Impact of teaching interventions on nurse compliance with hand disinfection

Colombo, Carlo; H, Giger; Grote, Jeffrey; Deplazes, C.; Pletscher, W; Lüthi, Regula; Ruef, C.

doi:10.1053/jhin.2002.1198

Cited by 32 publications

(22 citation statements)

References 8 publications

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“…Improving one's attitude on a long-term basis could be effective through intensive training and subsequent increase of one's knowledge. 44,45 According to Larson et al, 46 focusing on knowledge in order to improve one's attitude should not be effective. Recently a study 11 showed that feelings of unpleasantness, discomfort, and/or disgust lead to emotional sensations that invoke self-protection and therefore can help in improving one's attitude toward good hand hygiene practice.…”

Section: Analysis Of Behavioral Determinantsmentioning

confidence: 99%

Behavioral Determinants of Hand Hygiene Compliance in Intensive Care Units

Wandel¹,

Maes²,

Labeau³

et al. 2010

American Journal of Critical Care

134

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Background Although hand hygiene is the most effective measure for preventing cross-infection, overall compliance is poor among health care workers. Objectives To identify and describe predictors and determinants of noncompliance with hand hygiene prescriptions in intensive care unit nurses by means of a questionnaire. Methods A questionnaire based on a behavioral theory model was filled out by 148 nurses working on a 40-bed intensive care unit in a university hospital. Subjects were asked to fill out the 56-item questionnaire twice within a 2-to 6-week period. During this period, no interventions to enforce hand hygiene occurred on the unit. Results Response rate for the test was 73% (108/148); response rate for the retest was 53% (57/108). The mean self-reported compliance rate was 84%. Factor analysis revealed 8 elementary factors potentially associated with compliance. Internal consistency of the scales was acceptable. Intraclass correlation was low (<0.60) for 2 subscales but acceptable (>0.60) for 6 subscales. A low self-efficacy was independently associated with noncompliance (β = .379; P = .001). After exclusion of this variable, a negative attitude toward time-related barriers was associated with noncompliance (β = -.147; P < .001). Conclusions Neither having good theoretical knowledge of hand hygiene guidelines nor social influence or moral perceptions had any predictive value relative to hand hygiene practice. A valid questionnaire to identify predictors and determinants of noncompliance with hand hygiene has been designed. Nurses reporting a poor self-efficacy or a poor attitude toward time-related barriers appear to be less compliant. (American Journal of Critical Care. 2010;19:230-240) BEHAVIORAL DETERMINANTS OF HAND HYGIENE COMPLIANCE IN INTENSIVE CARE UNITS C E 1.0 Hour Notice to CE enrollees:A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Recognize the impact of behavioral determinants on compliance with hand hygiene recommendations. 2. Describe determinants of noncompliance with hand hygiene prescriptions among nurses in a general intensive care unit. 3. Understand how a low self-efficacy and a negative attitude toward time-related barriers are predictors of poor compliance with hand hygiene recommendations. In accordance with the attitude-social influenceself-efficacy model, 12 which combines Fishbein and Ajzen's theory of reasoned action 13 and Bandura's social learning theory, 14 attitude, social influence, and self-efficacy are valid concepts in predicting one's intention to change one's behavior or even one's actual change in behavior. 15,16 Attitude is primordially based on earlier experiences: behavior that has led to success will be reinforced and vice versa. Although one's general attitude toward a certain behavior is often the result of success and failure (or perceived advantage and disadvantage), not all attitudes are based on reason and logical sense. Some attitudes can be very rigid and based on highly ...

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Section: Analysis Of Behavioral Determinantsmentioning

confidence: 99%

Behavioral Determinants of Hand Hygiene Compliance in Intensive Care Units

Wandel¹,

Maes²,

Labeau³

et al. 2010

American Journal of Critical Care

134

View full text Add to dashboard Cite

show abstract

“…60,217,334,429,485,486,613,648,651,663,666,667,670,680,682,684,686,687,713,714,803,804,851,852 Recent studies have further enriched the scientific literature. 140,428,493,494,655,657,694,698,699,701,705,[707][708][709][710][715][716][717][718]728,853 In general, most studies differed greatly in their duration and intervention approach.…”

Section: Elements Of Promotion Strategiesmentioning

confidence: 99%

“…60,490,494,657,714,715,717,718 Most studies used multiple strategies, which included: HCWs' education, 60,140,334,429,485,486,613,651,663,666,667,670,676,682,684,686,687,698,705,707,708,713,716,717,813,814,819,834,851 performance feedback, 60,334,485,486,651,657,663,666,667,670,676,680,682,…”

Section: Elements Of Promotion Strategiesmentioning

confidence: 99%

“…738 To overcome these barriers, education is one of the cornerstones of improvement in hand hygiene practices. 58,60,140,334,429,485,486,613,648,651,663,666,667,670,676,682,684,686,687,698,705,707,708,[713][714][715][716][717]750,813,814,819,834,851 However, lack of knowledge of infection control measures has been repeatedly shown after training. 789 Audits of hand hygiene practices (see also Part III, Section 1.1) and performance feedback have comprised several multifaceted promotion campaigns and are valued as one of the most effective strategies.…”

Section: Elements Of Promotion Strategiesmentioning

confidence: 99%

“…Why should hand hygiene advocacy not also profit from this evolution and continue to assimilate new concepts of marketing as they are developed by the industry? 60,429,469,493,648,651,684,705,709,851,852,858 Make alcohol-based handrub available 60,140,429,485,486,494,645,686,687,698,701,707,714,717,718,855,856 Make water and soap continuously available 633,659 Install voice prompts 699,710,852,853 2. Hand hygiene education 60,140,334,429,648,651,666,676,684,686,687,698,705,…”

Section: Marketing Technology For Hand Hygiene Promotionmentioning

confidence: 99%

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