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How to make hand hygiene interventions more attractive to nurses: A discrete choice experiment.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • المؤلفون: Zhao Q;Zhao Q; Yang MM; Yang MM; Huang YY; Huang YY; Chen W; Chen W
  • المصدر:
    PloS one [PLoS One] 2018 Aug 09; Vol. 13 (8), pp. e0202014. Date of Electronic Publication: 2018 Aug 09 (Print Publication: 2018).
  • نوع النشر :
    Journal Article
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: San Francisco, CA : Public Library of Science
    • الموضوع:
      Guideline Adherence* ; Nurses*; Hand Disinfection/*methods ; Hand Hygiene/*methods ; Nursing/*methods; Adult ; Attitude of Health Personnel ; Cross Infection/prevention & control ; Diffusion of Innovation ; Female ; Humans ; Male ; Middle Aged ; Models, Econometric ; Probability ; Surveys and Questionnaires ; Young Adult
    • نبذة مختصرة :
      Background: Better understanding of the characteristics of interventions which are attractive to nurses is required in order to implement effective hand hygiene interventions.
      Methods: The intervention characteristics were derived from diffusion of innovation theory (DIT): relative advantage, compatibility, simplicity, trialability, and observability. To identify nurses' preferences for the five characteristics, a discrete choice experiment (DCE) was conducted. Participants were nurses working at Taiwanese tertiary care hospitals selected through stratified sampling. In addition, the hand hygiene moment (before or after patient contact) was taken into consideration in the DCE to investigate whether nurses' preferences for the intervention characteristics were the same at different hand hygiene moments.
      Results: This survey was conducted between 1 October and 31 December 2014. Among 200 nurses from three Taiwanese tertiary care hospitals, significant preferences for the five intervention characteristics were observed. That is, when an intervention makes the hand hygiene activity more convenient (p<0.001), when nurses participate in the design of the intervention (p<0.001), when an intervention is explained well to nurses before implementing it (p<0.001), when the evidence of hand hygiene is provided at a trial stage to show its effectiveness (p<0.001), and when nurses' hand hygiene performance is observable to their peers (p<0.001), nurses are more willing to wash their hands with high compliance. In addition, nurses preferred for providing evidence at a trial stage most, and well explanation about the intervention to increase simplicity was least. The rankings of the preference for the five intervention characteristics were the same at different hand hygiene moments (p = 0.453).
      Conclusions: The findings suggest policy directions for decision makers aiming to improve overall hand hygiene compliance in healthcare facilities.
      Competing Interests: The authors have declared that no competing interests exist.
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    • الموضوع:
      Date Created: 20180810 Date Completed: 20190213 Latest Revision: 20190215
    • الموضوع:
      20240628
    • الرقم المعرف:
      PMC6084975
    • الرقم المعرف:
      10.1371/journal.pone.0202014
    • الرقم المعرف:
      30092024