Use of a simulation intervention to examine differences in nursing students' hand hygiene knowledge, beliefs, and behaviors.

Background Although hand hygiene remains an essential aspect of quality care, adherence to best patient safety practices continues to pose major challenges. Objectives The objectives of this study are to examine hand hygiene knowledge, beliefs, practices, perceived importance and behaviors using Soc...

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Publicado en:Nurse Education Today Vol. 45; pp. 96 - 102
Autores principales: Konicki, Tara, Miller, Elaine
Formato: research Journal Article
Publicado: Elsevier B.V. Oct2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2016
      vid: 45
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      pub: Elsevier B.V.
      place: New York, New York
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        117914801
        117914801
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        10.1016/j.nedt.2016.06.022
        117914801
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        atl: Use of a simulation intervention to examine differences in nursing students' hand hygiene knowledge, beliefs, and behaviors.
      aug:
        au:
          Konicki, Tara
          Miller, Elaine
        affil: Wright State University, College of Nursing and Health, 3640 Colonel Glenn Hwy, Dayton, Ohio 45435, United States
      sug:
        subj:
          Student Knowledge Evaluation
          Simulations
          Handwashing Education
          Education, Nursing, Theory-Based
          Human
          Social Learning Theory
          Experimental Studies
          Pretest-Posttest Design
          Colleges and Universities Midwestern United States
          Midwestern United States
          Random Assignment
          Lecture
          Questionnaires
          Audiovisuals
          Handwashing Evaluation
          Colony Count, Microbial
          Ultraviolet Rays Utilization
          Photography
      ab: Background Although hand hygiene remains an essential aspect of quality care, adherence to best patient safety practices continues to pose major challenges. Objectives The objectives of this study are to examine hand hygiene knowledge, beliefs, practices, perceived importance and behaviors using Social Cognitive Theory and simulation-based intervention. Design Participants were taken from a convenience sample of 131 undergraduate nursing students enrolled in a nursing fundamentals course at an urban university in the midwestern United States, and then randomly assigned to their respective groups. Using an experimental pretest-posttest design, control and intervention groups received the same lecture pertaining to hand hygiene and 3 data collection points where van de Mortel's Hand Hygiene Questionnaire (HHQ) was administered. In addition, the intervention group viewed a 6.5 min video related to healthcare acquired infection and participated in 4 simulated situations requiring hand hygiene, based on World Health Organization guidelines. For all students, the hand hygiene technique was assessed through the use of Glo Germ, followed by handwashing and photography under ultraviolet light (posttest only). Image illumination was analyzed using image processing software. Microbiological sampling plates (pretest-posttest) were assessed quantitatively by colony counting. Results Study findings did not support differences in the intervention group for the 5 hypothesized relationships. Social desirability responding and negative item confusion were found to occur with the HHQ in the student population. There was a significant difference in the UV hand photographs, with students in the afternoon having lower values than students in the morning. Conclusions Given the study results, there were no definitive educational recommendations to teach hand hygiene to nursing students. Future research should continue to further examine multi-focal modalities to enhance adherence to hand hygiene practices, as well as control for extraneous mediating or moderating variables found in educational settings.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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