Degree Name

Master of Science in Health Care Administration

Document Type



The School of Business

Department (Manual Entry)

Department of Health Care Administration

Date of Original Version



Hand washing is one of the most important things that an individual can do to help prevent and control, the spread of bacteria, infections, and many illnesses from occurring. This study aimed to investigate the importance of hand hygiene compliance in nurses who practice at Rhode Island Hospital (RIH) in Rhode Island. The research in this study focuses on the compliance of hand hygiene created by the nursing staff. The branches of RIH target the Neurosurgery, Pulmonary, Dermatology, and the Dialysis Unit, to examine whether the implementation of visual reminders (i.e., "healthy hands" posters) create awareness amongst the nurses in each department. In this mixed-method, prospective, and quasi-experimental study, self-reporting was used to study the frequency of handwashing before and after the implementation of visual reminders. An additional method was created to measure the amount of Germ X Hand Sanitizer used in collaboration with visual reminders in a pre and post-intervention. A Focus Group Discussion was also conducted with the participants to obtain feedback that would increase hand hygiene awareness and its compliance. The results indicated that visual reminders create awareness and increase handwashing frequency among Rhode Island Hospital nurses. The implementation of visual reminders provided nurses with the knowledge and understanding of the importance of the issue.