Hand hygiene adherence is influenced by the behavior of role models

Schneider, James; Moromisato, David; Zemetra, Beth; Rizzi-Wagner, Lisa; Rivero, Niurka; Mason, Wilbert H.; Imperial-Perez, Flerida; Ross, Lawrence A.

doi:10.1097/pcc.0b013e3181a32f16

Cited by 49 publications

(33 citation statements)

References 25 publications

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“…The lowest rates of normative beliefs were in the group of medical students, who perceived less social pressure since they are not yet on duty. In the literature, role models and behavior of other HCWs significantly influences compliance rates of hand hygiene [12,13]. In our study 91% of our respondents believed that role models have Furthermore, the expectations of superiors with regard to the HCWs' compliance were an independent explanatory factor for self-reported good hand hygiene.…”

Section: Discussionmentioning

confidence: 50%

Importance of structured training programs and good role models in hand hygiene in developing countries

Alp

Öztürk

Güven

et al. 2011

Journal of Infection and Public Health

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The aim of this study is to identify the beliefs and perceptions associated with hand hygiene performance in two different institutions with limited resources and recently established infection control programme later than developed institutions. The study was conducted in two different hospitals (University Hospital-U-hospital and Community Hospital-C-hospital) in the same city by a self administered questionnaire. Most questions were drawn from questionnaires used previously in other studies from "industrialized" countries based on "The Theory of Planned Behavior". All nurses, nurse students (last class), physicians and intern medical students in the U-hospital, and all nurses in the C-hospital were included into the study. Of 1764 questionnaires, 941 (41%) were returned. The return rate was highest for nurses in C-hospital (63.8% [303 of 475]) and lowest for senior physicians in U-hospital (7.5% [16 of 212]). Out of the respondent a total of 16 (1.7%) were senior physicians, 110 (11.6%) were physician assistants, 400 (42.6%) were nurses in the U-hospital, 303 (32%) were nurses in the C-hospital, 66 (7%) were medical students and 46 (4.9%) were nurse students. Seven hundred and ninety five (85.9%) of 926 respondents were female. Respondents provided demographic information and data about various behavioral, normative, and control beliefs that determined their intentions with respect to performing hand hygiene. Among individuals from the other professional categories, a greater percentage of U-hospital nurses (57.6% vs. 53.9%, respectively) believed that healthcare-associated infections to be greater than 20%, and mortality rate among infected patients to be greater than 5%. C-hospital nurses generally believed the frequency, severity, and impact of healthcare-associated infections to be lower than U-hospital nurses and other individuals. However, all professional categories believed that good hand hygiene effectively prevents infections (98%). In univariate analysis, receipt of structured training in hand hygiene, perceived colleagues adherence's as good, adherence models good practices for others, having been observed for their adherence (normative beliefs), the perception that hand hygiene is relatively easy to perform and high workload (control beliefs) was associated with good hand hygiene. However, in multivariate analysis, high self reported adherence to hand hygiene was independently associated with receipt of structured training in hand hygiene, perceived good adherence by colleagues, the perception that hand hygiene is relatively easy to perform and having been observed for their adherence. In a country with limited resources, intention to comply was associated with training and strong normative and control beliefs. Also, in two different kinds of institution with the similar hand hygiene promotion campaign in the same city, the believes of nurses were different. In developing countries, more resources have to be allocated for training of HCWs and easy access for hand hygiene products.

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Section: Discussionmentioning

confidence: 50%

Importance of structured training programs and good role models in hand hygiene in developing countries

Alp

Öztürk

Güven

et al. 2011

Journal of Infection and Public Health

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“…2 She expressed positive beliefs about the outcome of the activity, and she would probably also have responded positively if questioned about social norms. 3 Moreover, the behaviour in question was not obstructed by any of the frequently cited barriers to hand hygiene -since time pressure did not appear to be an issue, and hand-rub dispensers were abundant and conveniently located around each bed. 4 Why, then, did she fail to act as she intended?…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Mental models: a basic concept for human factors design in infection prevention

Sax

Clack

2015

Journal of Hospital Infection

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Much of the effort devoted to promoting better hand hygiene is based on the belief that poor hand hygiene reflects poor motivation. We argue, however, that automatic unconscious behaviour driven by 'mental models' is an important contributor to what actually happens. Mental models are concepts of reality-imaginary, often blurred, and sometimes unstable. Human beings use them to reduce mental load and free up capacity in the conscious mind to focus on deliberate activities. They are pragmatic solutions to the complexity of life. Knowledge of such mental processes helps healthcare designers and clinicians overcome barriers to behavioural change. This article reviews the concept of mental models and considers how it can be used to improve hand hygiene and patient safety.

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“…손위생 이행 정도가 낮은 요인으 로 개인적인 측면에서는 남성과 손위생 지침에 대한 지식부족 (Pittet, 2004), 손위생으로 인한 피부 자극 (Whitby et al, 2007)을 들 수 있고, 대인 관계 측면에서는 간호사의 과중한 업무량 (Pittet, 2004), 손위생 이행을 위한 시간 부족 (Lee & Kang, 2007;Wandel, Maes, Labeau, Vereecken, & Blot, 2010), 손위생에 대한 역할모델 부족 (Schneider et al, 2009) 등이 주요한 장애 요인으로 알려져 있다. 또한 Pittet (2004 (Nicol, Watkins, Donovan, Wynaden, & Cadwallader, 2009;Pittet, 2004;Whitby et al, 2007) (Jenner, Watson, Miller, Jones, & Scott, 2002;Lee, So, & Cho, 2005;Pittet, 2004;Sax et al, 2007;Wandel et al, 2010;Whitby et al, 2006), 질적 연구에서 면담 질문을 도출 하기 위하여 계획된 행위이론의 개념을 사용한 연구 (Erasmus et al, 2009;Nicol et al, 2009) …”

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The Structural Model of Hand Hygiene Behavior for the Prevention of Healthcare-associated Infection in Hospital Nurses

Jeong

Kim²

2012

Korean J Adult Nurs

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Purpose:The purpose of this study was to test hand hygiene behavior model of hospital nurses, based on theory of planned behavior. Methods: Data were collected from 253 nurses from four university hospitals for the period of December 2010 to January 2011. Data were analyzed using of SAS (ver.9.1). Fitness of the study model was identified with SAS PROC CALIS. Results: The overall fitness was x 2 =57.81 (df=13, p<.001), GFI=.99, AGFI=.99, CFI=.95, NFI=.93. The variance of actual implementation of hand hygiene by predictor variables was 11.0% and the variance of intention to hand hygiene was 53.5%. Variable that had a direct effect on hand hygiene behavior was intention. Perceived behavior control and attitude affected hand hygiene behavior indirectly. Control belief had a direct effect on perceived behavior control and had an indirect effect on intention and behavior. Behavioral belief had a direct effect on attitude and an indirect effect on intention and behavior. Conclusion: The study provides basic information for understanding nurses' hand hygiene behavior. Further testing of the model will indicate which variables can contribute to improved hand hygiene.

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Hand hygiene adherence is influenced by the behavior of role models

Cited by 49 publications

References 25 publications

Importance of structured training programs and good role models in hand hygiene in developing countries

Importance of structured training programs and good role models in hand hygiene in developing countries

Mental models: a basic concept for human factors design in infection prevention

The Structural Model of Hand Hygiene Behavior for the Prevention of Healthcare-associated Infection in Hospital Nurses

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