Predicting hand hygiene among Iranian health care workers using the theory of planned behavior

McLaws, Mary‐Louise; Maharlouei, Najmeh; Yousefi, Fakhri; Askarian, Mehrdad

doi:10.1016/j.ajic.2011.04.004

Cited by 42 publications

(36 citation statements)

References 20 publications

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“…A series of papers investigating relevant factors for healthcare workers' hand hygiene behavior reported signi cant correlations between the three pre-intention TPB variables (attitude, norm, and PBC) and the self-reported hand hygiene behavior (30)(31)(32). None of these three studies reported an intention measure.…”

Section: Theory Of Planned Behaviormentioning

confidence: 99%

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Hand(y) Hygiene Insights: Applying Three Theoretical Models to Investigate Hospital Patients’ and Visitors’ Hand Hygiene Behavior

Gaube

Fischer

Lermer

2020

Preprint

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BackgroundImproving hand hygiene is the most efficient method to prevent healthcare-associated infections, which are a severe threat to patient safety. Besides healthcare professionals, it is mainly hospital patients and visitors who pose a risk for the transmission of pathogens, which can lead to infections. In contrast to medical staff, laypeople’s hand hygiene behavior in hospitals is not well researched. Therefore, the present study had three aims: 1) Identifying a suitable theoretical model to explain laypeople's hand hygiene practice; 2) Finding the factors that strongly affect patients’ and visitors’ hand hygiene behavior and, therefore, should be targeted in behavior change interventions; and 3) Comparing the essential determinants of hand hygiene behavior between laypeople and healthcare professionals.MethodsTo accomplish these goals, in total N = 1,605 patients and visitors were surveyed on their hand hygiene practice in hospitals. The employed questionnaires were based on three theoretical models: a) the Theory of Planned Behavior (TPB); b) the Health Action Process Approach (HAPA); and c) the Theoretical Domains Framework (TDF). Structural equation modeling (SEM) was used to analyze the data.ResultsAmong patients, 53% of the variance in the hand hygiene behavior was accounted for by the TDF domains, 44% by a modified HAPA model, and 40% by the TPB factors. Among visitors, these figures were 60%, 37%, and 55%, respectively. Two clusters of variables surfaced as being essential determinants of the behavior: First, self-regulatory processes (perceived behavioral control; action control; memory, attention, and decision processes); and second, social influence processes (subjective norm and role and identity).ConclusionsThe TDF was identified as the most suitable model to investigate and predict patient’s and visitor’s hand hygiene practices. The critical determinants for adequate hand hygiene (i.e., self-regulation processes and social influence processes) are similar for laypeople and healthcare professionals. Therefore, analogous intervention strategies might be useful for both target groups. Further practical and theoretical implications are discussed.

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Section: Theory Of Planned Behaviormentioning

confidence: 99%

“…All results are brie y summarized in Table 7. TPB (40%, 55%) Attitude * ** 5/8 (30-32, 35, 36) Subjective norm ** ** 7/8 (29)(30)(31)(32)(33)(34)36) PBC ** ** 8/8 (29)(30)(31)(32)(33)(34)(35)(36) Intention ** ** 2/2 (29,36) HAPA (44%, 37%) Self-E cacy ** * 1/1 (43) Outcome expectancies * * Not tested…”

Section: Summary Goal Two: Identifying Critical Determinantsmentioning

confidence: 99%

Hand(y) Hygiene Insights: Applying Three Theoretical Models to Investigate Hospital Patients’ and Visitors’ Hand Hygiene Behavior

Gaube

Fischer

Lermer

2020

Preprint

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“…Furthermore, regular handwashing effectively lowers rates of additional infectious diseases, such as respiratory illnesses 4 and nosocomial infections. 5 Accordingly, the promotion of domestic handwashing is high on the agenda of development and relief organizations. However, these campaigns are rarely grounded in theory, often following a logic model and focusing on awareness-raising and knowledgebuilding (for an example, see the Global WASH Cluster 6 ).…”

mentioning

confidence: 99%

“…Better explored are factors determining handwashing among health care workers in developing countries. 5,12,13 The aim of our article was to identify the psychological determinants of domestic handwashing based on theory. Potential determinants were derived from a recent model of behavior change developed for the water, sanitation, and hygiene sector in developing countries; namely, the Risk, Attitudes, Norms, Abilities, and SelfRegulation of Behavioural Change (RANAS) model.…”

mentioning

confidence: 99%

Identifying the psychological determinants of handwashing: Results from two cross-sectional questionnaire studies in Haiti and Ethiopia

Contzen

Mosler

2015

American Journal of Infection Control

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“…Organ donation advocacy in intensive care nurses demonstrated an impact from educational programming supported by TPB (Lin, Lin, Chen, & Lin, 2014). A survey by McLaws, Maharlouei, Yousefi, and Askarain (2012) showed that components of the TPB influenced hand hygiene behaviors. Ben Natan, Faour, Naamhah, Grinberg, and Klein-Kremer (2012) found that components of the TPB model partially influenced nurse and physician behavior in child abuse reporting.…”

Section: Statedmentioning

confidence: 99%

Lessons Learned From a Theory of Planned Behavior-Derived Study on Educational Interventions Inspired by the Affective Domain

Russell-Babin¹

2017

J Contin Educ Nurs

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Predicting hand hygiene among Iranian health care workers using the theory of planned behavior

Cited by 42 publications

References 20 publications

Hand(y) Hygiene Insights: Applying Three Theoretical Models to Investigate Hospital Patients’ and Visitors’ Hand Hygiene Behavior

Hand(y) Hygiene Insights: Applying Three Theoretical Models to Investigate Hospital Patients’ and Visitors’ Hand Hygiene Behavior

Identifying the psychological determinants of handwashing: Results from two cross-sectional questionnaire studies in Haiti and Ethiopia

Lessons Learned From a Theory of Planned Behavior-Derived Study on Educational Interventions Inspired by the Affective Domain

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