Department of Psychology, North Carolina State University, Raleigh, NC 27695, USA.
Am J Infect Control. 2012 Sep;40(7):653-8. doi: 10.1016/j.ajic.2011.08.014. Epub 2012 Jan 20.
The hands of health care workers continue to be the main vector for nosocomial infection in hospitals. The purpose of the current research was to capture the health beliefs and self-reported behaviors of US health care workers to better understand why workers avoid hand hygiene and what prompts them to wash.
An online survey of health care workers assessed their reasons for washing their hands, reasons for not washing, and what cues prompted the decision to wash or not wash in a variety of locations.
The findings were that hand hygiene could be cued by an external situation but tended to be motivated internally. Hand hygiene was avoided because of situational barriers.
The reasons for performing hand hygiene can be situated in the internally motivated Theory of Planned Behavior; however, the reasons for not performing hand hygiene tend to be situational and affected by the environment. The results may be used to design programs, products, and systems that promote appropriate hand hygiene practices. Principles for design of these programs and products are provided.
医护人员的双手仍然是医院内发生医院感染的主要媒介。目前这项研究的目的是了解美国医护人员的健康信念和自我报告行为，以便更好地理解为什么工作人员会避免进行手部卫生，以及是什么促使他们洗手。
一项针对医护人员的在线调查评估了他们洗手的原因、不洗手的原因以及在各种情况下促使他们决定洗手或不洗手的因素。
研究结果表明，手部卫生可以由外部情况引发，但往往是由内部动机驱动的。手部卫生被回避是因为存在情境障碍。
进行手部卫生的原因可以在内部动机的计划行为理论中找到依据；然而，不进行手部卫生的原因往往是情境性的，并受到环境的影响。研究结果可用于设计方案、产品和系统，以促进适当的手部卫生实践。本文提供了设计这些方案和产品的原则。
