Explaining hand hygiene practice: An extended application of the Theory of Planned Behaviour

Jenner, E.A.; Watson, Phillip; Miller, Linda; Jones, F.; Scott, G.M.

doi:10.1080/13548500220139412

Cited by 117 publications

(84 citation statements)

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“…Additionally, knowledge does not necessarily correlate with good practice; low compliance with standard precautions has been noted in those who reported a high level of conflict between providing patient care and the need to protect themselves (Gould 2004). It has been argued that appropriate responses to infection only occur when there is a perceived risk and when efficacy is expected (Jenner et al 2002). Jenner et al (2002) cite self-protection as a motivating factor even when the main organizational purpose is patient protection and infection reduction.…”

Section: Introductionmentioning

confidence: 99%

“…Jenner et al (2002) cite self-protection as a motivating factor even when the main organizational purpose is patient protection and infection reduction. Personal responsibility and attitudes are predictors of intention to practice hand hygiene, with behaviour, to some extent, being predicted by perceived behaviour, control and intent (Jenner et al 2002).…”

Section: Introductionmentioning

confidence: 99%

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Infection prevention as “a show”: A qualitative study of nurses’ infection prevention behaviours

Jackson

Lowton

Griffiths

2014

International Journal of Nursing Studies

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This is a pre-print version of a paper published as:Jackson, C., Lowton, K., Griffiths, P., 2013. Infection prevention as "a show": A qualitative study of nurses' infection prevention behaviours. International Journal of Nursing Studies online early http://dx.doi.org/10.1016/j.ijnurstu.2013.07.002.Copyright is vested in the publisher of the paper. You may not copy or redistribute this work in any way without their permission. Infection prevention as "a show": A qualitative study of nurses' infection prevention behavioursBackground; Control of infection and prevention of healthcare associated infections is an ongoing issue worldwide. Yet despite initiatives and strategies to reduce the burden that these infections cause, healthcare workers' practice is still reported as suboptimal and these infections persist. Much of the research to date has primarily focused on predicting infection prevention behaviours and factors associated with guideline compliance. While this has given valuable insight, an investigation aiming to understand and explain behaviours that occur in everyday practice from the perspective of the actors themselves may hold the key to the challenges of effecting behaviour change. This study questioned "How can nurses' infection prevention behaviour be explained?" This paper presents one of three identified themes 'Rationalizing dirt-related behaviour'.Design; This interpretative qualitative study uses vignettes, developed from nurses' accounts of practice, to explore nurses' reported infection prevention behavioursParticipants; Registered nurses working in an acute hospital setting and had been qualified for over a year. They were recruited while studying part-time at a London University.Methods; Twenty semi-structured interviews were undertaken using a topic guide and vignettes. Interviews were transcribed verbatim and analysed using the framework method.Results; The findings demonstrate that participants were keen to give a good impression and present themselves as knowledgeable practitioners, although it was evident that they did not always follow procedure and policy. They rationalized their own behaviour and logically justified any deviations from policy. Deviations in others were criticised as irrational and explained as superficial and part of a 'show' or display. However, participants also gave a presentation of themselves: a show or display that was influenced by the desire to protect self and satisfy patient scrutiny.Conclusions; this study contributes to the identification and explanation of nurses' infection prevention behaviours which are considered inappropriate or harmful. Behaviour is multifaceted and complex, stemming from a response to factors that are outside a purely 'scientific' understanding of infection and not simply understood as a deficit in knowledge. This calls for educational interventions that consider beliefs, values and social understanding of dirt and infection.Key words-infection prevention, healthcare associated infection, qualitative research, compliance, nurse, G...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Infection prevention as “a show”: A qualitative study of nurses’ infection prevention behaviours

Jackson

Lowton

Griffiths

2014

International Journal of Nursing Studies

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“…Sheeran and Taylor, 1999); hygiene behaviours such as hand washing (e.g. Jenner et al, 2002), pro-environmental behaviours such as recycling (Cheung et. al, 1999), riparian zone management (Fielding et al, 2005), composting (Taylor and Todd, 1995), and water conservation (Lynne et al, 1995).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Attitudinal and socio-demographic effects on willingness to pay for water services and actual payment behaviour

Mugabi

Kayaga

2010

Urban Water Journal

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Citation: MUGABI, J. and KAYAGA, S., 2010. Attitudinal and socio-demographic effects on willingness to pay for water services and actual payment behaviour. Urban Water Journal, 7 (5), pp. 287 -300. ABSTRACTImproving revenue collection rates and minimising the levels of 'bad debts' is currently a top priority for managers of water utilities in low-income countries. This study used empirical data from a cross-sectional survey of 505 utility customers in eight urban centres in Uganda toshow that customer attitude towards prompt payment, perceived ease or difficulty of paying on time (perceived control), as well as social pressure, strongly influence intentions to pay, which in turn directly affects actual prompt bill payment behaviour. The findings also show that gender, income, occupation of the household head and tenure status have statistically significant direct relationships with intentions, but their effects are much smaller compared to the joint influence of attitudes, perceived control and perceived social pressure. Moreover, the effects of gender and occupation are completely mediated by perceived control and social pressure respectively. These results have implications for improving revenue collection through customer-focused initiatives.

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“…788 By applying a basic concept from each field, Seto and colleagues demonstrated the potential value of these theories to achieve staff compliance with different infection control policies in the hospital. 758,788,793 Social cognitive models have been applied to evaluate HCWs' cognitive determinants towards hand hygiene behaviour 335,729,731,732,794,795 and are discussed in the next section (Part I, Section 18.2).…”

Section: Application Of Social Sciences To the Infection Control Fieldmentioning

confidence: 99%

Hand Hygiene

Longtin¹,

Sax²,

Allegranzi³

et al. 2011

N Engl J Med

107

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Explaining hand hygiene practice: An extended application of the Theory of Planned Behaviour

Cited by 117 publications

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Infection prevention as “a show”: A qualitative study of nurses’ infection prevention behaviours

Infection prevention as “a show”: A qualitative study of nurses’ infection prevention behaviours

Attitudinal and socio-demographic effects on willingness to pay for water services and actual payment behaviour

Hand Hygiene

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