Discrepancy between self-reported and observed hand hygiene behaviour in healthcare professionals
Discrepancy between self-reported and observed hand hygiene behaviour in healthcare professionals
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DOI：
10.1016/j.jhin.2006.03.012
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发表时间：
2006-08-01
影响因子：
6.9
通讯作者：
Scott, G. M.
中科院分区：
文献类型：
--
作者：
Jenner, E. A.;Fletcher, B. (C);Scott, G. M.
在71名医护人员的手卫生行为观察医院病房共132小时，包括1284手卫生的机会。参与者填写的问卷被用来比较实际情况。行为;自我报告的行为，以及对手部卫生的意图和态度。观察到的实践表明，遵守指南的比率非常低，并表明工作人员未能考虑到风险，即使是耐甲氧西林金黄色葡萄球菌定植的患者。观察到的做法是无关的照顾者的意图和自我报告的行为。结果表明，针对态度，意图或自我报告的做法的变化的手卫生干预措施很可能会失败，在改变行为方面，并考虑如何补救。(c)2006年，医院感染协会。由爱思唯尔有限公司出版。保留所有权利。
Hand hygiene behaviour in 71 healthcare professionals was observed on hospital wards for a total of 132 h, encompassing 1284 hand hygiene opportunities. Questionnaires completed by the participants were used to compare actual. behaviours; with self-reported behaviours, as well as intentions and attitudes towards hand hygiene. Observed practice showed very poor rates of adherence to guideLines and indicated that staff failed to take account of risk, even with patients colonized with meticillin-resistant Staphylococcus aureus. Observed practice was unrelated to carers' intentions and self-reported behaviour. The results suggest that hand hygiene interventions that target changes in attitudes, intentions or self-reported practice are likely to fail in terms of changing behaviour, and consideration is given to how this could be remedied. (c) 2006 The Hospital Infection Society. Pubtished by Elsevier Ltd. All rights reserved.