Key beliefs of hospital nurses’ hand‐hygiene behaviour: protecting your peers and needing effective reminders

White, Katherine M.; Jimmieson, Nerina L.; Graves, Nicholas; Barnett, Adrian; Cockshaw, Wendell; Gee, Phillip; Page, Katie; Campbell, Megan; Martín, Elizabeth; Paterson, David L.

doi:10.1071/he14059

Cited by 14 publications

(5 citation statements)

References 13 publications

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“…It is well known that there are differences in between doctors' and nurses' HHC [4e6]. Notably, high workloads, activities with a high risk of cross-contamination, and scepticism about the effectiveness of HH in reducing HAIs have been identified as determinants of poor HH among doctors [7]; a lack of time and forgetfulness have been identified as barriers to good HH among nurses [8]. Nurses not only demonstrate higher HHC than doctors, but also have more HH moments during their shifts caring for patients [9].…”

Section: Introductionmentioning

confidence: 99%

Impact of direct hand hygiene observations and feedback on hand hygiene compliance among nurses and doctors in medical and surgical wards: an eight-year observational study

Ojanperä

Ohtonen

Kanste

et al. 2022

Journal of Hospital Infection

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Section: Introductionmentioning

confidence: 99%

Impact of direct hand hygiene observations and feedback on hand hygiene compliance among nurses and doctors in medical and surgical wards: an eight-year observational study

Ojanperä

Ohtonen

Kanste

et al. 2022

Journal of Hospital Infection

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“…[2] Nurses have the most frequent patient care interactions, and thus more opportunities to practice HH. [3] As such, it is important to identify and understand determinants of nurses' reported compliance.…”

Section: Introductionmentioning

confidence: 99%

Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study

Sands

Aunger

2020

PLoS ONE

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Hand hygiene is the simplest and most effective measure for preventing healthcareassociated infections. Despite the simplicity of this procedure and advances made in infection control, hospital health care workers' compliance to hand hygiene recommendations is generally low. Nurses have the most frequent patient care interactions, and thus more opportunities to practice hand hygiene. As such, it is important to identify and understand determinants of nurses' reported compliance. Formative research was undertaken to assess the potential impact of several unexamined factors that could influence HH among nurses: professional role and status, social affiliation, social norms, and physical modifications to the work environment (as well as institutional factors like safety climate). A survey questionnaire was developed primarily to inform the creation of a behaviour change intervention. The survey looked at how these factors influence HH among nurses and sought to identify barriers and levers to reported hand hygiene. It was administered to a survey panel of acute care nurses, working in US hospitals, with a year or more of experience. Multivariate regression modelling suggested that reported hand hygiene compliance was most likely to be a function of a hospital management's communication openness, perceived performance by peers, increased interactions with patients and other staff members, and the reduction in stress, busyness, and cognitive load associated with role performance. A powerful, effective intervention on HH among nurses therefore could be directed at improving communication openness, consider the impact of perceived performance by peers, increase interactions with patients and staff, and determine how to reduce the stress and cognitive load associated with role performance.

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“…In one study performed in Turkey, while nurses respected the need for hand hygiene compliance, they were occasionally unable to wash their hands due to heavy workload, lack of adequate facilities for drying hands and hand ulceration caused by repeated washing (3). According to the results obtained by White et al, the main reasons for failure to comply with hand hygiene standards were negligence, forgetfulness and lack of time (13).…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, psychological studies have investigated influential factors in the behavior of health care professionals (12). Several theories have been proposed on predicting and changing behavioral patterns in these individuals; such example is the theory of planned behavior (TPB), which is based on a cognitive approach (13,14).…”

Section: Introductionmentioning

confidence: 99%

Effect of involuntary motivational factors on hand hygiene by health care providers

Nazari¹,

Hasani²,

Khazaeinejad³

2015

J Nurs Midwifery Sci

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Background and Purpose: Hand hygiene is a low-cost، convenient measure recommended to all health care providers to prevent nosocomial infections. Health care staff commonly neglect the importance of hand washing at workplace. This study aimed to evaluate the effect of involuntary motivational factors on hand hygiene compliance byhealth care providers.Methods: This descriptive analytical study was conducted on 153 health care providers. selected via simple random sampling.Data were collected using questionnaires designed based on the theory of planned behavior (TPB). Data analysis was performed in SPSS, using descriptive and inferential statistics, Pearson's correlation-coefficient and T-test.Results: In 80.40% of cases, participants reported that they washed their hands after contact with patients or hospital equipment.Moreover, participants had a positive attitude towards the consequences of hand washing (6.11±0.8) and considered this behavior as a norm (6.12±1.2). Correlations observed between most variables of study were significant (P≤0.001). However, controlling factors had a less significant effect on hand hygiene intention compared to other variables, such as outcome evaluation, subjective beliefs and normative beliefs of participants (P≤0.001). Conclusion:According to the results of this study, health care providers have a positive attitude towards hand hygiene compliance. However, due to the impact of involuntary motivational factors on this behavior, it is necessary that medical authorities identify major strategies for behavioral change of health care staff through predicting these underlying factors.

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Key beliefs of hospital nurses’ hand‐hygiene behaviour: protecting your peers and needing effective reminders

Cited by 14 publications

References 13 publications

Impact of direct hand hygiene observations and feedback on hand hygiene compliance among nurses and doctors in medical and surgical wards: an eight-year observational study

Impact of direct hand hygiene observations and feedback on hand hygiene compliance among nurses and doctors in medical and surgical wards: an eight-year observational study

Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study

Effect of involuntary motivational factors on hand hygiene by health care providers

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