2009
DOI: 10.1086/596773
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A Qualitative Exploration of Reasons for Poor Hand Hygiene Among Hospital Workers Lack of Positive Role Models and of Convincing Evidence That Hand Hygiene Prevents Cross-Infection

Abstract: The results indicate that beliefs about the importance of self-protection are the main reasons for performing hand hygiene. A lack of positive role models and social norms may hinder compliance.

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Cited by 222 publications
(215 citation statements)
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References 24 publications
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“…The trend toward higher hand hygiene compliance upon exiting has been demonstrated in previous studies and attributed to HCW desire for self-protection rather than for patient safety. 7 Similarly, the lower rates of compliance among nursing staff have also been described previously. 8 The limitations of our study were the small sample size and monitoring that did not take into account what occurred inside the patient rooms.…”
Section: A Rapid-cycle Quality Improvement Initiative To Increase Comsupporting
confidence: 61%
“…The trend toward higher hand hygiene compliance upon exiting has been demonstrated in previous studies and attributed to HCW desire for self-protection rather than for patient safety. 7 Similarly, the lower rates of compliance among nursing staff have also been described previously. 8 The limitations of our study were the small sample size and monitoring that did not take into account what occurred inside the patient rooms.…”
Section: A Rapid-cycle Quality Improvement Initiative To Increase Comsupporting
confidence: 61%
“…Notably, the lack of positive role modeling among senior clinical staff was cited as a reason for low adherence to hand hygiene practices. 388 Positive deviance/early adopters. Another successful strategy to effect change is the use of positive deviance or early adopters.…”
Section: Ivb Education Strategiesmentioning
confidence: 99%
“…24 A qualitative study, based on structured interviews, attended by 65 nurses, physicians and medical students in intensive care and surgery services from five hospitals in Holland, considered: priority activities, lack of equipment and accessible materials, lack of time, forgetfulness, the lack of scientific evidence about the importance of hand hygiene in preventing cross-infections and the lack of positive role models and norms. 25 …”
Section: Discussionmentioning
confidence: 99%