Adherence and incentive strategies for hand hygiene in endoscopy: integrative review
Published 2025-03-31
Keywords
- Hand hygiene,
- Endoscopy,
- Health Personnel,
- Patient Care,
- Review
How to Cite
Copyright (c) 2025 Luan Gonçalves Siviero, Patrícia Rodrigues Braz, Roberta Teixeira Prado, Fábio da Costa Carbogim, Thiago César Nascimento, Flávia Cristina Rodrigues, Andre Luiz Silva Alvim
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Introduction
Hand hygiene in endoscopy is still a topic addressed in a limited way in the literature, with predominantly unicentric studies and small sample sizes, lacking a synthesis of evidence. This limitation prevents a comprehensive evaluation of adherence and incentive strategies, which justifies conducting this review.
Objective
To identify, through literature, the adherence and incentive strategies for hand hygiene in the endoscopy sector.
Methods
This is an integrative review conducted on databases including PubMed, Scopus, Web of Science, LILACS, BDENF, WPRO, CAPES Periodicals Portal, and the SciELO library. For the selection of articles, the inclusion criteria established were: full texts available for free and/or for purchase, with no time restrictions, and published in English, Portuguese, or Spanish. To maintain methodological rigor during the search strategy, a double-blind selection of articles was independently conducted.
Results
A total of 204 publications were retrieved, with the final sample consisting of six studies. Of these, only two addressed adherences to hand hygiene in the endoscopy sector. Regarding incentive strategies, all publications highlighted educational interventions, the implementation of the Plan, Do, Check and Act (PDCA) cycle, performing hand hygiene throughout the endoscopic procedure to avoid self-contamination, patient engagement, as well as support from leaders and the inclusion of the topic during the training process of healthcare professionals.
Conclusion
Literature identified adherence and incentive strategies for hand hygiene in endoscopy. However, the lack of studies on the subject is emphasized, with most research conducted during the Covid-19 pandemic.