Behavior-change interventions to improve hand-hygiene practice: a review of alternatives to education

Wilson, Sarah; Jacob, Casey J.; Powell, Douglas

doi:10.1080/09581591003786122

Cited by 45 publications

(33 citation statements)

References 39 publications

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“…The current study, therefore, extends this previous line of research, paying particular attention to what has been called a planning-behaviour gap (Sniehotta, 2009). In addition, studies on Planning,action control,and hand washing,p.3 hand hygiene commonly target healthcare professionals in hospital settings (Wilson, Jacob, & Powell, 2011). Other populations also deserve attention as infectious diseases are known to be transmitted in public places (Zapka et al, 2011).…”

Section: Introductionmentioning

confidence: 61%

Social-cognitive antecedents of hand washing: Action control bridges the planning–behaviour gap

Fernández

Knoll

Hamilton

et al. 2016

Psychology & Health

106

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Both motivational and volitional processes are important to consider in the improvement of hand hygiene practices. Moreover, the statistically significant effects for planning and action control illustrate the importance of these key self-regulatory factors in the prediction of hand hygiene. The current study highlights the importance of adopting models that account for motivational and volitional factors to better understand hand washing behaviour.

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Section: Introductionmentioning

confidence: 61%

Social-cognitive antecedents of hand washing: Action control bridges the planning–behaviour gap

Fernández

Knoll

Hamilton

et al. 2016

Psychology & Health

106

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“…However, this strategy has been evaluated with mixed results [34][35][36]. For example, in one study nurses' hand washing intentions were influenced by peer pressure from physicians and administrators [37] while another study reported that peer feedback on hand hygiene performance whilst effective in the intervention period, was not sustainable [38].…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of senior hospital managers¿ views on current and innovative strategies to improve hand hygiene

et al. 2014

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Background: Despite universal recognition of the importance of hand hygiene in reducing the incidence of healthcare associated infections, health care workers' compliance with best practice has been sub-optimal. Senior hospital managers have responsibilities for implementing patient safety initiatives and are therefore ideally placed to provide suggestions for improving strategies to increase hand hygiene compliance. This is an under-researched area, accordingly the aim of this study was to identify senior hospital managers' views on current and innovative strategies to improve hand hygiene compliance. Methods: Qualitative design comprising face-to-face interviews with thirteen purposively sampled senior managers at a major teaching and referral hospital in Sydney, Australia. Data were analysed thematically. Results: Seven themes emerged: culture change starts with leaders, refresh and renew the message, connect the five moments to the whole patient journey, actionable audit results, empower patients, reconceptualising non-compliance and start using the hammer. Conclusions: To strengthen hand hygiene programmes, strategies based on the five moments of hand hygiene should be tailored to specific roles and settings and take into account the whole patient journey including patient interactions with clinical and non-clinical staff. Senior clinical and non-clinical leaders should visibly champion and mandate best practice initiatives and articulate that hand hygiene non-compliance is culturally and professionally unacceptable to the organization. Strategies that included a disciplinary component and which conceptualise hand hygiene non-compliance as a patient safety error may be worth evaluating in terms of staff acceptability and effectiveness.

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“…Core tasks of health promoting agencies therefore include developing and implementing handwashing programs. However, their efficacy is often mixed (Aboud & Singla, 2012;Naikoba & Hayward, 2001;Wilson et al, 2011). To increase the effectiveness of health behaviour change interventions, scholars advocate using behavioural theories to inform them (Aboud & Singla, 2012;Al-Tawfiq & Pittet, 2013;Michie & Johnston, 2012).…”

Section: Introductionmentioning

confidence: 99%

Social-cognitive factors mediating intervention effects on handwashing: a longitudinal study

Contzen

Inauen

2015

J Behav Med

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Handwashing with soap effectively prevents diarrhoea, a leading cause of death in infants. Theory-based interventions are expected to promote handwashing more successfully than standard approaches. The present article investigates the underlying change processes of theory-based handwashing interventions. A nonrandomised field study compared a standard approach to two theory-based interventions that were tailored to the target population, the inhabitants of four villages in southern Ethiopia (N = 408). Data were collected before and after interventions by structured interviews and analysed by mediation analysis. In comparison to the standard approach (i.e., education only), education with public commitment and reminder was slightly more effective in changing social-cognitive factors and handwashing. Education with an infrastructure promotion and reminder was most effective in promoting handwashing through enhancing social-cognitive factors. The results confirm the relevance of testing interventions' underlying change processes.

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Behavior-change interventions to improve hand-hygiene practice: a review of alternatives to education

Cited by 45 publications

References 39 publications

Social-cognitive antecedents of hand washing: Action control bridges the planning–behaviour gap

Social-cognitive antecedents of hand washing: Action control bridges the planning–behaviour gap

A qualitative study of senior hospital managers¿ views on current and innovative strategies to improve hand hygiene

Social-cognitive factors mediating intervention effects on handwashing: a longitudinal study

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