Development of Hand Hygiene Monitoring System Based on Android Mobile Application and User Perspective

Authors

DOI:

https://doi.org/10.18196/jmmr.v12i3.19

Keywords:

Hand Hygiene Monitoring System, Mobile Application, Android, User's Perspective

Abstract

Hand hygiene plays a crucial role in promoting overall health and preventing the spread of diseases. The World Health Organization reported that the prevalence of healthcare-associated infections (HAIs) ranges from 3-12% in high-income countries and 5-19% in low-and middle-income countries. Improved hand hygiene compliance can substantially reduce HAI rates. In Indonesia, the Ministry of Health has designated handwashing compliance as a compulsory quality indicator for hospitals. Introducing a mobile app can improve hand hygiene practices. This study aims to develop and design an Android mobile application that serves as an easy-to-operate hand hygiene monitoring system and to understand user perspectives. The study used Agile Methods for app development and a qualitative approach to know users' perspectives. Respondents (n=10) from AMC Muhammadiyah Hospital, including the IPC team, department heads, and administrators, were interviewed. The result revealed that mobile application is easy to use and have an attractive user interface. Users expressed the application's user-friendliness and utility in conducting observations. Nonetheless, they identified some drawbacks, such as lagging issues and a complicated manual installation process due to the app's unavailability on Playstore. Users expect the app's future inclusion on Play Store for simplified installation and request its development for iOS to cater to hospital staff using iPhones.

References

Benudis, A., Stone, S., Sait, A. S., Mahoney, I., Price, L. L., Moreno-Koehler, A., Anketell, E., & Doron, S. (2019). Pitfalls and Unexpected Benefits of an Electronic Hand Hygiene Monitoring System. American Journal of Infection Control, 47(9), 1102–1106. https://doi.org/10.1016/j.ajic.2019.03.011

Boyce, J. M., Laughman, J. A., Ader, M. H., Wagner, P. T., Parker, A. E., & Arbogast, J. W. (2019). Impact of an automated hand hygiene monitoring system and additional promotional activities on hand hygiene performance rates and healthcare-associated infections. Infection Control & Hospital Epidemiology, 40(7), 741–747. https://doi.org/10.1017/ice.2019.77

Chaouali, W., Lunardo, R., Ben Yahia, I., Cyr, D., & Triki, A. (2019). Design aesthetics as drivers of value in mobile banking: does customer happiness matter? International Journal of Bank Marketing, 38(1), 219–241. https://doi.org/10.1108/ijbm-03-2019-0100

Edmisten, C., Hall, C., Kernizan, L., Korwek, K., Preston, A., Rhoades, E., Shah, S., Spight, L., Stradi, S., Wellman, S., & Zygadlo, S. (2017). Implementing an electronic hand hygiene monitoring system: Lessons learned from community hospitals. American Journal of Infection Control, 45(8), 860–865. https://doi.org/10.1016/j.ajic.2017.03.033

Hastuti, S. K. W., Fadilla, A. I., & Apriansyah, S. (2021). Factors Related to Nurse Compliance in The Implementation of Universal Precaution in The Inpatient Room One of Private Hospital in Yogyakarta. JMMR (Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit), 10(2), 177–188. https://doi.org/10.18196/jmmr.v10i2.10637

Iversen, A.-M., Kavalaris, C. P., Hansen, R., Hansen, M. B., Alexander, R., Kostadinov, K., Holt, J., Kristensen, B., Knudsen, J. D., Møller, J. K., & Ellermann-Eriksen, S. (2020). Clinical experiences with a new system for automated hand hygiene monitoring: A prospective observational study. American Journal of Infection Control, 48(5), 527–533. https://doi.org/10.1016/j.ajic.2019.09.003

Kaya, A., Ozturk, R., & Altin Gumussoy, C. (2019). Usability measurement of mobile applications with system usability scale (SUS). In Industrial Engineering in the Big Data Era: Selected Papers from the Global Joint Conference on Industrial Engineering and Its Application Areas, GJCIE 2018, June 21–22, 2018, Nevsehir, Turkey (pp. 389–400). Springer International Publishing. https://doi.org/10.1007/978-3-030-03317-0_32

Kemenkes RI (2022) PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR 30 TAHUN 2022. Indonesia.

