Effects of Peer Monitoring and Peer Feedback on Hand Hygiene in Surgical Intensive Care Unit and Step-down UnitsLangston, Michael PhD, RN Section Editor(s): OERMANN, H. MARILYN PhD, RN, FAANJournal of Nursing Care Quality: January/March 2011 - Volume 26 - Issue 1 - p 49–53 doi: 10.1097/NCQ.0b013e3181ea75b8 Articles Abstract Author Information Attempts to increase hand hygiene compliance of health care workers solely through education have met with mixed success. A peer-monitoring and feedback intervention was evaluated to determine the effectiveness in increasing hand hygiene among health care staff at a large teaching hospital. Comparisons of pre- (n = 263) and post- (n = 253) observations revealed that the intervention had a significant effect on increasing hand hygiene compliance after nonpatient contact in a patient's room (P = .006). University of North Carolina Hospitals, Chapel Hill. Correspondence: Michael Langston, PhD, RN, University of North Carolina Hospitals, 10 Manning Dr, Chapel Hill, NC, 27514 (email@example.com). Accepted for publication: May 30, 2010 © 2011 Lippincott Williams & Wilkins, Inc.