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MODULE 5 — Barriers to Compliance & Behavioural Change

MODULE 5 — Barriers to Compliance & Behavioural Change

Course Content
Hand Hygiene for Healthcare Workers: Principles, Practice & Patient Safety
By the end of this online course, learners will be able to: 1. Apply evidence based hand hygiene practices • Demonstrate correct hand hygiene techniques in accordance with WHO’s “Five Moments for Hand Hygiene” and local organisational policy. • Differentiate between social handwashing, clinical hand hygiene, and surgical hand preparation, selecting the appropriate method for various clinical scenarios. 2. Analyse transmission pathways of infection • Explain how microorganisms (bacteria, viruses, fungi) commonly spread in healthcare settings. • Identify specific points in the care process where hand contamination is most likely. 3. Evaluate risk and determine when hand hygiene is essential • Assess patient-care activities for their risk of contamination and infection transmission. • Apply critical thinking to decide when to use soap and water versus alcohol-based hand rub (ABHR). 4. Use hand hygiene products correctly and safely • Compare different hand hygiene products (e.g., ABHR, antimicrobial soap, moisturisers) and describe their indications, limitations, and contraindications. • Discuss how skin health impacts compliance and identify methods to minimise dermatitis. 5. Demonstrate correct glove use and its relationship to hand hygiene • Distinguish between appropriate and inappropriate glove use. • Correctly perform hand hygiene before and after glove use and understand the rationale behind it. 6. Recognise barriers to compliance and implement strategies to overcome them • Identify individual, cultural, environmental, and organisational barriers to hand hygiene adherence. • Propose practical, evidence informed strategies to improve compliance within a team or clinical area. 7. Interpret audit data to improve practice • Understand how hand hygiene audits are conducted. • Critically analyse hand hygiene audit results and contribute to action plans to improve performance. 8. Promote a safety culture through effective communication • Use assertive communication to challenge missed hand hygiene opportunities in a respectful, person-centred manner. • Act as a role model by demonstrating consistent adherence to hand hygiene best practice. 9. Apply legal, ethical, and regulatory frameworks • Explain professional responsibilities relating to infection prevention, including CQC (UK) expectations and organisational policies. • Demonstrate understanding of the duty of care in preventing healthcare-associated infections (HCAIs).
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Hand Hygiene for Healthcare Workers: Principles, Practice & Patient Safety
MODULE 1: Introduction to Hand Hygiene & Patient Safety
MODULE 2 — Microbiology Essentials for Hand Hygiene
MODULE 3 — WHO Five Moments & Clinical Hand Hygiene Practice
MODULE 4 — Gloves, Skin Care & Product Use
MODULE 5 — Barriers to Compliance & Behavioural Change
MODULE 6 — Hand Hygiene Audits, Monitoring & Quality Improvement
Hand Hygiene Course – Learning Outcomes
About Lesson

Learning Objectives

  • Identify human, cultural, and systemic barriers.
  • Develop strategies to promote compliance.

Lesson Content

  1. Why Compliance Fails
    • Workload pressures
    • Access to products
    • Poor role modelling
    • Cultural norms & “normalisation of deviation”
  2. Improving Compliance
    • Behaviour change models (COM‑B introduction)
    • Environmental cues (posters, dispensers, reminders)
    • Leadership, modelling, and peer reinforcement
  3. Challenging Poor Practice
    • Assertive but respectful communication
    • Safety culture principles
    • How to speak up effectively (graded assertiveness)

Activities

  • Role‑play scenario (online interactive branching scenario)
  • Optional reflective journal entry

Assessment

  • 6 question quiz based on scenarios
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