Randomised Controlled Trial (RCT) of 6 Versus 3 Steps for Hand Hygiene

The aim is to compare the effectiveness of the 6 step hand rub technique versus 3 step hand rub technique in hand coverage and in reducing bacterial contamination on the hands of healthcare workers in practice. Research questions 1. What is the effectiveness of the 6 step technique in hand coverage compared to the 3 step technique? 1. What are the most frequently missed sites in hand surface coverage using 6 steps compared to 3 steps? 2. What is the reduction in bacterial contamination of the hand with the 6 step compared to the 3 step technique? 2. Does site missed or coverage relate to bacterial load? 3. What is the time taken for 6 step technique versus 3 step technique?