Background: Nurses' hand hygiene is critical for preventing nosocomial infections, yet evidence on effective interventions is limited. This study examined the effect of short messaging on nurses' hand hygiene behaviors.
Method: A randomized controlled trial was conducted with 60 nurses in Turkey (intervention, 30; control, 30). The intervention group received eight educational Short Message Service-based messages twice weekly for 4 weeks. Data were collected using validated hand hygiene assessment tools. Analyses included two-way robust tests, Bonferroni, and Mann- Whitney U tests.
Results: Posttest scores for the Hand Washing Form, Surgical Hand Washing Form, and Form for Hand Rubbing with Antiseptic Agent were significantly higher in the intervention group compared with baseline (p < .001).
Conclusion: The Short Message Service-based education significantly improved nurses' hand hygiene and represents a practical, scalable strategy for clinical training and behavior change.
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