EXPLORE HAND HYGIENE BELIEFS AMONG. ITALIAN ... using the self-administered Hand Hygiene Questionnaire. ... physically dirty or the contacts trigger an.
EXPLORE HAND HYGIENE BELIEFS AMONG ITALIAN NURSES USING A THEORY OF PLANNED BEHAVIOUR FRAMEWORK A. Guillari1,2, M. Piredda3, M. G. De Marinis3, M. R Esposito 1,4, T. Petitti5 1. PHD student, Department of Biomedicine and Prevention, Tor Vergata University, Rome 2. Department of Hygiene and Public Health, AOU Federico II, Naples 3. Research Unit Nursing Science, ‘Campus Bio-Medico di Roma’ University, Rome 4. Istituto Nazionale Tumori - IRCCS - G. Fondazione G. Pascale, Napoli 5. Research Unit of Statistics, ‘Campus Bio-Medico di Roma’ University, Rome
Background Health Care Associated Infections (HAI) are related with increased morbidity, mortality, hospitalization, discomfort and recovery time. Hand hygiene has a reverse influence on the rate of HAIs and is an effective procedure to prevent the transmission of infections. In the hospital elective behaviour the hands are visually clean and the nurses may elect to comply or not comply, while in the hospital inherent behaviour the hands are physically dirty or the contacts trigger an emotional or inherently high level of compliance.
This study aimed at testing the psychometric properties of the Italian version of the Hand Hygiene Questionnaire and at valuating the significant predictors of handwashing among Italian nurses associated with hospital elective and hospital inherent contacts.
Method The identification of which predictor has the greatest impact on hand hygiene is of vital importance in the dynamics of behavioural change, to design effective strategies to improve hand hygiene compliance.
Hand Hygiene Questionnaire
Discussion/conclusion A cross sectional survey based on the Theory of Planned Behaviour (TPB) will be conducted in two Italian hospitals using the self-administered Hand Hygiene Questionnaire.
References • Al-Tawfiq, J. A., & Pittet, D. (2013). Improving Hand Hygiene Compliance in Healthcare Settings Using Behavior Change Theories: Reflections. Teaching & Learning in Medicine, 25(4), 374-382 379p. doi: 10.1080/10401334.2013.827575 • Allegranzi, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect, 73(4), 305-315. doi: 10.1016/j.jhin.2009.04.019 • Eiamsitrakoon, T., Apisarnthanarak, A., Nuallaong, W., Khawcharoenporn, T., & Mundy, L. M. (2013). Hand hygiene behavior: translating behavioral research into infection control practice. Infection Control And Hospital Epidemiology, 34(11), 1137-1145. doi: 10.1086/673446 • Erasmus, V., Daha, T. J., Brug, H., Richardus, J. H., Behrendt, M. D., Vos, M. C., & van Beeck, E. F. (2010). Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol, 31(3), 283-294. doi: 10.1086/650451 • Jackson, C., & Griffiths, P. (2014). Dirt and disgust as key drivers in nurses' infection control behaviours: an interpretative, qualitative study. J Hosp Infect, 87(2), 71-76. doi: 10.1016/j.jhin.2014.04.001 • McLaws, M.-L., Maharlouei, N., Yousefi, F., & Askarian, M. (2012). Predicting hand hygiene among Iranian health care workers using the theory of planned behavior. American Journal Of Infection Control, 40(4), 336-339 334p. doi: 10.1016/j.ajic.2011.04.004 • McLaws, M. L. (2015). The relationship between hand hygiene and health care-associated infection: it's complicated. Infect Drug Resist, 8, 7-18. doi: 10.2147/idr.s62704 • Sax, H., Allegranzi, B., Chraiti, M. N., Boyce, J., Larson, E., & Pittet, D. (2009). The World Health Organization hand hygiene observation method. Am J Infect Control, 37(10), 827-834. doi: 10.1016/j.ajic.2009.07.003 • Stout, A., Ritchie, K., & Macpherson, K. (2007). Clinical effectiveness of alcohol-based products in increasing hand hygiene compliance and reducing infection rates: a systematic review. J Hosp Infect, 66(4), 308-312. doi: 10.1016/j.jhin.2007.04.017 • Whitby, M., McLaws, M., & Ross, M. W. (2006). Why healthcare workers don't wash their hands: a behavioral explanation. Infection Control & Hospital Epidemiology, 27(5), 484-492 489p. • Whitby, M., Pessoa-Silva, C. L., McLaws, M. L., Allegranzi, B., Sax, H., Larson, E., Pittet, D. (2007). Behavioural considerations for hand hygiene practices: the basic building blocks. The Journal Of Hospital Infection, 65(1), 1-8.
