| Behavioral determinants of hand hygiene compliance in intensive care units. | |
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MedLine Citation:
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PMID: 20436062 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 (beta = .379; P = .001). After exclusion of this variable, a negative attitude toward time-related barriers was associated with noncompliance (beta = -.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. |
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Authors:
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David De Wandel; Lea Maes; Sonia Labeau; Carine Vereecken; Stijn Blot |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of critical care : an official publication, American Association of Critical-Care Nurses Volume: 19 ISSN: 1937-710X ISO Abbreviation: Am. J. Crit. Care Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-03 Completed Date: 2010-08-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9211547 Medline TA: Am J Crit Care Country: United States |
Other Details:
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Languages: eng Pagination: 230-9 Citation Subset: IM; N |
Affiliation:
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Faculty of Health Care, University College Ghent, Ghent, Belgium. david.dewandel@hogent.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel* Belgium Cross Infection / prevention & control Factor Analysis, Statistical Female Guideline Adherence / statistics & numerical data* Handwashing / methods, standards* Health Behavior* Health Care Surveys / statistics & numerical data Health Knowledge, Attitudes, Practice Health Personnel / statistics & numerical data Humans Infection Control / statistics & numerical data Infectious Disease Transmission, Professional-to-Patient / statistics & numerical data Intensive Care Units / statistics & numerical data* Male Personnel, Hospital / statistics & numerical data Questionnaires Reproducibility of Results Skin Care / statistics & numerical data |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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