Enhancing hand hygiene compliance among ICU and NICU visitor families: the impact of advanced nursing roles, the barriers and challenges: a review

Abu Bakar, Siti Azuna and Aung, Khin Thandar and Abdullah, Sahrom (2025) Enhancing hand hygiene compliance among ICU and NICU visitor families: the impact of advanced nursing roles, the barriers and challenges: a review. Asian Journal of Medicine and Health Sciences, 8 (1). pp. 3-15. E-ISSN 2637-0603

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Abstract

Proper hand hygiene is crucial for preventing,, infections in intensive care units (ICUs) and neonatal intensive care units (NICUs). Despite the awareness among healthcare personnel and visitors of its importance, compliance with regulations is often inadequate. Advanced nurse educators and infection control professionals can significantly improve these habits. This review investigates whether advanced nursing positions improve hand hygiene among ICU and NICU families, as well as visitors, focusing on enhancing hand hygiene programs, identifying effective solutions, recognising practice shortcomings, and providing recommendations. The methodology involved a search of databases, including PubMed, CINAHL, Scopus, and Google Scholar, using relevant keywords related to hand hygiene and advanced nursing roles. The analysis included research on visitor hand hygiene in ICUs and NICUs, specifically focusing on advanced nursing responsibilities. Only articles published in English were selected. Out of the initial 1,430 articles, 36 met the inclusion criteria. The study found that advanced nurse roles had a positive effect on hand hygiene adherence in the ICU and NICU. Effective strategies included educational programs, proactive engagement, and regular follow-up. Challenges, such as nurse workloads, were also identified. Continuous training, family involvement, and infection control programs were highlighted as important for improving hand hygiene behaviours. Through structured programmes and education, as well as advanced nursing roles, nurses can significantly lower infection rates and improve patient outcomes. To improve hand hygiene in critical care, comprehensive interventions, and strong leadership should be prioritised.

Item Type:	Article (Review)
Uncontrolled Keywords:	Advanced Nursing Roles, Hand Hygiene Compliance, ICU and NICU, Infection Control, Visitor Education
Subjects:	R Medicine > RT Nursing R Medicine > RT Nursing > RT86.3 Nurse and patient R Medicine > RT Nursing > RT89 Specialities in nursing R Medicine > RT Nursing > RT89 Specialities in nursing > RT90 Teaching (Including nursing education and patient education)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Nursing > Department of Critical Care Nursing
Depositing User:	Dr Khin Thandar Aung
Date Deposited:	03 Jun 2025 08:17
Last Modified:	03 Jun 2025 08:17
URI:	http://irep.iium.edu.my/id/eprint/121304

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