RELATIONSHIP BETWEEN SELF-REPORTED HAND HYGIENE BELIEFS AND HAND HYGIENE PRACTICES IN NURSING STUDENTS: A STRUCTURAL EQUATION MODELING

Year 2021, Volume: 6 Issue: 3, 262 - 272, 29.12.2021

Cevriye Yüksel Kaçan

https://doi.org/10.33457/ijhsrp.946759

Abstract

Hand hygiene practice is very important in preventing health-related infections. It is reported that hand hygiene belief is an important indicator for hand hygiene practice. Determining the relationship between hand hygiene practice and hand hygiene beliefs is extremely important to increase hand hygiene compliance. The objective of this study is to examine the relationship between self-reported hand hygiene beliefs and hand hygiene practices in nursing students. This study used a predictive correlational design and conducted at a nursing department of a state university in Turkey. A total of 305 nursing students who were selected by convenience sampling, had received at least one year of nursing education and had clinical practice experience were surveyed. The data were collected by a sociodemographic data collection form, the "Hand Hygiene Beliefs Scale" and the "Hand Hygiene Practice Inventory". Frequency analysis, multiple linear regression analysis, correlation analysis and structural equation modelling were used in data analysis. The total mean scores of the students in the Hand Hygiene Beliefs Scale and the Hand Hygiene Practice Inventory were 92.53±7.58 and 65.36±4.92, respectively. A significant positive correlation was found between hand hygiene beliefs and practices (r =.42; p<0.01). In this study the Hand Hygiene Beliefs Scale score and Hand Hygiene Practice Inventory scores of the students were high. In our study, a highly significant positive relationship was found between hand hygiene beliefs and practices. It is thought that positive hand hygiene beliefs will contribute to evaluation of hand hygiene practices. It is recommended that students be supported to further develop their hand hygiene beliefs.

