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      The ways in which healthcare interior environments are associated with perception of safety from infectious diseases and coping behaviours

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Summary

          Background

          Global pandemic outbreaks often have people fear. Healthcare personnel (HCP), especially those fighting the pathogens at the front lines, encounter a higher risk of being infected, while they treat patients. In addition, a variety of environmental fomites in hospitals, which may contain infectious agents, can post a high risk of getting infectious diseases.

          Aim

          Making HCP feel safe from infectious diseases is critical to delivering the best healthcare practice. Therefore, this study aims provide a better understanding of HCP’s HH behaviours and perceptions of infectious diseases from psychological perspectives.

          Method

          Observations measured different environmental features at three different departments and questionnaires asked HCP’s perception of safety from infectious diseases and coping behaviors (e.g., avoidance and disinfection).

          Findings

          This study has implications for potential interventions that enough HH stations at convenient locations would increase HH compliance rate from psychological perspectives, perception of safety from infectious diseases. In response to the current research gap in psychological aspects associated with HH, this study also presents HCP’s coping behaviours (e.g., avoidance and disinfection) would be predicted by their perceived contamination likelihoods and their perceived vulnerability enhanced the associations.

          Conclusions

          Nonetheless, due to several limitations, those findings should be carefully interpreted and further studies must be conducted with more solid academic rigor.

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          Most cited references38

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          Role of hand hygiene in healthcare-associated infection prevention.

          Healthcare workers' hands are the most common vehicle for the transmission of healthcare-associated pathogens from patient to patient and within the healthcare environment. Hand hygiene is the leading measure for preventing the spread of antimicrobial resistance and reducing healthcare-associated infections (HCAIs), but healthcare worker compliance with optimal practices remains low in most settings. This paper reviews factors influencing hand hygiene compliance, the impact of hand hygiene promotion on healthcare-associated pathogen cross-transmission and infection rates, and challenging issues related to the universal adoption of alcohol-based hand rub as a critical system change for successful promotion. Available evidence highlights the fact that multimodal intervention strategies lead to improved hand hygiene and a reduction in HCAI. However, further research is needed to evaluate the relative efficacy of each strategy component and to identify the most successful interventions, particularly in settings with limited resources. The main objective of the First Global Patient Safety Challenge, launched by the World Health Organization (WHO), is to achieve an improvement in hand hygiene practices worldwide with the ultimate goal of promoting a strong patient safety culture. We also report considerations and solutions resulting from the implementation of the multimodal strategy proposed in the WHO Guidelines on Hand Hygiene in Health Care.
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            Interventions to improve hand hygiene compliance in patient care

            Health care-associated infection is a major cause of morbidity and mortality. Hand hygiene is regarded as an effective preventive measure. This is an update of a previously published review.
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              Understanding adherence to hand hygiene recommendations: the theory of planned behavior.

              Most health care workers (HCWs) are aware of the rationale for hand hygiene procedures, yet failure to adhere to guidelines is common. Little is known about factors that motivate HCWs to practice hand hygiene. The purposes of this study were to (1) estimate adherence to hand hygiene recommendations; (2) describe relationships among motivational factors, adherence, and intensity of nursing unit activity; and (3) test an explanatory model for adherence to hand hygiene guidelines based on the theory of planned behavior (TPB). A longitudinal, observational design was used to collect data from 120 registered nurses employed in critical care and postcritical care units. Nurses provided information about motivational factors and intentions and a self-report of the proportion of time they followed guidelines. At least 2 weeks later, the nurses' hand hygiene performance was observed while they provided patient care. Structural equation modeling was used to test the TPB-based model. Rate of adherence to recommendations for 1248 hand hygiene indications was 70%. The correlation between self-reported and observed adherence to handwashing recommendations was low (r = 0.21). TPB variables predicted intention to handwash, and intention was related to self-reported hand hygiene. Intensity of activity in the nursing unit, rather than TPB variables, predicted observed adherence to hand hygiene recommendations. The limited association between self-reported and observed hand hygiene scores remains an enigma to be explained. Actual hand hygiene behavior may be more sensitive to the intensity of work activity in the clinical setting than to internal motivational factors.
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                Author and article information

                Contributors
                Journal
                J Hosp Infect
                J. Hosp. Infect
                The Journal of Hospital Infection
                The Healthcare Infection Society. Published by Elsevier Ltd.
                0195-6701
                1532-2939
                23 June 2020
                23 June 2020
                Affiliations
                [1]University of Missouri, Architectural Studies, 141 Stanley Hall, Columbia, MO 65201, United States
                Article
                S0195-6701(20)30307-8
                10.1016/j.jhin.2020.06.022
                7308774
                32585171
                8e811edc-6b9c-4ce1-a835-032f4865c525
                © 2020 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 24 April 2020
                : 17 June 2020
                Categories
                Article

                Infectious disease & Microbiology
                contamination,hand hygiene,infectious diseases,perception,safety
                Infectious disease & Microbiology
                contamination, hand hygiene, infectious diseases, perception, safety

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