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

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.

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Abstract

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.

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ID Code: 91154
Item Type: Journal Article
Refereed: Yes
Additional Information: Louise Starfelt is the maiden name of Louise Starfelt Sutton
Keywords: infection prevention, health care-associated infections, attitudes, theory of planned behaviour, nurses
DOI: 10.1093/her/cyv057
ISSN: 1465-3648
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Social and Community Psychology (170113)
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
Funding:
Copyright Owner: Copyright 2015 The Author(s)
Deposited On: 10 Dec 2015 05:12
Last Modified: 11 Nov 2016 02:26

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