Volume 11, Issue 4 (2023)
Health Educ Health Promot 2023, 11(4): 635-640 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Barkati H, Rakhshanderou S, Mehrabi Y, Nikbakht Nasrabadi A, Hosseinzadeh H, Daneshvar S, et al . Psychological Determinants of Hand Hygiene Intentions and Behaviors of Nursing Staff Using the Theory of Planned Behavior. Health Educ Health Promot 2023; 11 (4) :635-640
URL: http://hehp.modares.ac.ir/article-5-71341-en.html
URL: http://hehp.modares.ac.ir/article-5-71341-en.html
H. Barkati1, S. Rakhshanderou2, Y. Mehrabi3, A. Nikbakht Nasrabadi4, H. Hosseinzadeh5, S. Daneshvar2, A. Safari-Moradabadi6, M. Ghaffari *2
1- Department of Community Health and Geriatric Nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- “Department of Epidemiology, School of Public Health and Safety” and “Endocrine Research Center, Research Institute for Endocrine Sciences”, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- “Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing & Midwifery” and “Brain and Spinal Cord Injury Research Center, Neuroscience Institute”, Tehran University of Medical Sciences, Tehran, Iran
5- Department of Health Promotion, School of Health and Society, University of Wollongong, Wollongong, Australia
6- Department of Health Promotion and Education, School of Health, Alborz University of Medical Sciences, Tehran, Iran
2- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- “Department of Epidemiology, School of Public Health and Safety” and “Endocrine Research Center, Research Institute for Endocrine Sciences”, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- “Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing & Midwifery” and “Brain and Spinal Cord Injury Research Center, Neuroscience Institute”, Tehran University of Medical Sciences, Tehran, Iran
5- Department of Health Promotion, School of Health and Society, University of Wollongong, Wollongong, Australia
6- Department of Health Promotion and Education, School of Health, Alborz University of Medical Sciences, Tehran, Iran
Abstract: (441 Views)
Aims: The present study aimed to identify the predictors of hand hygiene intention and behavior among nurses using the theory of planned behavior (TPB).
Materials & Methods: This cross-sectional study was conducted on nurses working in a public hospital in Tehran in 2016-2017. In total, 196 nurses were enrolled in this study and selected through random sampling. Data were collected using a self-administered questionnaire guided by TPB. The validity of the questionnaire was measured using the opinions of 14 scholars and professors. The content validity ratio was measured based on the Lawshi method and the content validity index was measured based on Waltz and Basel method. The test-retest and internal consistency were used to determine the reliability of the questionnaire. Data analysis was performed using SPSS software 16.0 and statistical tests, including multiple regression analysis.
Findings: The attitude toward hand hygiene (p<0.001) and perceived subjective norms (p=0.012) were correlated with nurses’ intentions to hand hygiene. This set explained 56% of the variance in intention to hand hygiene. In addition, Perceived behavioral control was found as the strongest predictor of hand hygiene behavior (p<0.001), which together with subjective norms and intention could predict individuals’ behavior (R2=0.52).
Conclusion: The constructs of the TPB have predictability regarding hand hygiene behavior.
Materials & Methods: This cross-sectional study was conducted on nurses working in a public hospital in Tehran in 2016-2017. In total, 196 nurses were enrolled in this study and selected through random sampling. Data were collected using a self-administered questionnaire guided by TPB. The validity of the questionnaire was measured using the opinions of 14 scholars and professors. The content validity ratio was measured based on the Lawshi method and the content validity index was measured based on Waltz and Basel method. The test-retest and internal consistency were used to determine the reliability of the questionnaire. Data analysis was performed using SPSS software 16.0 and statistical tests, including multiple regression analysis.
Findings: The attitude toward hand hygiene (p<0.001) and perceived subjective norms (p=0.012) were correlated with nurses’ intentions to hand hygiene. This set explained 56% of the variance in intention to hand hygiene. In addition, Perceived behavioral control was found as the strongest predictor of hand hygiene behavior (p<0.001), which together with subjective norms and intention could predict individuals’ behavior (R2=0.52).
Conclusion: The constructs of the TPB have predictability regarding hand hygiene behavior.
