Kontakt X:X | DOI: 10.32725/kont.2025.059
Insights into healthcare workers' views on the electronic hand hygiene monitoring systemNursing - Original article
- 1 Faculty Hospital Trnava, Department of Hospital Hygiene and Epidemiology, Trnava, Slovak Republic
- 2 University of Trnava, Faculty of Health Sciences and Social Work, Center for Microbiology and Infection Prevention, Trnava, Slovak Republic
- 3 University of Trnava, Faculty of Health Sciences and Social Work, Department of Nursing, Trnava, Slovak Republic
Aim: This study analyzed healthcare workers' attitudes towards an electronic digital hand hygiene (HH) monitoring system before and after its implementation at Trnava University Hospital (FNTT).
Methods: A comparative before-and-after study was conducted using the NosoEx® electronic HH monitoring system (GWA Hygiene GmbH) in two clinics at FNTT, Slovakia. The study periods were 24.04.2023 - 31.12.2023 and 22.04.2024 - 31.12.2024. A total of 277 healthcare workers participated in the surveys.
Results: After implementation, willingness to have behaviour monitored increased significantly at the clinic without transponders from 77.4% to 97.0% (p = 0.0181), along with acceptance of long-term monitoring (p = 0.0121). Stress related to monitoring decreased (p = 0.0069). At the clinic with transponders, discomfort with hand disinfection dropped from 72.7% to 42.1% (p = 0.0001) and stress levels also fell (p = 0.0001). Openness to permanent implementation increased at this clinic (p = 0.0072).
Conclusion: Introducing the electronic HH monitoring system positively influenced healthcare workers' attitudes, increased their willingness to be monitored, and reduced stress. This system is an effective tool to improve HH compliance in clinical settings.
Keywords: Automatization; Compliance; Digitalization; Hand hygiene; Healthcare-associated infections; Surveillance
Conflicts of interest:
The authors have no conflict of interest to declare.
Received: June 17, 2025; Revised: August 31, 2025; Accepted: October 17, 2025; Prepublished online: November 26, 2025
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