<name>
<surname><![CDATA[Donskey]]></surname>
<given-names><![CDATA[C. J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A randomized trial to determine the impact of a 5 moments for patient hand hygiene educational intervention on patient hand hygiene]]></article-title>
<source><![CDATA[American Journal of Infection Control]]></source>
<year>2017</year>
<volume>45</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>551-3</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rai]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Knighton]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Zabarsky]]></surname>
<given-names><![CDATA[T. F.]]></given-names>
</name>
<name>
<surname><![CDATA[Donskey]]></surname>
<given-names><![CDATA[C. J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of ethanol hand sanitizer versus moist towelette packets for mealtime patient hand hygiene]]></article-title>
<source><![CDATA[American Journal of Infection Control]]></source>
<year>2017</year>
<volume>45</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1033-4</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seale]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Chughtai]]></surname>
<given-names><![CDATA[A. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Kaur]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Phillipson]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Novytska]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
<name>
<surname><![CDATA[Travaglia]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Empowering patients in the hospital as a new approach to reducing the burden of health care-associated infections: The attitudes of hospital health care workers]]></article-title>
<source><![CDATA[American Journal of Infection Control]]></source>
<year>2016</year>
<volume>44</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>263-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Srigley]]></surname>
<given-names><![CDATA[J. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Furness]]></surname>
<given-names><![CDATA[C. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Gardam]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interventions to improve patient hand hygiene: A systematic review]]></article-title>
<source><![CDATA[The Journal of Hospital Infection]]></source>
<year>2016</year>
<volume>94</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>23-9</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sunkesula]]></surname>
<given-names><![CDATA[V. C. K.]]></given-names>
</name>
<name>
<surname><![CDATA[Knighton]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Zabarsky]]></surname>
<given-names><![CDATA[T. F.]]></given-names>
</name>
<name>
<surname><![CDATA[Kundrapu]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Higgins]]></surname>
<given-names><![CDATA[P. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Donskey]]></surname>
<given-names><![CDATA[C. J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Four Moments for Patient Hand Hygiene: A Patient-Centered, Provider-Facilitated Model to Improve Patient Hand Hygiene]]></article-title>
<source><![CDATA[Infection Control and Hospital Epidemiology]]></source>
<year>2015</year>
<volume>36</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>986-9</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[WHO guidelines on hand hygiene in health care: First global patient safety challenge: clean care is safer care. World Health Organization, Patient Safety]]></source>
<year>2009</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