Article Type: Original Research |
Subject:
Health Education and Health Behavior
Received: 2023/09/1 | Accepted: 2023/11/8 | Published: 2023/11/16
Received: 2023/09/1 | Accepted: 2023/11/8 | Published: 2023/11/16
References
1. Sands M, Aunger R. Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study. PLOS One. 2020;15(4):e0230573. [Link] [DOI:10.1371/journal.pone.0230573]
2. World Health Organization. WHO guidelines in hand hygiene in health care. Geneva: WHO Press: 2009. [Link]
3. Samraj S, Westbury J, Pallett A, Rowen D. Compliance with hand hygiene in a genitourinary medicine department. Int J STD AIDS. 2008;19(11):782-3. [Link] [DOI:10.1258/ijsa.2008.008183]
4. Hand Hygiene Australia. 5 moments for hand hygiene [Internet]. Melbourne: Hand Hygiene Australia. 2014- [cited 2023 Jan 16]. Available from: http://www.hha.org.au/home/5-moments-for-hand-hygiene.aspx. [Link]
5. Sharma S, Sharma S, Puri S, Whig J. Hand hygiene compliance in the intensive care units of a tertiary care hospital. Indian J Community Med. 2011;36(3):217-21. [Link] [DOI:10.4103/0970-0218.86524]
6. Erasmus V, Daha TJ, Brug H, Richardus JH, Behrendt MD, Vos MC, et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol. 2010;31(3):283-94. [Link] [DOI:10.1086/650451]
7. Zahraei M, Pezeshki P. Surveillance Guideline in Promotion of Hand Hygiene. 1th ed. Tehran: Center Of Disease Management; 2010. [Link]
8. Haenen A, de Greeff S, Voss A, Liefers J, Hulscher M, Huis A. Hand hygiene compliance and its drivers in long-term care facilities; observations and a survey. Antimicrob Resist Infect Control. 2022;11(1):50. [Link] [DOI:10.1186/s13756-022-01088-w]
9. Handiyani H, Ikegawa M, Hariyati RTS, Ito M, Amirulloh F. The determinant factor of nurse's hand hygiene adherence in Indonesia. Enfermeria Clin. 2019;29:257-61. [Link] [DOI:10.1016/j.enfcli.2019.04.031]
10. Engdaw GT, Gebrehiwot M, Andualem Z. Hand hygiene compliance and associated factors among health care providers in Central Gondar zone public primary hospitals, Northwest Ethiopia. Antimicrobial Resist Infect Control. 2019;8(1):190. [Link] [DOI:10.1186/s13756-019-0634-z]
11. World Health Organization. Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level [Internet]. Geneva: WHO. 2016- [cited 2023 Jan 16]. Available from: https://www.who.int/gpsc/core. [Link]
12. Ikeda S, Tokuda K, Kanamori H, Hirai Y, Endo S, Kunishima H, et al. Hand hygiene compliance among nurses in a Japanese tertiary hospital emergency department. Antimicrob Resist Infect Control. 2013;2(Suppl 1):P119. [Link] [DOI:10.1186/2047-2994-2-S1-P119]
13. Masomi-e-Asl H, Zahraei SM, Majidpour A, Nategian AR, Afhami Sh, Rahbar M, et al. National guideline of nosocomial infection surveillance. 2th ed.Tehran: Ministry of Health; 2007. [Persian] [Link]
14. Liu C, Liu C, Wang D, Deng Z, Tang Y, Zhang X. Determinants of antibiotic prescribing behaviors of primary care physicians in Hubei of China: a structural equation model based on the theory of planned behavior. Antimicrobial Resist Infect Control. 2019;8:23. [Link] [DOI:10.1186/s13756-019-0478-6]
15. White KM, Jimmieson NL, Obst PL, Graves N, Barnett A, Cockshaw W, et al. Using a theory of planned behaviour framework to explore hand hygiene beliefs at the '5 critical moments' among Australian hospital-based nurses. BMC Health Serv Res. 2015;15:59. [Link] [DOI:10.1186/s12913-015-0718-2]
16. Kortteisto T, Kaila M, Komulainen J, Mäntyranta T, Rissanen P. Healthcare professionals' intentions to use clinical guidelines: a survey using the theory of planned behaviour. Implementat Sci. 2010;5:51. [Link] [DOI:10.1186/1748-5908-5-51]
17. Guo R, Berkshire S, Fulton L, Hermanson P. Predicting intention to use evidence based management among U.S. healthcare administrators: Application of the theory of planned behavior and structural equation modeling. Int J Healthc Manag. 2017;12(1):32-25. [Link] [DOI:10.1080/20479700.2017.1336856]
18. Ajzen I. The theory of planned behavior. Organization Behav Human Decision Proc. 1991;50(2):179-211. [Link] [DOI:10.1016/0749-5978(91)90020-T]
19. Madden TJ, Ellen PS, Ajzen I. A comparison of the theory of planned behavior and the theory of reasoned action. Personality Soc Psychol Bulletin. 1992;18(1). [Link] [DOI:10.1177/0146167292181001]
20. Sadeghi L, Khodadadi E, Sadeghi R, Mansour Bavani S, Almasi KH, Fooladi M. Investigating the factors affecting on hand hygiene compliance from the viewpoints of Iranian nurses who working in intensive care units. J Res Med Dental Sci. 2018;6(5):93-8. [Link]
21. Sin CS, Rochelle TL. Using the theory of planned behaviour to explain hand hygiene among nurses in Hong Kong during COVID-19. J Hosp Infect. 2022;123:119-25. [Link] [DOI:10.1016/j.jhin.2022.01.018]
22. McLaws ML, Maharlouei N, Yousefi F, Askarian M. Predicting hand hygiene among Iranian health care workers using the theory of planned behavior. Am J Infect Control. 2012;40(4):336-9. [Link] [DOI:10.1016/j.ajic.2011.04.004]
23. Wollast R, Schmitz M, Bigot A, Luminet O. The theory of planned Behavior during the COVID-19 pandemic: A comparison of health behaviors between Belgian and French residents. PLOS One. 2021;16(11):e0258320. [Link] [DOI:10.1371/journal.pone.0258320]
24. Safari MSD, Ghofranipour F, Heydarnia A, Pakpour A. Health education and promotion theories, models and methods. 2th ed. Tehran: Sobhan Pub; 2019. [Persian] [Link]
25. Luszczynska A, Gunson KS. Predictors of asking medical personnel about handwashing: the moderating role of patients' age and MRSA infection status. Patient Educ Counsel. 2007;68(1):79-85. [Link] [DOI:10.1016/j.pec.2007.05.008]
26. Nicol PW, Watkins RE, Donovan RJ, Wynaden D, Cadwallader H. The power of vivid experience in hand hygiene compliance. J Hosp Infect. 2009;72(1):36-42. [Link] [DOI:10.1016/j.jhin.2009.01.021]
27. Hugonnet S, Chevrolet JC, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007;35(1):76-81. [Link] [DOI:10.1097/01.CCM.0000251125.08629.3F]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |