{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T13:28:52Z","timestamp":1786368532313,"version":"build-2736575974"},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>Objective: to assess the effectiveness of a gamified educational intervention on proper execution of the hand hygiene technique among nurses and nursing technicians in hospitalization units.  Method: this quasi-experimental study of the before-and-after type was conducted with 45 Nursing professionals. The data were collected by means of a structured form to observe the technique before and after the intervention. The statistical data analysis was performed using Wilcoxon\u2019s Signed-Rank test and the McNemar test.  Results: in the pre-intervention period, 61.3% of the technicians and 42.9% of the nurses failed to follow all the technique steps; after the gamification, 100% of the nurses and 97.7% of the nursing technicians did implement the right steps (p&lt;0.001) and forgot fewer stages (z=-4.532, p&lt;0.001, r=0.81). The time to perform the technique was also adequate after the intervention, following the recommendations set forth by the World Health Organization (z=-2.441, p=0.015, r=0.36).  Conclusion: the gamified educational intervention was effective in proper execution of the hand hygiene technique among nurses and nursing technicians, reducing errors and increasing compliance with the international guidelines.<\/jats:p>","DOI":"10.1590\/1518-8345.8067.4891","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:37:14Z","timestamp":1786365434000},"source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of a gamified educational intervention on hand hygiene among Nursing professionals: a quasi-experimental study"],"prefix":"10.1590","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4796-0511","authenticated-orcid":false,"given":"Maiara Luci Silva","family":"Costa","sequence":"first","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4115-5346","authenticated-orcid":false,"given":"M\u00e1rcio","family":"Medeiros","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2065-5998","authenticated-orcid":false,"given":"F\u00e1bio da Costa","family":"Carbogim","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2304-7472","authenticated-orcid":false,"given":"Thiago C\u00e9sar","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6119-6762","authenticated-orcid":false,"given":"Andr\u00e9 Luiz Silva","family":"Alvim","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.13835","article-title":"Hand hygiene education components among first-year nursing students: a cluster randomized clinical trial","volume":"7","author":"Chen J","year":"2024","journal-title":"JAMA Netw Open"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1017\/ice.2023.139","article-title":"Healthcare-associated infections and conditions in the era of digital measurement","volume":"45","author":"Classen DC","year":"2024","journal-title":"Infect Control Hosp Epidemiol"},{"key":"ref3","series-title":"The case for investment and action in infection prevention and control","year":"2025"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0294725","article-title":"Educational technologies for teaching hand hygiene: systematic review","volume":"19","author":"Fernandes DR","year":"2024","journal-title":"PLoS One"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1186\/s12879-025-10924-4","article-title":"Uncovering the obstacles: a comprehensive analysis of barriers to hand hygiene adherence among healthcare providers: a systematic review","volume":"25","author":"Afework A","year":"2025","journal-title":"BMC Infect Dis"},{"issue":"1","key":"ref6","article-title":"Evaluation of hand hygiene practices in three intensive care units","volume":"9","author":"Alvim ALS","year":"2019","journal-title":"Rev Epidemiol Control Infect"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s13756-023-01356-3","article-title":"Hand hygiene compliance in a Brazilian COVID-19 unit: the impact of moments and contact precautions","volume":"13","author":"Valim MD","year":"2024","journal-title":"Antimicrob Resist Infect Control"},{"key":"ref8","article-title":"Effectiveness of gamification in nursing degree education","volume":"12","author":"Sanz-Martos S \u00c1lvarez-Garc\u00eda C","year":"2024","journal-title":"PeerJ"},{"issue":"1","key":"ref9","article-title":"Gamification in critical care education and practice","volume":"6","author":"Bass GA","year":"2024","journal-title":"Crit Care Explor"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"104188","DOI":"10.1016\/j.nepr.2024.104188","article-title":"Effect of an escape room as a gamification evaluation tool on clinical reasoning and teamwork skills among nursing students: a quasi-experimental study","volume":"82","author":"Rushdan EE","year":"2025","journal-title":"Nurse Educ Pract"},{"key":"ref11","article-title":"Creation and application of a gamified strategy in nursing undergraduate education","volume":"26","author":"Delage PEGA","year":"2021","journal-title":"Cogitare Enferm"},{"issue":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1590\/0034-7167-2017-0023","article-title":"The use of gamification to teach in the nursing field","volume":"71","author":"Castro TC","year":"2018","journal-title":"Rev Bras Enferm"},{"key":"ref13","series-title":"Fundamentos da pesquisa em enfermagem: avalia\u00e7\u00e3o de evid\u00eancias para a pr\u00e1tica de enfermagem","first-page":"456","author":"Polit DF","year":"2019","edition":"9\u00aa"},{"key":"ref14","series-title":"Guide to implementation: a guide to the implementation of the WHO multimodal hand hygiene improvement strategy","year":"2009"},{"key":"ref15","series-title":"Hiji Sushi","author":"Valle TZ","year":"2019"},{"issue":"5","key":"ref16","doi-asserted-by":"crossref","first-page":"osc230001","DOI":"10.1001\/jamaoto.2023.0159","article-title":"A simple guide to effect size measures","volume":"149","author":"Kallogjeri D","year":"2023","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"11","key":"ref17","doi-asserted-by":"crossref","first-page":"e401","DOI":"10.3928\/19382359-20240908-06","article-title":"Gamification, serious games, and simulation in health professions education","volume":"53","author":"Davis K","year":"2024","journal-title":"Pediatr Ann"},{"issue":"26","key":"ref18","article-title":"A aplica\u00e7\u00e3o da gamifica\u00e7\u00e3o como ferramenta pedag\u00f3gica na forma\u00e7\u00e3o de enfermeiras e enfermeiros","volume":"10","author":"Silva LFM","year":"2024","journal-title":"Journal of Media Critiques"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1007\/s10639-024-12885-8","article-title":"Designing and evaluating ONCologic EMergencies escape room game for undergraduate nursing students: the ONCEM quasi-experimental pilot study","volume":"30","author":"D\u00f6nmez AA","year":"2025","journal-title":"Educ Inf Technol"},{"key":"ref20","article-title":"\u201cEnfermeiro Diagnosticador\u201d board game for teaching diagnostic reasoning in nursing: a quasi-experimental study","volume":"36","author":"Tin\u00f4co JDS","year":"2023","journal-title":"Acta Paul Enferm"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"2333","DOI":"10.1186\/s12889-024-19461-2","article-title":"Determinants of hand hygiene compliance among healthcare workers in intensive care units: a qualitative study","volume":"24","author":"Alshagrawi S","year":"2024","journal-title":"BMC Public Health"},{"issue":"10","key":"ref22","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1016\/j.ajic.2022.02.003","article-title":"Comparing the effectiveness of hand hygiene techniques in reducing the microbial load and covering hand surfaces in healthcare workers: updated systematic review","volume":"50","author":"Price L","year":"2022","journal-title":"Am J Infect Control"},{"issue":"11","key":"ref23","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1016\/j.ajic.2022.07.015","article-title":"Pilot study of using thermal imaging to assess hand hygiene technique","volume":"50","author":"Boyce JM","year":"2022","journal-title":"Am J Infect Control"},{"key":"ref24","doi-asserted-by":"crossref","DOI":"10.37689\/acta-ape\/2024AO00012622","article-title":"Adherence to hand hygiene technique: an observational study","volume":"37","author":"Valim MD","year":"2024","journal-title":"Acta Paul Enferm"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s13756-016-0133-4","article-title":"A quasi-experimental study to determine the effects of a multifaceted educational intervention on hand hygiene compliance in a radiography unit","volume":"5","author":"O\u2019Donoghue M","year":"2016","journal-title":"Antimicrob Resist Infect Control"},{"issue":"2","key":"ref26","doi-asserted-by":"crossref","first-page":"100358","DOI":"10.1016\/j.infpip.2024.100358","article-title":"Hand hygiene knowledge among nurses and nursing students: a descriptive cross-sectional comparative survey using the WHO\u2019s \u201cHand Hygiene Knowledge Questionnaire\u201d","volume":"6","author":"Blomgren PO","year":"2024","journal-title":"Infect Prev Pract"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s13756-024-01374-9","article-title":"Updates and future directions regarding hand hygiene in the healthcare setting: insights from the 3rd ICPIC alcohol-based handrub (ABHR) task force","volume":"13","author":"Tartari E Bellissimo-Rodrigues F","year":"2024","journal-title":"Antimicrob Resist Infect Control"},{"key":"ref28","first-page":"e","article-title":"Hand hygiene in health services: reflection on history and concepts","volume":"15","author":"Alvim ALS","year":"2024","journal-title":"Enferm Foco"}],"container-title":["Revista Latino-Americana de Enfermagem"],"original-title":["Efetividade de interven\u00e7\u00e3o educativa gamificada na higieniza\u00e7\u00e3o das m\u00e3os entre profissionais de enfermagem: estudo quase-experimental"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-11692026000100641&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:37:18Z","timestamp":1786365438000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-11692026000100641&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":28,"alternative-id":["S0104-11692026000100641"],"URL":"https:\/\/doi.org\/10.1590\/1518-8345.8067.4891","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1518-8345.8067.4892","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.8067.4890","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.8067.4890","asserted-by":"object"},{"id-type":"doi","id":"10.1590\/1518-8345.8067.4892","asserted-by":"object"}]},"ISSN":["1518-8345"],"issn-type":[{"value":"1518-8345","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e4891"}}