Although this holds true, hand hygiene compliance by nurses has not shown a substantial increase. Results demonstrate that hand hygiene compliance among multiple healthcare facilities in the United States have not passed the 75th percentile (Mcguckin, Waterman, & Govednik, 2009). The baseline for hand hygiene compliance within intensive care units (ICU) was 26 percent, meanwhile, non-ICU units showed a 36 percent compliance (Mcguckin, Waterman, & Govednik, …show more content…
Direct observations allows for evaluators to see which hand hygiene products are used, how thorough a nurse washes, the technique and instruments used for hand drying, glove use, the frequency of hand washing, and more (JCAHO, 2009). This method gives an opportunity to provide feedback when clarification is needed. Even so, direct observations can be exhaustive and increase facility expenses and observations are at risk of being subjective based on the evaluator’s knowledge. Measuring product use, such as soap, alcohol-based hand rubs, and paper towel use can help determine the frequency of hand washing (JCAHO, 2009). This method can be less expensive than direct observation since it requires less staff and can be completed at any moment. On the other hand, the measuring of products fails to state if the nurse is performing appropriate and correct hand hygiene. Lastly, surveys can help show what nurses know about hand hygiene in addition to past and current perceptions, which can help provide feedback and guide nursing education in units (JCAHO, 2009). On the other hand, participants can overestimate self reporting of hand hygiene rendering