Does the use of a theoretical approach tell us more about hand hygiene behaviour? The barriers and levers to hand hygiene.
Does the use of a theoretical approach tell us more about hand hygiene behaviour? The barriers and levers to hand hygiene.
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DOI：
10.1177/1757177410384300
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发表时间：
2011-01-01
影响因子：
1.2
通讯作者：
Cheater, F.
中科院分区：
文献类型：
--
作者：
Dyson, J.;Lawton, R.;Cheater, F.
背景：尽管采取了许多策略来改善手部卫生，但依从性仍然很低，约为50%。造成这种情况的原因有两个。首先，实施战略很少根据评估的障碍和最佳做法的杠杆进行调整。其次，缺乏明确的理论依据来评估这些实践中的障碍和杠杆。目的：本文报道了手部卫生的障碍和杠杆，并评价了理论在评估手部卫生的障碍和杠杆方面的应用。方法：通过访谈、问卷调查、焦点小组等方法，找出存在的障碍和杠杆。在每个案例中，都使用了两种不同的问题时间表，一种基于心理学理论，另一种没有明确的理论基础。结果：虽然使用两个时间表确定的障碍和水平有相当大的重叠，但也有显着差异。结论：识别更多的障碍和杠杆可能有助于我们解决不遵守手部卫生的问题。使用理论框架可能会促使人们识别出人们通常不会报告的障碍，但这些障碍对行为，特别是情绪有重要影响。
Background: Despite many strategies employed to improve hand hygiene, compliance remains low at around 50%. Two reasons have been identified for this. First, implementation strategies are rarely tailored according to assessed barriers and levers to best practice. Secondly there is a lack of explicit theoretical basis for the assessment of these barriers and levers to practice. Aim: This paper reports barriers and levers to hand hygiene and an evaluation of the use of theory in assessing barriers and levers to hand hygiene. Methods: Identification of barriers and levers occurred through interviews, questionnaires and focus groups. In each case two different question schedules were used, one based on psychological theory and the other with no explicit theoretical underpinning. Results: Although there was considerable overlap in the barriers and levers identified using the two schedules there were also marked differences. Conclusions: Identification of further barriers and levers may help us address lack of compliance with hand hygiene. Using a theoretical framework may prompt the identification of barriers that people may not ordinarily report but which have an important impact on behaviour, particularly emotion.