Symposium Overview & Registration

Want to Improve Hand Hygiene Compliance? Stop Focusing on Changing Behavior and Start Building Meaningful Partnerships

Hand hygiene improvements have traditionally focused on changing behavior of frontline healthcare workers. This presents a challenge for the Infection Preventionist (IP) who is charged with improving hand hygiene yet has no authority or responsibility for those on the frontline of patient care. Perhaps it is time for a paradigm shift. IPs may be best served by focusing less on changing the hand hygiene behavior and more on building meaningful partnerships with those individuals who are in positions of authority and responsibility, namely nurse managers.

During this interactive breakfast symposium, Dr. Jeffrey Ford will discuss the requirements for building partnerships with others for the accomplishment of change. He will identify four key conversations that generate engagement, reduce resistance, and lead to successful change. Peggy Zemansky will share her 4-year journey to sustained hand hygiene improvement after an automated hand hygiene monitoring system was installed at her hospital. Peggy will describe the importance of her working partnership with the hand hygiene team and how she was able to engage her staff, change the culture in her unit, and improve quality of care and patient safety.

Learning Objectives:

  1. Explain the limitations of traditional approaches to changing hand hygiene behavior and why they are not likely to result in sustained improvement.
  2. List the four key conversations that generate engagement, reduce resistance, and lead to successful change.
  3. Describe the importance of a working partnership with nurse managers in an effort to improve hand hygiene
  4. Summarize how this paradigm shift can lead to improvements in hand hygiene but also with other quality improvement initiatives


Jeffrey D. Ford, Ph.D.

Jeffrey D. Ford, Ph.D.

Author of The Four Conversations, Daily Communication that Gets Results, winner of CEO Read’s Best Management Book of 2009.

Jeffrey Ford is Professor Emeritus of Management in the Department of Management and Human Resources at the Fisher College of Business, The Ohio State University.  Prior to joining Ohio State, he served on the faculties at Rutgers, The State University of New Jersey, and Indiana University.

He has been a member of the Academy of Management since 1975 and the Organizational Development and Change Division since 1986.  His research focuses on the leadership and management of change, resistance to change, and the role of productive conversations in the implementation and accomplishment of change.

His articles on organization change have appeared in the Academy of Management Review, the Academy of Management Journal, the Journal of Organizational Change Management, the Journal of Change Management, the Journal of Applied Behavioral Science, the Harvard Business Review, and Organizational Dynamics. He is the co-author, with his wife Laure, of The Four Conversations: Daily Communication that Gets Results.

He is currently Associate Editor of the Journal of Change Management and serves on the Editorial Boards of the Journal of Applied Behavioral Science and the Academy of Management Review.

Peggy Zemansky RN, CCRN, BSN- Patient Care Manager

Peggy Zemansky RN, CCRN, BSN- Patient Care Manager

University of Chicago Medicine

Peggy Zemansky, RN, BSN, CCRN is a Patient Care Manager in the Surgical Intensive Care Unit at the University of Chicago Medicine Hospital in Chicago Illinois. Prior to joining UCM, she served as a nurse leader at Parkland hospital in their Surgical- Trauma ICU. She also serves as a Nursing Legal Consultant.

Peggy has chapters published in Competency Based Orientation in Critical Care Nursing. Peggy’s focus in leadership has been employee engagement and staff ownership which has improved quality outcomes. Peggy recently received the Employee Engagement Excellence Award and the SICU was awarded the Silver Beacon Award for Excellence in Nursing Care. She has also presented on employee engagement and hand hygiene topics.


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