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Changing the paradigm: messages for hand hygiene education and audit from cluster analysis

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Changing the paradigm : messages for hand hygiene education and audit from cluster analysis. / Gould, D.J.; Navaïe, D.; Purssell, E.; Drey, N.S.; Creedon, S.

In: Journal of Hospital Infection, 29.07.2017.

Research output: Contribution to journalArticle

Harvard

Gould, DJ, Navaïe, D, Purssell, E, Drey, NS & Creedon, S 2017, 'Changing the paradigm: messages for hand hygiene education and audit from cluster analysis', Journal of Hospital Infection. https://doi.org/10.1016/j.jhin.2017.07.026

APA

Gould, D. J., Navaïe, D., Purssell, E., Drey, N. S., & Creedon, S. (2017). Changing the paradigm: messages for hand hygiene education and audit from cluster analysis. Journal of Hospital Infection. https://doi.org/10.1016/j.jhin.2017.07.026

Vancouver

Gould DJ, Navaïe D, Purssell E, Drey NS, Creedon S. Changing the paradigm: messages for hand hygiene education and audit from cluster analysis. Journal of Hospital Infection. 2017 Jul 29. https://doi.org/10.1016/j.jhin.2017.07.026

Author

Gould, D.J. ; Navaïe, D. ; Purssell, E. ; Drey, N.S. ; Creedon, S. / Changing the paradigm : messages for hand hygiene education and audit from cluster analysis. In: Journal of Hospital Infection. 2017.

Bibtex Download

@article{b91712df05d84e61897add311d9e7325,
title = "Changing the paradigm: messages for hand hygiene education and audit from cluster analysis",
abstract = "Background Hand hygiene is considered the foremost infection prevention measure. How health workers accept and make sense of the hand hygiene message is likely to contribute to success and sustainability of initiatives to improve performance, which is still often poor. Methods Survey of nurses in critical care units in three National Health Service trusts in England to explore opinions about hand hygiene, use of alcohol handrubs, audit with performance feedback and other key hand hygiene-related issues. Data were analysed descriptively and subjected to cluster analysis. Results Three main clusters of opinion were visualised, each forming a statistically significant group: positive attitudes, pragmatism and scepticism. A smaller cluster suggested possible guilt about ability to perform hand hygiene. Conclusion Cluster analysis identified previously unsuspected constellations of beliefs about hand hygiene that offer a plausible explanation of behaviour. Health workers might respond to education and audit differently according to these beliefs. Those holding predominantly positive opinions might comply with hand hygiene policy and perform well as infection prevention link nurses and champions. Those holding pragmatic attitudes are likely to respond favourably to the need for professional behaviour and need to protect themselves from infection. Greater persuasion may be needed to encourage those who are sceptical about the importance of hand hygiene to comply with guidelines. Interventions to increase compliance should be sufficiently broad in scope to tackle different beliefs. Alternatively cluster analysis of hand hygiene beliefs could be used to identify the most effective educational and monitoring strategies for a particular clinical setting.",
keywords = "Hand hygiene, infection prevention, beliefs, cluster analysis, education, hand hygiene audit/monitoring",
author = "D.J. Gould and D. Nava{\"i}e and E. Purssell and N.S. Drey and S. Creedon",
year = "2017",
month = jul,
day = "29",
doi = "10.1016/j.jhin.2017.07.026",
language = "English",
journal = "Journal of Hospital Infection",
issn = "0195-6701",
publisher = "W.B. Saunders Ltd",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Changing the paradigm

T2 - messages for hand hygiene education and audit from cluster analysis

AU - Gould, D.J.

AU - Navaïe, D.

AU - Purssell, E.

AU - Drey, N.S.

AU - Creedon, S.

PY - 2017/7/29

Y1 - 2017/7/29

N2 - Background Hand hygiene is considered the foremost infection prevention measure. How health workers accept and make sense of the hand hygiene message is likely to contribute to success and sustainability of initiatives to improve performance, which is still often poor. Methods Survey of nurses in critical care units in three National Health Service trusts in England to explore opinions about hand hygiene, use of alcohol handrubs, audit with performance feedback and other key hand hygiene-related issues. Data were analysed descriptively and subjected to cluster analysis. Results Three main clusters of opinion were visualised, each forming a statistically significant group: positive attitudes, pragmatism and scepticism. A smaller cluster suggested possible guilt about ability to perform hand hygiene. Conclusion Cluster analysis identified previously unsuspected constellations of beliefs about hand hygiene that offer a plausible explanation of behaviour. Health workers might respond to education and audit differently according to these beliefs. Those holding predominantly positive opinions might comply with hand hygiene policy and perform well as infection prevention link nurses and champions. Those holding pragmatic attitudes are likely to respond favourably to the need for professional behaviour and need to protect themselves from infection. Greater persuasion may be needed to encourage those who are sceptical about the importance of hand hygiene to comply with guidelines. Interventions to increase compliance should be sufficiently broad in scope to tackle different beliefs. Alternatively cluster analysis of hand hygiene beliefs could be used to identify the most effective educational and monitoring strategies for a particular clinical setting.

AB - Background Hand hygiene is considered the foremost infection prevention measure. How health workers accept and make sense of the hand hygiene message is likely to contribute to success and sustainability of initiatives to improve performance, which is still often poor. Methods Survey of nurses in critical care units in three National Health Service trusts in England to explore opinions about hand hygiene, use of alcohol handrubs, audit with performance feedback and other key hand hygiene-related issues. Data were analysed descriptively and subjected to cluster analysis. Results Three main clusters of opinion were visualised, each forming a statistically significant group: positive attitudes, pragmatism and scepticism. A smaller cluster suggested possible guilt about ability to perform hand hygiene. Conclusion Cluster analysis identified previously unsuspected constellations of beliefs about hand hygiene that offer a plausible explanation of behaviour. Health workers might respond to education and audit differently according to these beliefs. Those holding predominantly positive opinions might comply with hand hygiene policy and perform well as infection prevention link nurses and champions. Those holding pragmatic attitudes are likely to respond favourably to the need for professional behaviour and need to protect themselves from infection. Greater persuasion may be needed to encourage those who are sceptical about the importance of hand hygiene to comply with guidelines. Interventions to increase compliance should be sufficiently broad in scope to tackle different beliefs. Alternatively cluster analysis of hand hygiene beliefs could be used to identify the most effective educational and monitoring strategies for a particular clinical setting.

KW - Hand hygiene

KW - infection prevention

KW - beliefs

KW - cluster analysis

KW - education

KW - hand hygiene audit/monitoring

U2 - 10.1016/j.jhin.2017.07.026

DO - 10.1016/j.jhin.2017.07.026

M3 - Article

JO - Journal of Hospital Infection

JF - Journal of Hospital Infection

SN - 0195-6701

ER -

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