Exploring determinants of hand hygiene among hospital nurses: a qualitative study

Abstract

Background The present research is a qualitative one aiming to determine factors affecting hand-hygiene behavior of the nursing staff in Shariati Hospital of Tehran, Iran. Methods This was a qualitative study performed using content analysis approach. Considering the aim of the study, 16 in-depth semi-structured interviews were held with the nursing staff of Shariati Hospital of Tehran University of Medical Sciences. A convenient sampling was performed and continued until data saturation and until no new codes and categories were obtained. Data were analyzed through a qualitative content analysis based on the Graham and landsman method. Directed qualitative content analysis was done in order to analyze the data. Results The results of this study revealed 3 main themes in the Theory of Planned Behavior (TPB) (attitude, subjective norms and perceived behavioral control) and 8 main themes in the outside the framework (environment, perceptions, life style, morality, education, organizational culture, salience and personality). Conclusion Due to the other factors also found in this study, an integration of theories and models for designing of interventions is recommended to increase adherence to hand hygiene behavior.

Study on the Formation Mechanism of Medical and Health Organization Staff’s Emergency Preparedness Behavioral Intention: From the Perspective of Psychological Capital

“…Those who lack such a good attitude will not continue to conduct the relevant preparatory work [27]. Many previous studies have also confirmed that MHO staff's attitude towards behavior has a positive impact on their behavior intention [28][29][30][31][32]. Therefore, this study infers that a positive emergency attitude indicates a good EPBI.…”

Exploring Care Home Workers’ Views on Augmented Reality and Virtual Reality Hand Hygiene Training: A Realist Interview Study

“…Learnings from interventions in acute settings support this by acknowledging contextual factors that infuence hand hygiene compliance and the success of interventions. Tese include crowding in the emergency department, organisational culture, and types of clinicians [12,17]. Diferences in physical environments may also impact interventions, given that unlike hospitals, hand sanitizer dispensers in care homes are not often attached to beds and residents are mobile [45].…”

“…However, no research studies have explored how these technologies might work, or whether they are efective in upskilling healthcare workers in hand hygiene. Previous interventions and qualitative work have also been limited to acute settings [11,12,[16][17][18][19], while overlooking care homes [20,21]. Tese perspectives cannot be generalised to care homes, as IPC training requirements difer for staf between the settings.…”

Difference between self-reported adherence to standard precautions and surveillance and factors influencing observed adherence: a quantile regression approach

“…These findings were consistent with a study by Murray, Sundin, and Cope [ 36 ], which reported a theory–practice gap in SPs in newly graduated nurses. This gap has been attributed to difficulties newly graduated nurses experience in managing the pressure of limited time compared to experienced nurses working under the same conditions [ 36 , 37 ]. When newly graduated nurses must take care of many patients, they cannot adequately comply with SPs.…”