社会影响对护士手部卫生行为的作用
The Effects of Social Influence on Nurses' Hand Hygiene Behaviors.
作者信息
Piras Susan E, Minnick Ann, Lauderdale Jana, Dietrich Mary S, Vogus Timothy J
机构信息
Author Affiliations: (Nursing Instructor (Dr Piras), Vanderbilt University School of Nursing); Senior Associate Dean for Research, Postdoctoral Fellowship Director, and Julia Eleanor Chenault Professor of Nursing (Dr Minnick); Associate Professor and Assistant Dean (Dr Lauderdale), Office of Diversity and Inclusion; and Professor (Dr Dietrich), School of Nursing and School of Medicine, Vanderbilt University School of Nursing; and Brownlee O. Currey Jr. Professor of Management (Dr Vogus), Vanderbilt Owen Graduate School of Management, Nashville, Tennessee.
出版信息
J Nurs Adm. 2018 Apr;48(4):216-221. doi: 10.1097/NNA.0000000000000602.
OBJECTIVE
The aim of this article is to describe the associations of nurses' hand hygiene (HH) attitudes, subjective norms, and perceived behavioral control with observed and self-reported HH behavior.
BACKGROUND
Hand hygiene is an essential strategy to prevent healthcare-associated infections. Despite tremendous efforts, nurses' HH adherence rates remain suboptimal.
METHODS
This quantitative descriptive study of ICU nurses in the southeastern United States was guided by the theory of planned behavior. The self-administered Patient Safety Opinion Survey and iScrub application, which facilitates observation, comprised the data set.
RESULTS
Nurses' observed HH median was 55%; tendency to self-report was a much higher 90%. Subjective norm and perceived control scores were associated with observed and self-reported HH (P < .05) but not attitude scores or reports of intention.
CONCLUSIONS
Nurses' subjective norm and perceived control are associated with observed and self-reported HH performance. Healthcare workers overestimate their HH performance. Findings suggest future research to explore manipulators of these variables to change nurses' HH behavior.
目的
本文旨在描述护士的手卫生（HH）态度、主观规范和感知行为控制与观察到的和自我报告的HH行为之间的关联。
背景
手卫生是预防医疗相关感染的一项基本策略。尽管付出了巨大努力，但护士的HH依从率仍不理想。
方法
这项对美国东南部重症监护病房护士进行的定量描述性研究以计划行为理论为指导。自行填写的患者安全意见调查和便于观察的iScrub应用程序构成了数据集。
结果
观察到的护士HH中位数为55%；自我报告的倾向则高得多，为90%。主观规范和感知控制得分与观察到的和自我报告的HH相关（P < .05），但与态度得分或意向报告无关。
结论
护士的主观规范和感知控制与观察到的和自我报告的HH表现相关。医护人员高估了他们的HH表现。研究结果表明，未来的研究应探索这些变量的操纵因素，以改变护士的HH行为。
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