Psychosocial determinants of self-reported hand hygiene behaviour: a survey comparing physicians and nurses in intensive care units

Lengerke, Thomas von; Lutze, B.; Graf, Karolin; Krauth, Christian; Lange, Karin; Schwadtke, L.; Stahmeyer, Jona T.; Chaberny, Iris F.

doi:10.1016/j.jhin.2015.04.018

Cited by 32 publications

(47 citation statements)

References 29 publications

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“…Among nurses, only action control was signi cantly associated with hand hygiene behavior (43). These results indicate that postintentional factors might play a role in overcoming the intention-behavior gap.…”

Section: Health Action Process Approachmentioning

confidence: 73%

“…To our knowledge, the only other research project that applied the HAPA to investigate hand hygiene behavior in the hospitals was the PSYGIENE project (43). In their cross-sectional survey, they found that self-reported hand hygiene compliance among physicians was associated with environmental resources, maintenance self-e cacy, and action control.…”

Section: Summary Goal Three: Comparing Laypeople and Healthcare Profementioning

confidence: 99%

“…All results are brie y summarized in Table 7. TPB (40%, 55%) Attitude * ** 5/8 (30-32, 35, 36) Subjective norm ** ** 7/8 (29)(30)(31)(32)(33)(34)36) PBC ** ** 8/8 (29)(30)(31)(32)(33)(34)(35)(36) Intention ** ** 2/2 (29,36) HAPA (44%, 37%) Self-E cacy ** * 1/1 (43) Outcome expectancies * * Not tested…”

Section: Summary Goal Two: Identifying Critical Determinantsmentioning

confidence: 99%

“…Resources and barriers * ns 1/1 (43) Action and coping planning ns ns 0/1 Action control ** ** 1/1 (43) TDF (53%, 60%) Knowledge and skills ns * 2/2 (44,46) Social/professional role and identity ** ** 1/2 (46) Beliefs about capability ns ns 0/2…”

Section: Summary Goal Two: Identifying Critical Determinantsmentioning

confidence: 99%

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Hand(y) Hygiene Insights: Applying Three Theoretical Models to Investigate Hospital Patients’ and Visitors’ Hand Hygiene Behavior

Gaube

Fischer

Lermer

2020

Preprint

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BackgroundImproving hand hygiene is the most efficient method to prevent healthcare-associated infections, which are a severe threat to patient safety. Besides healthcare professionals, it is mainly hospital patients and visitors who pose a risk for the transmission of pathogens, which can lead to infections. In contrast to medical staff, laypeople’s hand hygiene behavior in hospitals is not well researched. Therefore, the present study had three aims: 1) Identifying a suitable theoretical model to explain laypeople's hand hygiene practice; 2) Finding the factors that strongly affect patients’ and visitors’ hand hygiene behavior and, therefore, should be targeted in behavior change interventions; and 3) Comparing the essential determinants of hand hygiene behavior between laypeople and healthcare professionals.MethodsTo accomplish these goals, in total N = 1,605 patients and visitors were surveyed on their hand hygiene practice in hospitals. The employed questionnaires were based on three theoretical models: a) the Theory of Planned Behavior (TPB); b) the Health Action Process Approach (HAPA); and c) the Theoretical Domains Framework (TDF). Structural equation modeling (SEM) was used to analyze the data.ResultsAmong patients, 53% of the variance in the hand hygiene behavior was accounted for by the TDF domains, 44% by a modified HAPA model, and 40% by the TPB factors. Among visitors, these figures were 60%, 37%, and 55%, respectively. Two clusters of variables surfaced as being essential determinants of the behavior: First, self-regulatory processes (perceived behavioral control; action control; memory, attention, and decision processes); and second, social influence processes (subjective norm and role and identity).ConclusionsThe TDF was identified as the most suitable model to investigate and predict patient’s and visitor’s hand hygiene practices. The critical determinants for adequate hand hygiene (i.e., self-regulation processes and social influence processes) are similar for laypeople and healthcare professionals. Therefore, analogous intervention strategies might be useful for both target groups. Further practical and theoretical implications are discussed.

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Section: Health Action Process Approachmentioning

confidence: 73%

Section: Summary Goal Three: Comparing Laypeople and Healthcare Profementioning

confidence: 99%

Section: Summary Goal Two: Identifying Critical Determinantsmentioning

confidence: 99%

Section: Summary Goal Two: Identifying Critical Determinantsmentioning

confidence: 99%

See 2 more Smart Citations

Hand(y) Hygiene Insights: Applying Three Theoretical Models to Investigate Hospital Patients’ and Visitors’ Hand Hygiene Behavior

Gaube

Fischer

Lermer

2020

Preprint

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“…17 Doctors do not respond well to corrective interventions. 71 This may be why poor practice is not challenged by nurses. 17,9 The majority of studies around the world report higher compliance with standard precautions among nurses than doctors.…”

Section: Suboptimal Practice As An Acceptable Normmentioning

confidence: 99%

Suboptimal infection prevention and control in the healthcare culture

Cioffi¹,

Cioffi

2019

Int. j. infect. control

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Healthcare associated infections are one of the most common complications of hospitalised patients although they are largely preventable through compliance with infection prevention and control standards and guidelines. Clinical performance has been associated with culture in health care. By exploring the influence of culture in health care on infection prevention and control practice, understanding and insight into suboptimal IPC practice may be exposed. This paper discusses the cultural milieu of IPC practice and embedded norms proposing a cultural shift is mandatory to address suboptimal IPC practice. Recommendations are made that a cultural shift to blend the cure and prevention paradigms that effectively supports optimal infection prevention and control practice be envisaged by healthcare workers and implemented.

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Does hospital ownership influence hand hygiene compliance?

Zhang

Lai

2017

CURR MED SCI

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The issue as to whether hospital ownership has an impact on the quality of care has long been a serious concern. Hand hygiene (HH) compliance is regarded as an important indicator of the quality of care in the control of hospital-acquired infections. However, little information is available on whether hospital ownership influences HH compliance. In this study, of 229 hospitals selected from Hubei province in China, 152 were public and 77 were private hospitals. A total of 23 652 healthcare workers (HCWs) were surveyed, using a convenience sampling. HH compliance, the WHO's "My Five Moments for hand hygiene" (5MHH), among HCWs, together with the factors of hospital ownership, training frequency, bed occupancy rates, etc. were collected. Univariate analysis and ordinal logistic regression analysis were used to analyze factors affecting HH compliance. Overall, HH compliance rates were 67% and 79% for public and private hospitals, respectively. The HH compliance rates of HCWs and 5MHH were between 55% and 95%, and influenced by hospital ownership (P<0.05), excluding compliance rate at the moment after body fluid exposure, and other influence factors included training frequency and bed occupancy rate (P<0.05). HH compliance is better in private than in public hospitals. Hospital ownership is a significant factor affecting HH compliance, in addition to training frequency and bed occupancy rate.

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Psychosocial determinants of self-reported hand hygiene behaviour: a survey comparing physicians and nurses in intensive care units

Cited by 32 publications

References 29 publications

Hand(y) Hygiene Insights: Applying Three Theoretical Models to Investigate Hospital Patients’ and Visitors’ Hand Hygiene Behavior

Hand(y) Hygiene Insights: Applying Three Theoretical Models to Investigate Hospital Patients’ and Visitors’ Hand Hygiene Behavior

Suboptimal infection prevention and control in the healthcare culture

Does hospital ownership influence hand hygiene compliance?

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