Keywords

hand hygiene, nursing, students, beliefs, practices, nosocomial infection

References

• [1] Pittet, D., Simon, A., Hugonnet, S., Pessoa-Silva, C., Sauvan, V., Perneger, T., “Hand hygiene among physicians: Performance, beliefs, and perceptions,” Annals of Internal Medicine, 141(1), 1–8, 2004. Doi: 10.7326/0003-4819-141-1-200407060-00008
• [2] WHO, “Nurses are the heart of our health-care system," World Health Organization, 2020. https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/5/nurses-are-the-heart-of-our-health-care-system-shoshy-goldberg,-government-chief-nursing-officer,-israel
• [3] Hugonnet, S., Pittet, D., “Hand hygiene—beliefs or science?,” Clinical Microbiology and Infection, 6(7), 348–354, 2000. Doi: 10.1046/j.1469-0691.2000.00104.x
• [4] Akyol, A. D., “Hand hygiene among nurses in Turkey: Opinions and practices,” Journal of Clinical Nursing, 16(3), 431–437, 2007. Doi: 10.1111/j.1365-2702.2005.01543.x
• [5] Karaoğlu, M. K., Akın, S., “Evaluation of Nurses’ Views about Hand Washing Habits and Hand Hygiene Compliance Rates,” Journal of Education and Research in Nursing, 16(1), 33–40, 2019. Doi: 10.5222/HEAD.2019.033
• [6] Van de Mortel, T., Apostolopoulou, E., Petrikkos, G., “A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students,” American Journal of Infection Control, 38(1), 75–77, 2010. Doi: 10.1016/j.ajic.2009.05.006
• [7] Van de Mortel, T., “Development of a questionnaire to assess health care students’ hand hygiene knowledge, beliefs and practices,” Australian Journal of Advanced Nursing, 26(3), 9–16, 2009. https://pdfs.semanticscholar.org/c170/4775ad0cddbe2c74aa94fc703a056eed4d1e.pdf
• [8] Moret, L., Tequi, B., Lombrail, P., “Should self-assessment methods be used to measure compliance with handwashing recommendations? A study carried out in a French university hospital,” American Journal of Infection Control, 32(7), 384–390, 2004. Doi: 10.1016/j.ajic.2004.02.004
• [9] Larson, E. L., Aiello, A. E., Cimiotti, J., “Assessing nurses’ hand hygiene practices by direct observation or self-report.,” Journal of Nursing Measurement, 12(1), 77–85, 2004. http://www.ncbi.nlm.nih.gov/pubmed/15916321
• [10] Aiello, A. E., Malinis, M., Knapp, J. K., Mody, L., “The influence of knowledge, perceptions, and beliefs, on hand hygiene practices in nursing homes,” American Journal of Infection Control, 37(2), 164–167, 2009. Doi: 10.1016/j.ajic.2008.04.258
• [11] Cebeci, F., Gürsoy, E., Tekingündüz, S., “Examination of The Tendency for Nursing Malpractice and Affecting Factors,” Journal of Anatolia Nursing and Health Sciences, 15(3), 188–196, 2012. https://dergipark.org.tr/tr/pub/ataunihem/issue/2658/34258
• [12] Ertek, M., “Hospital infections:The data of Turkey,” Istanbul University Cerrahpasa Medical Faculty Continuous Medical Education Activities, Symposium Series, 60(1), 9–14, 2008. http://ctf.edu.tr/stek/pdfs/60/6001.pdf
• [13] Aylaz, R., Şahin, F., Yıldırım, H., “Determination of Knowledge Level Related to the Subject of Hospital Infection of the Nurses,” Balıkesir Journal of Health Sciences, 7(2), 67–73, 2017. https://dergipark.org.tr/en/download/article-file/544818
• [14] Whitby, M., McLaws, M. L., Ross, M. W., “Why Healthcare Workers Don’t Wash Their Hands: A Behavioral Explanation,” Infection Control & Hospital Epidemiology, 27(5), 484–492, 2006. Doi: 10.1086/503335
• [15] Karadağ, M., Pekin Iseri, Ö., Yildirim, N., Etikan, İ., “Knowledge, Beliefs and Practices of Nurses and Nursing Students for Hand Hygiene,” Jundishapur Journal of Health Sciences, 8(4), 1–7, 2016. Doi: 10.17795/jjhs-36469
• [16] Barrett, R., Randle, J., “Hand hygiene practices: nursing students’ perceptions,” Journal of Clinical Nursing, 17(14), 1851–1857, 2008. Doi: 10.1111/j.1365-2702.2007.02215.x
• [17] Lymer, U. B., Richt, B., Isaksson, B., “Blood exposure: factors promoting healthcare worker’s compliance with guidelines in concern with risk,” Journal of Clinical Nursing, 13(5), 547–554, 2004. Doi: 10.1111/j.1365-2702.2004.00897.x
• [18] Van de Mortel, T., Kermode, S., Progano, T., Sansoni, J., “A comparison of the hand hygiene knowledge, beliefs, and practices of Italian nursing and medical students,” Journal of Advanced Nursing, 68(3), 569–579, 2012. Doi: 10.1111/j.1365-2648.2011.05758.x
• [19] Al-Khawaldeh, O., Al-Hussami, M., Darawad, M., “Influence of Nursing Students Handwashing Knowledge, Beliefs, and Attitudes on Their Handwashing Compliance,” Scientific Research Publishing, 7, 572–579, 2015. Doi: 10.4236/health.2015.75068
• [20] Kiprotich, K., Kaminga, Chiwanda, A., Kessi, M., Honghong, W, “Observed and Self-reported Hand Hygiene Compliances and Associated Factors among Healthcare Workers at a County Referral Hospital in Kenya,” Research Square, 1–16, 2020. Doi: 10.21203/rs.3.rs-79985/v1
• [21] Karadağ, M., Yıldırım, N., Pekin İşleri, Ö, “The validity and reliability study of Hand Hygiene Belief Scale and Hand Hygiene Practices Inventory,” Cukurova Medical Journal, 41(2), 271–284, 2016. Doi: 10.17826/cutf.206317
• [22] Okgün Alcan, A., Dolgun, E., “Student Nurses’ Hand Hygiene Beliefs and Practices,” Turkish Journal of Family Medicine and Primary Care, 13(3), 279–286, 2019. Doi: 10.21763/tjfmpc.609778
• [23] Hunt, D. C., Mohammudally, A., Stone, S. P., Dacre, J., “Hand-hygiene behaviour, attitudes and beliefs in first year clinical medical students,” Journal of Hospital Infections, 59(4), 371–373, 2005. Doi: 10.1016/j.jhin.2004.09.002
• [24] Bayram, Ş. B., Calışkan, N., Gülnar, E., Aydın, M., “The Effect of Planned Education on Hand-Washing Beliefs And Practices of Nursing Students: Non-Participant Observation Study With Pre-Post Test Design,” Gazi Journal of Health Sciences, 4(2), 20–30, 2019. https://dergipark.org.tr/tr/download/article-file/903908
• [25] Al-Hussami, M. O., Darawad, M. W., Almhairat, I., “Predictors of compliance hand hygiene practice among healthcare professionals.,” Healthcare Infection, 16, 79–84, 2011. https://idhjournal.com/article/S1835-5617(16)30141-7/pdf