Dyson, J, Lawton, R, Jackson, C et al. (1 more author) (2011) Does the use of a theoretical approach tell us more about hand hygiene behaviour? The barriers and levers to hand hygiene. Journal of Infection Prevention, 12 (1). 17 - 24 (8). ISSN 1757-1774
Abstract
Background: Despite many strategies employed to improve hand hygiene, compliance remains low at around 50%. Two reasons have been identified for this. First, implementation strategies are rarely tailored according to assessed barriers and levers to best practice. Secondly there is a lack of explicit theoretical basis for the assessment of these barriers and levers to practice. Aim: This paper reports barriers and levers to hand hygiene and an evaluation of the use of theory in assessing barriers and levers to hand hygiene. Methods: Identification of barriers and levers occurred through interviews, questionnaires and focus groups. In each case two different question schedules were used, one based on psychological theory and the other with no explicit theoretical underpinning. Results: Although there was considerable overlap in the barriers and levers identified using the two schedules there were also marked differences. Conclusions: Identification of further barriers and levers may help us address lack of compliance with hand hygiene. Using a theoretical framework may prompt the identification of barriers that people may not ordinarily report but which have an important impact on behaviour, particularly emotion.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | behavior; compliance; evidence based practice; hand hygiene; improvements staff hand hygiene |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 21 Aug 2014 14:13 |
Last Modified: | 03 Nov 2016 03:15 |
Published Version: | http://dx.doi.org/10.1177/1757177410384300 |
Status: | Published |
Publisher: | Sage |
Identification Number: | 10.1177/1757177410384300 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:76182 |