Understanding the determinants of Australian hospital nurses' hand hygiene decisions following the implementation of a national hand hygiene initiative


Autoria(s): White, Katherine M.; Starfelt, Louise C.; Jimmieson, Nerina L.; Campbell, Megan; Graves, Nicholas; Barnett, Adrian G.; Cockshaw, Wendell; Gee, Phillip; Page, Katie; Martin, Elizabeth; Brain, David; Paterson, David
Data(s)

2015

Resumo

Hand hygiene is the primary measure in hospitals to reduce the spread of infections, with nurses experiencing the greatest frequency of patient contact. The ‘5 critical moments’ of hand hygiene initiative has been implemented in hospitals across Australia, accompanied by awareness-raising, staff training and auditing. The aim of this study was to understand the determinants of nurses’ hand hygiene decisions, using an extension of a common health decision-making model, the theory of planned behaviour (TPB), to inform future health education strategies to increase compliance. Nurses from 50 Australian hospitals (n = 2378) completed standard TPB measures (attitude, subjective norm, perceived behavioural control [PBC], intention) and the extended variables of group norm, risk perceptions (susceptibility, severity) and knowledge (subjective, objective) at Time 1, while a sub-sample (n = 797) reported their hand hygiene behaviour 2 weeks later. Regression analyses identified subjective norm, PBC, group norm, subjective knowledge and risk susceptibility as the significant predictors of nurses’ hand hygiene intentions, with intention and PBC predicting their compliance behaviour. Rather than targeting attitudes which are already very favourable among nurses, health education strategies should focus on normative influences and perceptions of control and risk in efforts to encourage hand hygiene adherence.

Formato

application/pdf

Identificador

http://eprints.qut.edu.au/91154/

Publicador

Oxford University Press

Relação

http://eprints.qut.edu.au/91154/3/91154.pdf

DOI:10.1093/her/cyv057

White, Katherine M., Starfelt, Louise C., Jimmieson, Nerina L., Campbell, Megan, Graves, Nicholas, Barnett, Adrian G., Cockshaw, Wendell, Gee, Phillip, Page, Katie, Martin, Elizabeth, Brain, David, & Paterson, David (2015) Understanding the determinants of Australian hospital nurses' hand hygiene decisions following the implementation of a national hand hygiene initiative. Health Education Research, 30(6), pp. 959-970.

http://purl.org/au-research/grants/NHMRC/553081

Direitos

Copyright 2015 The Author(s)

Fonte

QUT Business School; Faculty of Health; Institute of Health and Biomedical Innovation; School of Management; School of Psychology & Counselling

Palavras-Chave #170106 Health Clinical and Counselling Psychology #170113 Social and Community Psychology #infection prevention #health care-associated infections #attitudes #theory of planned behaviour #nurses
Tipo

Journal Article