Background

Automated radio-frequency identification (RFID)-based hand-hygiene monitoring technology was implemented in an infectious disease department to study healthcare workers' (HCWs') practices and to improve hand hygiene.

Aim

To assess HCWs' attitudes towards this innovative monitoring device in order to anticipate resistance to change and facilitate future implementation.

Methods

In-depth interviews and an ethnographic approach.

Findings

From the perspective of HCWs, while they recognize the usefulness of RFID technology to prevent the transmission of infections to patients, they expressed concerns about risks related to RFID electromagnetic waves, as well as control by their superiors. Overall, HCWs' opinions oscillated between positive feelings characterized by enthusiasm for the possibility of changing their practices using technologies and research, and negative feelings marked by strong criticisms of these technologies and research. These criticisms included blaming hand-hygiene monitoring technology for decontextualizing HCWs' practices. They perceived the technologies through the prism of the local and national contexts in which they are embedded. From their point of view, technologies are primarily in the best interests of the project team. Thus, they affirm and maintain the different interests and objectives between themselves and the project team, crystallizing a conflict of professional norms and values between these two groups. The forms of resistance taken by HCWs were practical as well as oral.

Conclusion

Innovative technologies should be developed to address HCWs' attitudes surrounding RFIDs. It is crucial to inform HCWs about the nature of these technologies, although some criticisms about monitoring systems are based on more structural causes.

中文翻译：

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医护人员对手卫生监测技术的态度

背景

传染病部门实施了基于自动射频识别（RFID）的手部卫生监测技术，以研究医护人员（HCW）的做法并改善手部卫生。

目的

评估医务工作者对这种创新的监测设备的态度，以预期对变革的抵制并促进未来的实施。

方法

深入访谈和人种学方法。

发现

从医护人员的角度来看，尽管他们认识到RFID技术在防止感染向患者传播方面的作用，但他们对与RFID电磁波有关的风险以及上级人员的控制表示担忧。总体而言，医护人员的观点在积极的情绪和对技术和研究的强烈批评中表现出积极的情绪，积极的情绪是对使用技术和研究改变其做法的热情所特有的。这些批评包括指责手卫生监测技术使医务工作者的行为脱钩。他们从嵌入技术的地方和国家的角度来了解技术。从他们的角度来看，技术主要符合项目团队的最大利益。因此，他们申明并维护自己与项目团队之间的不同利益和目标，从而在这两个群体之间形成了专业规范和价值观的冲突。医护人员采取的抵抗形式既实用又是口头的。

结论

应该开发创新技术来解决医护人员对RFID的态度。尽管对监控系统的一些批评是基于更多的结构性原因，但向HCW告知这些技术的性质是至关重要的。