Want to Improve Hand Hygiene Compliance? Stop Focusing on Changing Behavior and Start Building Meaningful Partnerships

Hand hygiene improvements have traditionally focused on changing behavior of frontline healthcare workers. This presents a challenge for the Infection Preventionist (IP) who is charged with improving hand hygiene yet has no authority or responsibility for those on the frontline of patient care. Perhaps it is time for a paradigm shift. IPs may be best served by focusing less on changing the hand hygiene behavior and more on building meaningful partnerships with those individuals who are in positions of authority and responsibility, namely nurse managers.

During this interactive breakfast symposium, Dr. Jeffrey Ford will discuss the requirements for building partnerships with others for the accomplishment of change. He will identify four key conversations that generate engagement, reduce resistance, and lead to successful change. Peggy Zemansky will share her 4-year journey to sustained hand hygiene improvement after an automated hand hygiene monitoring system was installed at her hospital. Peggy will describe the importance of her working partnership with the hand hygiene team and how she was able to engage her staff, change the culture in her unit, and improve quality of care and patient safety.

Learning Objectives:
  1. Explain the limitations of traditional approaches to changing hand hygiene behavior and why they are not likely to result in sustained improvement.
  2. List the four key conversations that generate engagement, reduce resistance, and lead to successful change.
  3. Describe the importance of a working partnership with nurse managers in an effort to improve hand hygiene.
  4. Summarize how this paradigm shift can lead to improvements in hand hygiene but also with other quality improvement initiatives.


Jeffrey D. Ford, Ph.D.
Author of The Four Conversations, Daily Communication that Gets Results, winner of CEO Read’s Best Management Book of 2009.

Jeffrey Ford is Professor Emeritus of Management in the Department of Management and Human Resources at the Fisher College of Business, The Ohio State University. Prior to joining Ohio State, he served on the faculties at Rutgers, The State University of New Jersey, and Indiana University.

He has been a member of the Academy of Management since 1975 and the Organizational Development and Change Division since 1986. His research focuses on the leadership and management of change, resistance to change, and the role of productive conversations in the implementation and accomplishment of change. His articles on organization change have appeared in the Academy of Management Review, the Academy of Management Journal, the Journal of Organizational Change Management, the Journal of Change Management, the Journal of Applied Behavioral Science, the Harvard Business Review, and Organizational Dynamics. He is the co-author, with his wife Laure, of The Four Conversations: Daily Communication that Gets Results.

He is currently Associate Editor of the Journal of Change Management and serves on the Editorial Boards of the Journal of Applied Behavioral Science and the Academy of Management Review.

Peggy Zemansky RN, CCRN, BSN- Patient Care Manager
University of Chicago Medicine

Peggy Zemansky, RN, BSN, CCRN is a Patient Care Manager in the Surgical Intensive Care Unit at the University of Chicago Medicine Hospital in Chicago Illinois. Prior to joining UCM, she served as a nurse leader at Parkland hospital in their Surgical- Trauma ICU. She also serves as a Nursing Legal Consultant.

Peggy has chapters published in Competency Based Orientation in Critical Care Nursing. Peggy’s focus in leadership has been employee engagement and staff ownership which has improved quality outcomes. Peggy recently received the Employee Engagement Excellence Award and the SICU was awarded the Silver Beacon Award for Excellence in Nursing Care. She has also presented on employee engagement and hand hygiene topics.

Navigating the New Soap Landscape in Healthcare: FDA Final Rule, Science of Soap & Best Practices for Skin Health

Hand hygiene is universally accepted as a basic tenet of safe patient care and during a 12-hour shift, a nurse may wash their hands with soap and water more than a dozen times. In 2016, the Food and Drug Administration (FDA) gave consumer soap manufacturers one year to remove some common antimicrobial agents from products used in non-healthcare settings. Since that time, the FDA has been reviewing the safety and efficacy of antiseptic products used in healthcare settings.

On December 20, 2017, the FDA announced its final rule on the most common active ingredients used in hand soap in healthcare settings. These changes will almost certainly create confusion and the Infection Preventionist (IP) will be looked to for education and guidance. This presentation will provide IPs with the knowledge and information they need to advise key decision makers and to support bedside nurses and other caregivers, the primary users of antimicrobial hand washing products. We will also discuss the important attributes of a hand hygiene product and best practices to keep skin healthy in high use settings.

  1. Explain the FDA Monograph and forthcoming changes.
  2. Review available antimicrobial ingredients and their future statuses.
  3. Define important attributes of a hand hygiene product, including efficacy, skin health, and aesthetics needed to drive hand hygiene compliance.
  4. Describe how the FDA and the healthcare facility will ensure safety from a nurse/healthcare worker and patient safety standpoint.

Lori Moore, MPH, BSN, RN, CPPS, CHES
Clinical Educator, GOJO Industries

Lori Moore joined GOJO Industries in 2013 as a Clinical Specialist. In this position, she provided leadership and support to healthcare organizations as they implemented electronic compliance monitoring to more accurately measure hand hygiene performance. She transitioned to the position of Clinical Educator in 2017. In addition to education development, Lori enjoys clinical writing and has presented posters and oral presentations at both local and national conferences. Lori has a well-rounded academic background which includes a Bachelor’s of Arts in Management from Malone College, a Bachelor’s of Science in Nursing from the University of Akron, and a Master’s degree in Public Health from the University of Akron. She has a passion for patient safety and quality of care and continues to work as a bedside nurse in the medical intensive care unit at the Cleveland Clinic Foundation.

What's the big deal about hand hygiene?

As the inventor of PURELL®, GOJO has a long-standing history focused on developing solutions that help to:

  • Increase hand hygiene compliance
  • Reduce infections
  • Improve patient outcomes

By partnering with a number of hospital systems across the world we have merged our science with clinically-based best practices to improve hand hygiene and the skin of healthcare workers.

Promoting Patient and Visitor Hand Hygiene: A Win-Win Initiative

Events, such as the H1N1 pandemic, trends in patient safety initiatives and a focus by hospitals on improving the patient experience have expanded the need and focus for hand hygiene awareness to patients and visitors in healthcare settings.

This webinar will provide detailed information on why patient and visitor hand hygiene deserves your attention and what you can do to create a culture where proper hand hygiene is a standard practice by all audiences in your facility.

Hand Hygiene Symposium Presentations

It’s Time to Move On: Why We Need to Stop Relying on Direct Observation and Embrace Automated Hand Hygiene Monitoring as the New Gold Standard

Eligible for 2.0 contact hours of continuing education
Presented at the Hand Hygiene Symposium sponsored by GOJO at APIC June 14, 2017 with presenters Colin Furness, MISt, PhD, MPH, Assistant professor of knowledge management and information management at the University of Toronto’s Faculty of Information and Emily Landon, MD, Assistant Professor of Medicine at the University of Chicago.

View symposium videos at APIC Industry Perspectives