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态度和信念,而不仅仅是知识,影响环境服务人员进行环境清洁的效果。

Attitudes and beliefs, not just knowledge, influence the effectiveness of environmental cleaning by environmental service workers.

机构信息

Infection Prevention and Control Programme, Hospital for Sick Children, Toronto, Ontario, Canada.

出版信息

Am J Infect Control. 2012 Apr;40(3):260-2. doi: 10.1016/j.ajic.2011.02.024. Epub 2011 Jul 13.

Abstract

BACKGROUND

Hospital environmental service workers (ESWs) play an important role in interrupting the chain of infection because the environment is a reservoir for nosocomial pathogens. Improving ESWs' knowledge through education has been shown to improve ESW cleaning, but the behavioral determinants of their work have not been studied. Understanding and targeting ESWs' attitudes and beliefs may inform strategies to improve environmental cleaning.

METHODS

With the theory of planned behavior as framework, we used questionnaires and focus groups to examine intensive care unit ESWs' attitudes, beliefs [behavioral, normative, and control], and control) and intent about their job. Baseline quantitative microbial cultures of high-touch services were performed before and after cleaning. After an educational intervention addressing their attitudes, beliefs, and general infection control knowledge, attitudes, beliefs, and microbial contamination were reassessed.

RESULTS

Beliefs were uniformly strong (4.5/5-5/5), and normative beliefs correlated best with intent to clean (R(2) = 0.3). Themes elicited from the focus groups included "me versus them," lack of appreciation, pride in work, and "if it were me." The rate of environmental contamination was significantly improved after the intervention (P = .0074 vs P = .0023, respectively); the measured relationship among attitudes, beliefs, and intent was not significantly changed.

CONCLUSION

ESWs' attitudes and beliefs about their job may impact their intent to clean and in turn the effectiveness of their efforts. Understanding and addressing these attitudes and beliefs can be used to inform strategies for sustained improvement of environmental cleaning.

摘要

背景

医院环境服务人员(ESWs)在中断感染链方面发挥着重要作用,因为环境是医院病原体的储存库。通过教育提高 ESW 知识已被证明可以改善 ESW 清洁,但他们工作的行为决定因素尚未得到研究。了解和针对 ESW 的态度和信念可能为改善环境清洁提供信息。

方法

以计划行为理论为框架,我们使用问卷和焦点小组来检查重症监护病房 ESW 的态度、信念[行为、规范和控制]以及对其工作的意图。在清洁前后进行了高接触服务的定量微生物培养。在针对他们的态度、信念和一般感染控制知识进行教育干预后,重新评估了态度、信念和微生物污染情况。

结果

信念是一致强烈的(4.5/5-5/5),规范信念与清洁意图相关性最好(R²=0.3)。焦点小组中引出的主题包括“我与他们”、缺乏赞赏、对工作的自豪感和“如果是我”。干预后环境污染率显著提高(P=.0074 与 P=.0023,分别);态度、信念和意图之间的关系没有显著变化。

结论

ESW 对其工作的态度和信念可能会影响他们的清洁意图,进而影响他们工作的效果。了解和解决这些态度和信念可以为持续改善环境清洁提供信息。

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