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

White, K, Starfelt, L, Jimmieson, N, Campbell, M, Graves, N, Barnett, A, Cockshaw, W, Gee, P, Page, K, Martin, E, Brain, D and Paterson, D 2015, 'Understanding the determinants of Australian hospital nurses' hand hygiene decisions following the implementation of a national hand hygiene initiative', Health Education Research, vol. 30, no. 6, pp. 959-970.


Document type: Journal Article
Collection: Journal Articles

Title Understanding the determinants of Australian hospital nurses' hand hygiene decisions following the implementation of a national hand hygiene initiative
Author(s) White, K
Starfelt, L
Jimmieson, N
Campbell, M
Graves, N
Barnett, A
Cockshaw, W
Gee, P
Page, K
Martin, E
Brain, D
Paterson, D
Year 2015
Journal name Health Education Research
Volume number 30
Issue number 6
Start page 959
End page 970
Total pages 12
Publisher Oxford University
Abstract Hand hygiene is the primarymeasure 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 awarenessraising, 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.
Subject Health, Clinical and Counselling Psychology
DOI - identifier 10.1093/her/cyv057
Copyright notice © The Author 2015
ISSN 0268-1153
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