Are emojis ready to promote the WHO 5 moments for hand hygiene in healthcare?

Abstract Background Hand hygiene is universally recognized as a cornerstone measure for the prevention of healthcare-associated infections. Although the WHO “My five Moments for hand hygiene” poster has been used for more than a decade to delineate hand hygiene indications and promote action, adhere...

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Main Authors: Nasim Lotfinejad, Ermira Tartari, Julien Sauser, Carolina Fankhauser-Rodriguez, Daniela Pires, Didier Pittet
Format: Article
Language:English
Published: BMC 2022-10-01
Series:Antimicrobial Resistance and Infection Control
Subjects:
Online Access:https://doi.org/10.1186/s13756-022-01164-1
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author Nasim Lotfinejad
Ermira Tartari
Julien Sauser
Carolina Fankhauser-Rodriguez
Daniela Pires
Didier Pittet
author_facet Nasim Lotfinejad
Ermira Tartari
Julien Sauser
Carolina Fankhauser-Rodriguez
Daniela Pires
Didier Pittet
author_sort Nasim Lotfinejad
collection DOAJ
description Abstract Background Hand hygiene is universally recognized as a cornerstone measure for the prevention of healthcare-associated infections. Although the WHO “My five Moments for hand hygiene” poster has been used for more than a decade to delineate hand hygiene indications and promote action, adherence levels among healthcare workers are still notoriously low and disquieting. To compensate for the lack of effective hand hygiene communication, we aimed to evaluate emojis as possible surrogates for the non-verbal aspects of hand hygiene behaviour. Methods Following a thorough review of the Unicode version 12.0, the most applicable emojis to the terms used in the WHO 5 Moments poster were extracted. We developed a self-administered questionnaire to assess the view of infection prevention and control (IPC) practitioners regarding the use of emojis to show the WHO 5 Moments. Completed questionnaires were collected and analysed to determine the suitability of the existing emojis to illustrate a unified emoji poster. Data were analysed using R (version 3.6.3). Results A total of 95 IPC practitioners completed the questionnaire from May to October 2019 from different countries. Of these, 69 (74%) were female, and the mean age of the participants was 44.6 ± 10.87 years. We found appropriate emojis for six of the words used in the poster, including for touching (72%), for patient (63%), for clean (53%), for procedure (56%), for body fluid (58%), and for exposure risk (71%). The existing emojis proposed for the words “hygiene”, “aseptic”, and “surrounding” seemed to be less satisfactory. Conclusions In summary, the findings of this study indicate that the existing emojis may not be able to substitute the words used in the WHO 5 Moments poster. Emojis might be helpful to address hand hygiene indications in healthcare that may eventually play a role in promoting this measure. However, emojis should be further studied to choose the most appropriate ones and avoid ambiguity and misinterpretation. More emojis to convey health related messages are needed. We recommend further research in this area to evaluate the effect of using emojis in healthcare-related behaviours.
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spelling doaj.art-f2baa575ef8643c99fd2322225905ad32022-12-22T02:37:54ZengBMCAntimicrobial Resistance and Infection Control2047-29942022-10-011111910.1186/s13756-022-01164-1Are emojis ready to promote the WHO 5 moments for hand hygiene in healthcare?Nasim Lotfinejad0Ermira Tartari1Julien Sauser2Carolina Fankhauser-Rodriguez3Daniela Pires4Didier Pittet5Infection Control Programme, Faculty of Medicine, University of Geneva HospitalsInfection Control Programme, WHO Collaborating Centre on Infection Prevention and Control & Antimicrobial Resistance, Faculty of Medicine, Geneva University HospitalsInfection Control Programme, Faculty of Medicine, University of Geneva HospitalsInfection Control Programme, Faculty of Medicine, University of Geneva HospitalsInfection Control Programme, Faculty of Medicine, University of Geneva HospitalsInfection Control Programme, Faculty of Medicine, University of Geneva HospitalsAbstract Background Hand hygiene is universally recognized as a cornerstone measure for the prevention of healthcare-associated infections. Although the WHO “My five Moments for hand hygiene” poster has been used for more than a decade to delineate hand hygiene indications and promote action, adherence levels among healthcare workers are still notoriously low and disquieting. To compensate for the lack of effective hand hygiene communication, we aimed to evaluate emojis as possible surrogates for the non-verbal aspects of hand hygiene behaviour. Methods Following a thorough review of the Unicode version 12.0, the most applicable emojis to the terms used in the WHO 5 Moments poster were extracted. We developed a self-administered questionnaire to assess the view of infection prevention and control (IPC) practitioners regarding the use of emojis to show the WHO 5 Moments. Completed questionnaires were collected and analysed to determine the suitability of the existing emojis to illustrate a unified emoji poster. Data were analysed using R (version 3.6.3). Results A total of 95 IPC practitioners completed the questionnaire from May to October 2019 from different countries. Of these, 69 (74%) were female, and the mean age of the participants was 44.6 ± 10.87 years. We found appropriate emojis for six of the words used in the poster, including for touching (72%), for patient (63%), for clean (53%), for procedure (56%), for body fluid (58%), and for exposure risk (71%). The existing emojis proposed for the words “hygiene”, “aseptic”, and “surrounding” seemed to be less satisfactory. Conclusions In summary, the findings of this study indicate that the existing emojis may not be able to substitute the words used in the WHO 5 Moments poster. Emojis might be helpful to address hand hygiene indications in healthcare that may eventually play a role in promoting this measure. However, emojis should be further studied to choose the most appropriate ones and avoid ambiguity and misinterpretation. More emojis to convey health related messages are needed. We recommend further research in this area to evaluate the effect of using emojis in healthcare-related behaviours.https://doi.org/10.1186/s13756-022-01164-1EmojiHand hygieneInfection prevention and controlQuestionnaireWHO 5 moments
spellingShingle Nasim Lotfinejad
Ermira Tartari
Julien Sauser
Carolina Fankhauser-Rodriguez
Daniela Pires
Didier Pittet
Are emojis ready to promote the WHO 5 moments for hand hygiene in healthcare?
Antimicrobial Resistance and Infection Control
Emoji
Hand hygiene
Infection prevention and control
Questionnaire
WHO 5 moments
title Are emojis ready to promote the WHO 5 moments for hand hygiene in healthcare?
title_full Are emojis ready to promote the WHO 5 moments for hand hygiene in healthcare?
title_fullStr Are emojis ready to promote the WHO 5 moments for hand hygiene in healthcare?
title_full_unstemmed Are emojis ready to promote the WHO 5 moments for hand hygiene in healthcare?
title_short Are emojis ready to promote the WHO 5 moments for hand hygiene in healthcare?
title_sort are emojis ready to promote the who 5 moments for hand hygiene in healthcare
topic Emoji
Hand hygiene
Infection prevention and control
Questionnaire
WHO 5 moments
url https://doi.org/10.1186/s13756-022-01164-1
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