Relationship between systems-level factors and hand hygiene adherence.
Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71.
This study found that organizations that prioritized teamwork—specifically by using morning huddles among nurses—reported higher rates of hand hygiene. Although system factors may play a role in suboptimal hand hygiene, some observers have argued for greater emphasis on individual responsibility in this area.