Hand Hygiene Behavior: Translating Behavioral Research into Infection Control Practice

Eiamsitrakoon, Thanee; Apisarnthanarak, Anucha; Nuallaong, Winitra; Khawcharoenporn, Thana; Mundy, Linda M.

doi:10.1086/673446

Cited by 24 publications

(37 citation statements)

References 26 publications

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“…En base a los resultados del presente estudio, se pudo observar que los profesionales sobreestiman sus tasas de adhesión a la HM, siendo la tasa auto-reportada (87,9%) muy distinta a la tasa observada (19,0%), de forma semejante a lo que se pudo encontrar en otros estudios (13,14) .…”

Section: Discussionunclassified

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Monitorização da higienização das mãos: observação direta versus taxa autorreportada

Oliveira

Paula

Gama

2017

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higiene de las manos es una de las principales medidas de control de las infecciones. Este estudio tuvo como objetivo comparar las tasas de adherencia a la higiene de las manos obtenidos por métodos de observación directa y la tasa autorreportada en una unidad de cuidados intensivos. Estudio transversal realizado en un hospital universitario, entre septiembre y diciembre de 2013. Los datos fueron recolectados a través de la observación directa del personal médico y de enfermería, y la aplicación de un cuestionario estructurado para identificación de las tasas de adhesión autorreportadas. Se realizaron análisis descriptivos y univariantes. El proyecto fue aprobado por el Comité de Ética. Se obtuvo un total de 1935 oportunidades para la higiene de las manos. La tasa de adhesión autorreportada fue de 87,9%, mientras que la tasa observada fue del 19,0% (p <0,001). La higiene de las manos simple fue referido como preferido por 70,2% de los profesionales de la salud, seguido de 12,3% de fricción con solución alcohólica antiséptica y 17,5% por ambos (higiene de las manos simple seguida de fricción con solución alcohólica antiséptica), y dichas tasas fueron similares en la adhesión autorreportadas y la observación directa. Las tasas de adhesión autorreportadas a la higiene de manos fueron sobreestimadas y las tasas obtenidas por observación directa fueron bajas, aunque no distinta de la escena mundial, reafirmando la necesidad de estrategias de implementación continua para la mejora de estas.

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Section: Discussionunclassified

“…De este modo, con el uso de este método, hay una tendencia del profesional de la salud de casi siempre informar tasas superiores a las que realmente son (15,16) .…”

Section: Hm Simple Fricción Antiséptica Ambos No Se Aplicaunclassified

Monitorização da higienização das mãos: observação direta versus taxa autorreportada

Oliveira

Paula

Gama

2017

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“…19 Researchers observed hand hygiene according to the World Health Organization 'five moments of hand hygiene' and then gave participants a survey based on the theory of planned behaviour and transtheoretical model constructs. 2 There was a weak but significant positive correlation between total theory of planned behaviour scores and observed hand hygiene compliance (r ¼ 0.21, P ¼ 0.02), and a stronger correlation with self-reported hand hygiene compliance (r ¼ 0.53, P < 0.001).…”

Section: Studies Of Hand Hygiene Interventions Based On Psychologicalmentioning

confidence: 99%

“…7,11,13 The quality of included predictive studies was influenced by a lack of clear inclusion/exclusion criteria and unrepresentative samples. 7,18,19 In addition, the Hawthorne effect could have influenced the behaviour of participants who were aware that their hand hygiene adherence was being evaluated, and social desirability bias may have affected self-reported reasons for non-compliance. 18,20 …”

Section: Quality Assessmentmentioning

confidence: 99%

Applying psychological frameworks of behaviour change to improve healthcare worker hand hygiene: a systematic review

Srigley

Corace

Hargadon

et al. 2015

Journal of Hospital Infection

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“…간호학에서 계획된 행동이론을 적용한 연구에는 간호사의 환자교육활동 [13], 간호사의 손 씻기 행동 [14][15][16], 간호사의 금 연교육활동 [17], 간호사의 안전간호수행 [18] …”

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Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer

Park

Lee

2016

J Korean Acad Nurs Adm

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Purpose:The purpose of this study was to investigate predictors of nurses' patient safety behavior during inter-hospital transfer. The study was based on the Theory of Planned Behavior (TPB). Methods: A descriptive survey design was used. Data were collected with a self-administrated 39-item questionnaire completed by 111 nurses from a university hospital in Seoul, South Korea. The questionnaire was developed based on the Theory of Planned Behavior (TPB) guideline and included measure of self-reported past patient safety behaviors, intentions, attitudes, subjective norms and perceived behavioral controls. Ethical approval was granted by the hospital review board. Hierarchical regression analyses were carried out. Results: The average score of patient safety behavior was 4.21±0.63 (5 point scale). The TPB variables explained 49.9%of the variance in patient safety behavior. Intention and subjective norm were the most significant predictors of nurses' patient safety behavior. Attitude was related to nurses'patient safety behavior. Conclusion: TPB variables predicted the nurses'patient safety behavior during inter-hospital transfer of patients except for perceived behavioral controls. The results of this study suggest that better strategies for subjective norms and intentions related to patient safety behavior will be helpful in safety culture reform.

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Hand Hygiene Behavior: Translating Behavioral Research into Infection Control Practice

Abstract: Observed HCW compliance to 5 MHH was associated with the type of hospital unit, type of provider-patient encounter, and theory-based behavioral measures of 5 MHH commitment.

Cited by 24 publications

References 26 publications

Monitorização da higienização das mãos: observação direta versus taxa autorreportada

Monitorização da higienização das mãos: observação direta versus taxa autorreportada

Applying psychological frameworks of behaviour change to improve healthcare worker hand hygiene: a systematic review

Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer

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