{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:30:58Z","timestamp":1786113058392,"version":"build-2736575974"},"reference-count":31,"publisher":"Mark Allen Group","issue":"15","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2026,8,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Studies have shown that hand-hygiene compliance rates remain low, especially in high-risk patient areas such as the intensive care unit (ICU). Strategies that use active surveillance, peer-to-peer coaching and collective action can potentially improve hand-hygiene compliance rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To implement the hand-hygiene champion (HHC) role to increase hand-hygiene compliance rates in the ICU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The hand-hygiene champion role was implemented as a quality improvement project in the critical care directorate of two tertiary hospital sites in the UK. The project followed the Plan-Do-Study-Act cycle. The project was carried out from February 2025 to February 2026.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>Hand-hygiene compliance rates were significantly higher in the intervention group with HHCs, compared with the control group. In addition, hand-hygiene compliance rates significantly increased over time, post implementation of HHCs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Introducing HHCs can potentially improve hand-hygiene compliance in ICUs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/bjon.2026.0136","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T17:26:33Z","timestamp":1785950793000},"page":"754-758","source":"Crossref","is-referenced-by-count":0,"title":["Embedding the hand-hygiene champion role to improve compliance in intensive care"],"prefix":"10.12968","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0548-9461","authenticated-orcid":false,"given":"Mary Grace Anne","family":"Batalla","sequence":"first","affiliation":[{"name":"Critical Care Senior Staff Nurse and National Institute for Health and Care Research Predoctoral Fellow, Guy's and St Thomas' NHS Foundation Trust, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yumna Mohammad","family":"Sali","sequence":"additional","affiliation":[{"name":"Critical Care Sister, Guy's and St Thomas' NHS Foundation Trust, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvin","family":"Cortuna","sequence":"additional","affiliation":[{"name":"Critical Care Senior Staff Nurse, Guy's and St Thomas' NHS Foundation Trust, London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_2_1_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2024.02.022"},{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-68494-5"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2025.32"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15293"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2024-003220"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15526"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2021.03.007"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2022.304"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-019-0943-x"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S269315"},{"key":"e_1_3_2_11_1","unstructured":"Health Research Authority Medical Research Council. 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