Knepper, B. C., Miller, A. M., & Young, H. L. (2020). Impact of an automated hand hygiene monitoring system combined with a performance improvement intervention on hospital-acquired infections. Infection Control & Hospital Epidemiology, 41(8), 931–937. https://doi.org/10.1017/ice.2020.182

Knudsen, A. R., Kolle, S., Hansen, M. B., & Møller, J. K. (2021). Effectiveness of an electronic hand hygiene monitoring system in increasing compliance and reducing healthcare-associated infections. Journal of Hospital Infection, 115, 71–74. https://doi.org/10.1016/j.jhin.2021.05.011

Le, C., Lehman, E., Nguyen, T., & Craig, T. (2019). Hand Hygiene Compliance Study at a Large Central Hospital in Vietnam. International Journal of Environmental Research and Public Health, 16(4), 607. https://doi.org/10.3390/ijerph16040607

Lotfinejad, N., Peters, A., Tartari, E., Fankhauser-Rodriguez, C., Pires, D., & Pittet, D. (2021). Hand hygiene in health care: 20 years of ongoing advances and perspectives. The Lancet Infectious Diseases, 21(8), e209–e221. https://doi.org/10.1016/s1473-3099(21)00383-2

Ojanperä, H., Kanste, O. I., & Syrjala, H. (2020). Hand-hygiene compliance by hospital staff and incidence of health-care-associated infections, Finland. Bulletin of the World Health Organization, 98(7), 475–483. https://doi.org/10.2471/blt.19.247494

Portz, J. D., Bayliss, E. A., Bull, S., Boxer, R. S., Bekelman, D. B., Gleason, K., & Czaja, S. (2019). Using the Technology Acceptance Model to Explore User Experience, Intent to Use, and Use Behavior of a Patient Portal Among Older Adults With Multiple Chronic Conditions: Descriptive Qualitative Study. Journal of Medical Internet Research, 21(4), e11604. https://doi.org/10.2196/11604

Qudah, B., & Luetsch, K. (2019). The influence of mobile health applications on patient - healthcare provider relationships: A systematic, narrative review. Patient Education and Counseling, 102(6), 1080–1089. https://doi.org/10.1016/j.pec.2019.01.021

Sands, M., & Aunger, R. (2020). Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study. PLOS ONE, 15(4), e0230573. https://doi.org/10.1371/journal.pone.0230573

Santosaningsih, D., Erikawati, D., Santoso, S., Noorhamdani, N., Ratridewi, I., Candradikusuma, D., Chozin, I. N., Huwae, T. E. C. J., van der Donk, G., van Boven, E., Voor in ’t holt, A. F., Verbrugh, H. A., & Severin, J. A. (2017). Intervening with healthcare workers’ hand hygiene compliance, knowledge, and perception in a limited-resource hospital in Indonesia: a randomized controlled trial study. Antimicrobial Resistance & Infection Control, 6(1). https://doi.org/10.1186/s13756-017-0179-y

Wang, C., Jiang, W., Yang, K., Yu, D., Newn, J., Sarsenbayeva, Z., Goncalves, J., & Kostakos, V. (2021). Electronic Monitoring Systems for Hand Hygiene: Systematic Review of Technology. Journal of Medical Internet Research, 23(11), e27880. https://doi.org/10.2196/27880

WHO (2009) CONSENSUS RECOMMENDATIONS - WHO Guidelines on Hand Hygiene in Health Care - NCBI Bookshelf. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK144035/ (Accessed: March 6, 2023).

WHO (2022) Infection prevention and control. Retrieved from https://www.who.int/teams/integrated-health-services/infection-prevention-control/hand-hygiene (Accessed: March 6, 2023).

Yousaf, K., Mehmood, Z., Awan, I. A., Saba, T., Alharbey, R., Qadah, T., & Alrige, M. A. (2019). A comprehensive study of mobile-health based assistive technology for the healthcare of dementia and Alzheimer’s disease (AD). Health Care Management Science, 23(2), 287–309. https://doi.org/10.1007/s10729-019-09486-0

Downloads

Published

2023-12-06

Most read articles by the same author(s)