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June 17, 2026Leadership in health services

Leadership-as-practice to improve hand hygiene: a mixed-methods study in a Nepal emergency department

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Authors

AKAshish KarnJAJill AylottDLDayaram Lamsal

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Overview

Mixed-methods study demonstrates improved hand hygiene compliance in a resource-limited emergency department, suggesting practical leadership strategies.

Key Points

  • This study aims to improve hand hygiene compliance using a leadership-as-practice framework in an emergency department in Nepal.
  • Mixed-methods intervention with pre-training assessment, post-training evaluation, and 14-day follow-up.
  • Participated by 60 healthcare workers including doctors, nurses, and support staff.
  • Combined experiential training with Glo Germ gel and facilitated discussion, analyzing quantitative and qualitative data.
  • Hand hygiene adherence increased from 31% at baseline to over 80% post-training and maintained at follow-up.
  • Knowledge scores significantly improved across professional groups.
  • Qualitative data revealed enhanced peer accountability and early cultural change towards shared leadership.

Cite This Study

Karn et al. (2026) studied this question.

synapsesocial.com/papers/6a323bbcd50b63ecad206320https://doi.org/10.1108/lhs-07-2025-0124
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improving Hand Hygiene Compliance in a Resource-Limited ICU Using a Low-Cost Multimodal Quality Improvement Intervention2026 · 1 citations
  2. 2P-1101. Can targeted interventions improve the hand hygiene compliance among Healthcare Workers in low resource settings?2026 · 1 citations
  3. 3Leadership and healthcare professionals’ role in hand hygiene compliance: Identifying risk factors at surgical clinics of the university clinical center NIS, Serbia2026
  4. 4Implementation and sustainment of a structured hand hygiene group in an oncology hospital: a key factor for improving the hand hygiene performance.2026
  5. 5Patient hand hygiene in a residential aged care facility: a best practice implementation project.2026