Self-efficacy of health professionals in hand hygiene practice: is it possible to measure?

Pereira, Eliana Borges Silva; Sousa, Álvaro Francisco Lopes de; Cunha, Cristiane Martins; Craveiro, Isabel; Andrade, Denise de

doi:10.1590/0034-7167-2019-0873

Cited by 9 publications

(13 citation statements)

References 20 publications

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“…Each additional meter, which must be covered by the health professional to reach a sink, decreased the likelihood of HH by approximately 10% [6]. Likewise, a study carried out in a pediatric and neonatal ICU in the United Kingdom found that, as the visibility of sinks increased, the number of HH actions also increased [24].…”

Section: Discussionmentioning

confidence: 99%

“…Different factors may be related to low HH adherence, among them, health services with inadequate physical structure, including poorly located sinks [6,19,20], inoperative dispensers of alcohol-based handrubs and without arms reach [12,19,20], use of procedure gloves [21], lack of training, among others [12].…”

Section: Discussionmentioning

confidence: 99%

“…Difficult access sinks and dispensers, as well as installation in ergonomically incorrect points, can hinder HH adherence [6,22]. Some studies showed that the greater distance between the patient's environment and the sink was associated with decreased HH adherence [19,23].…”

Section: Discussionmentioning

confidence: 99%

“…Among them, the most recent, the "Multimodal Strategy for Improving Hand Hygiene Adherence" [4] has five components: system change, training/ education, performance observation/feedback, reminders in the workplace and institutional security environment [5]. This strategy proved to be successful in improving good practices of hand hygiene adherence [6][7][8][9]. However, hand hygiene (HH) adherence has been considerably lower than that recommended worldwide [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Another element that hinders HH adherence is the inappropriate use of procedure gloves. These gloves are an part of standard precautionary measures and are therefore mandatory in various clinical situations, in order to avoid contamination of health workers and transmission of microorganisms [6,12]. However, HH must be performed before puutting the gloves and after removing them [12].…”

Section: Introductionmentioning

confidence: 99%

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Influencing factors of hand hygiene in critical sections of a brazilian hospital

Bezerra

Valim

Bortolini

et al. 2021

J Infect Dev Ctries

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Introduction: The aim of this study was to monitor adherence to hand hygiene by health professionals working in critical sections and to assess the factors that influenced adherence, such as physical structure of the units, use of procedure gloves, employment bond of the worker, and perception of patient safety climate. Methodology: Observational and correlational study carried out in critical areas of a university hospital in the Midwest region of Brazil. Results: The overall hand hygiene adherence rate was 46.2% (n = 3,025). Adherence was higher among nurses 59.8% (n = 607) than among nursing technicians (p < 0.001), and the section with the greatest adherence was the neonatal Intensive Care Unit 62.9% (n = 947) (p < 0.001). Unlike the neonatal unit, in the adult unit the dispensers of alcohol-based handrubs were poorly located, without arms reach, and the taps were manual. In this section, a greater frequency of procedure glove use was also observed, 90.6% (n = 536), as compared to the other sections (p < 0.001). Regarding safety climate perception, temporary employees had higher means as compared to regular employees (p = 0.0375). Conclusions: Hand hygiene adherence was affected and/or influenced by the physical structure, use of procedure gloves, work regime, and patient safety climate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Influencing factors of hand hygiene in critical sections of a brazilian hospital

Bezerra

Valim

Bortolini

et al. 2021

J Infect Dev Ctries

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Hygiene‐related knowledge, attitude and practice: An imperative study among primary caregivers of the under three aboriginal children in Malaysia

Minhat

Zakaria

2021

Child

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Background Parental and caregivers' hygiene‐related knowledge, attitude and practice are compelling factors in the prevention of stunting and malnutrition among the aboriginal children in Malaysia, which are highly modifiable. This study was conducted to explore the knowledge, attitude and practice related to hygiene among primary caregivers of the under three aboriginal (known as Orang Asli) children community in Malaysia. Methods A total of 166 primary caregivers of the under three children of the aboriginal community in Kuala Langat district, Selangor were recruited. Data related to caregivers', child's and environmental factors were collected using a validated and reliable questionnaire, with knowledge, attitude and practice being the dependent variables. IBM Statistical Package for Social Science (SPSS) version 25.0 was used to analyse the data. Pearson's correlation was conducted to identify the relationship between continuous data. Multiple linear regression analysis was performed to determine the relationship between knowledge, attitude and practice related to hygiene, as well as the predictors. Results The mean scores for knowledge, attitude and practice related to hygiene were 6.91 (2.12), 23.67 (3.16), 29.97 (3.55) and 43.05 (4.41), respectively. Significant moderate positive correlations were found between attitude and hygiene practice (r = 0.445, P < 0.001). Self‐efficacy was significantly correlated with attitude (r = 0.442, P < 0.001) and practice (r = 0.557, P < 0.001), with every unit increase in self‐efficacy will predict 0.281 and 0.536 increase in attitude (B = 0.281, 95% CI: 0.126–0.435) and practice (B = 0.536, 95% CI: 0.348–0.725) scores respectively. Conclusion Moderate mean scores for hygiene related knowledge, attitude and practice were observed in this study, with self‐efficacy being a significant predictor for both hygiene‐related attitude and practice but not knowledge. The self‐efficacy of the caregivers should be sustained through continuous health education and counselling, to ensure improved hygiene practice. Future related research should consider the mediating role of self‐efficacy on attitude and practice.

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Development of Respiratory Infection Prevention and Control Self-Efficacy Scale for Adults

Yoo,

Kim

2024

JMDH

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This study aimed to develop a scale for respiratory infection prevention and control self-efficacy (R-PACS) to measure selfefficacy in the prevention and control of the spread of respiratory infections among adults and to confirm the applicability of the developed scale by testing its validity and reliability. Methods: This methodological study was conducted in two phases. During the first phase, the R-PACS scale was developed after conducting a thorough literature review, content validity, and a pilot test. In the second phase, its validity and reliability were verified against 210 university students in Korea. The criterion validity of the developed R-PACS scale was tested using the correlation with resilience scale. Item analysis, explanatory factor analysis, and convergent and discriminant validity analyses were conducted in order to verify construct validity. Furthermore, Cronbach's α was used to verify internal consistency reliability. Results:The final version of the R-PACS scale comprises 4 factors and 16 items rated on a 5-point Likert scale. Higher scores are interpreted as higher levels of self-efficacy in the prevention and control of respiratory infection. The R-PACS scale exhibited good content validity, construct validity, criterion validity, and reliability. The correlation coefficient of the four factors was ≥.4, confirming the validity of item convergence; meanwhile, the Cronbach's α coefficient for the final 16 items of the developed scale was 0.923, verifying reliability. This scale consists of four factors: "environmental management", "contact restrictions", "general infection prevention and control", and "early detection". Conclusion:The applicability of the R-PACS scale exhibited acceptable validity and reliability. This scale can be utilized to assess and evaluate the degree of self-efficacy in the prevention and control of respiratory infections among adults. Data obtained using this scale can be utilized for preparing health behavior change and health promotion programs, and practical policies for preventing respiratory infections.

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Self-efficacy of health professionals in hand hygiene practice: is it possible to measure?

Cited by 9 publications

References 20 publications

Influencing factors of hand hygiene in critical sections of a brazilian hospital

Influencing factors of hand hygiene in critical sections of a brazilian hospital

Hygiene‐related knowledge, attitude and practice: An imperative study among primary caregivers of the under three aboriginal children in Malaysia

Development of Respiratory Infection Prevention and Control Self-Efficacy Scale for Adults

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