The purpose of this two-phase study was to describe the effects of social influence on critical care nursesâ hand hygiene behavior. Guided by the Theory of Planned Behavior, the phase-one qualitative study captured a modal set of nurse salient hand hygiene beliefs using a free response open-ended survey. Findings indicate nurse participants look to nurses as their hand hygiene referent. Phase-two was a cross-sectional descriptive study designed to determine the contributions of nursesâ hand hygiene attitudes, subjective norms, and perceived control on observed and self-reported hand hygiene performance using the self-administered Patient Safety Opinion Survey (informed by phase-one findings) and iScrub application (used for hand hygiene observations). There was no statistically significant association of nursesâ attitude scores with hand hygiene behavior (beta=-0.10 (observed), beta=0.03 (self-report), p > 0.05). Nursesâ subjective norm and perceived control scores were statistically significant contributors to their observed (Norms: beta = 0.32, p = 0.001; Control: beta = 0.20, p = 0.036) and self-reported (Norms: beta = 0.21, p = 0.028; Control: beta = 0.35, p < 0.001) hand hygiene. These findings suggest that interventions to increase hand hygiene subjective norm and perceived control scores may increase hand hygiene. Consequently, future hand hygiene work should focus on exploring social strategies with particular attention to the nurse leader because nurses identified them as the most important referent. Nurses observed hand hygiene median was 55% with their tendency to self-report a much higher median of 90% suggesting if actual hand hygiene performance statistics are desired, self-report is an inaccurate measure.
| Identifer | oai:union.ndltd.org:VANDERBILT/oai:VANDERBILTETD:etd-11282016-170413 |
| Date | 02 December 2016 |
| Creators | Piras, Susan E. |
| Contributors | Dr. Jana Lauderdale, Dr. Ann Minnick, Dr. Mary Dietrich, Dr. Tim Vogus |
| Publisher | VANDERBILT |
| Source Sets | Vanderbilt University Theses |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.vanderbilt.edu/available/etd-11282016-170413/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Vanderbilt University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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