The role of time pressure and different psychological safety climate referents in the prediction of nurses’ hand hygiene compliance

Jimmieson, Nerina L., Tucker, Michelle, White, Katherine M., Liao, Jenny, Campbell, Megan, Brain, David, Page, Katie, Barnett, Adrian G., & Graves, Nicholas (2016) The role of time pressure and different psychological safety climate referents in the prediction of nurses’ hand hygiene compliance. Safety Science, 82, pp. 29-43.

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In this study of 638 Australian nurses, compliance to hand hygiene (HH), as defined by the “five moments” recommended by the World Health Organisation (2009), was examined. Hypotheses focused on the extent to which time pressure reduces compliance and safety climate (operationalised in relation to HH using colleagues, manager, and hospital as referents) increases compliance. It also was proposed that HH climate would interact with time pressure, such that the negative effects of time pressure would be less marked when HH climate is high. The extent to which the three HH climate variables would interact among each other, either in the form of boosting or compensatory effects, was tested in an exploratory manner. A prospective research design was used in which time pressure and the HH climate variables were assessed at Time 1 and compliance was assessed by self-report two weeks later. Compliance was high but varied significantly across the 5 HH Moments, suggesting that nurses make distinctions between inherent and elective HH and also seemed to engage in some implicit rationing of HH. Time pressure dominated the utility of HH climate to have its positive impact on compliance. The most conducive workplace for compliance was one low in time pressure and high in HH climate. Colleagues were very influential in determining compliance, more so than the manager and hospital. Manager and hospital support for HH enhanced the positive effects of colleagues on compliance. Providing training and enhancing knowledge was important, not just for compliance, but for safety climate.

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ID Code: 87534
Item Type: Journal Article
Refereed: Yes
Keywords: Time Pressure, Safety Climate, Hand Hygiene, Safety Compliance, Hospital Nurses
DOI: 10.1016/j.ssci.2015.08.015
ISSN: 0925-7535
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > QUT Business School
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Management
Current > Schools > School of Psychology & Counselling
Copyright Owner: Copyright 2016 Elsevier
Deposited On: 17 Sep 2015 23:04
Last Modified: 20 Sep 2015 23:19

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