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The Effect of Health Belief in Health Practices: An Example of Hand Hygiene in Nurses

Year 2023, Volume: 12 Issue: 1, 1 - 7, 15.03.2023
https://doi.org/10.53424/balikesirsbd.1084361

Abstract

Objective: This research was carried out to examine the effect of nurses' beliefs on hand hygiene on hand hygiene practices. Materials and Methods: This descriptive and cross-sectional study was conducted with 529 nurses working at the City Training and Research Hospital in a province in the south of Turkey between March and June 2019. The research data were collected by face-to-face survey method using personal information form, Hand Hygiene Belief Scale (HHBS) and Hand Hygiene Practice Inventory (HHPI). The analysis of the research data was performed with SPSS version 24.0 package program. Frequency tables, descriptive statistics, independent-samples t-test, analysis of variance (ANOVA) test, Mann–Whitney U test and Kruskal-Wallis H test were used to evaluate the research findings. Results: HHBS score mean was 83.64±9.14 and HHPI score mean was 65.88±5.66. A positive, very weak and statistically significant correlation was found between the HHBS and the HHPI scores (r=0.196; p=0.000). It was found that HHBS scores were affected only by gender, while HHPI scores were affected by having children, the unit where the nurses work, the number of patients in the unit and their professional satisfaction. Conclusion: The research shows that as hand hygiene belief scale scores increase, hand hygiene practice inventory scores also increase positively.

References

  • Ahmed, J., Malik, F., Memon, Z.A., Arif, T.B., Ali, A., Nasim, S., et al. (2020). “Complianceand knowledge of healthcare workers regarding hand hygiene and use of disinfectants: a study based in karachi”. Cureus, 12(2): e7036. doi: 10.7759/cureus.7036.
  • Ay, P., Teker, A.G., Hidiroglu, S., Tepe, P., Surmen, A., Sili, U., et al. (2019). “A qualitative study of hand hygiene compliance among health care workers in intensive care units”. Journal of İnfection in Develeoping Countries, 13 (2), 111-117. doi:10.3855/jidc.10926.
  • Brosio, F., Kuhdari, P., Stefanati, A., Sulcaj, N., Lupi, S., Guidi, E., et al. (2017). “Knowledge and behaviour of nursing students on the prevention of healthcare associated infections”. Journal of Preventive Medicine and Hygiene, 58(2) E99-E104. PMID: 28900349; PMCID: PMC5584094.
  • Centers for Disease Control and Prevention (CDC) (2020). “Coronavirus disease 2019 (covid-19): FAQ on hand hygiene”. Retrived from: https://www.cdc.gov/coron aviru s/2019-ncov/infec tion-contr ol/hcp-hand-hygiene-faq.html (Retrived date: 10.05.2021).
  • Dickens, G.L., Goko, C., Ryan, E. (2020). “Nurses’ attitudes and perceptions towards hand hygiene in mental health and medical inpatient settings: comparative, cross-sectional study”. Issues in Mental Health Nursing, 41(11), 1011-1018. doi:10.1080/01612840.2020.1757796.
  • Dikiş, D., Şimşek, S., Kepeli, N., Küçükler, N.D., Ulusoy, B., Korkmaz, N.B., et al. (2020). “Evaluation of hygiene compliance rates among health care workers in a university hospital: A prospective study”. Ege Journal of Medicine, 59(2), 91- 96. http://egetipdergisi.com.tr/tr/download/article-file/1162403.
  • Elkhawaga, G., El-Masry, R. (2017). “Knowledge, beliefs and self-reported practices of hand hygiene among egyptian medical students: Does gender difference play a role?”. Journal of Public Health in Devoloping Countries, 3(2), 418-425. ISSN 2059-5409.
  • Gould, D. J., Moralejo, D., Drey, N., Chudleigh, J. H., & Taljaard, M. (2017). Interventions to improve hand hygiene compliance in patient care. Cochrane database of systematic reviews, (9). https://doi.org/10.1002/14651858.CD005186.pub4.
  • Hammerschmidt, J., Manser, T. (2019). “Nurses’ knowledge, behaviour and compliance concerning hand hygiene in nursing homes: a cross-sectional mixedmethods study”. BMC Health Services Research, 19, 547. https://doi.org/10.1186/s12913-019-4347-z.
  • Hillier, M.D. (2020). “Using effective hand hygiene practice to prevent and control infection”. Nursing Standard, 35(5), 45-50. doi:10.7748/ns.2020.e11552.
  • Juthamanee, S. (2020). “‘Wash your hand!’: the old message from florence nightingale to battle covid-19”. Belitung Nursing Journal, 6(2), 62. doi: https://doi.org/10.33546/bnj.1097.
  • Karadağ, M., Yıldırım, N., İşeri, Ö.P. (2016). “The validity and reliability study of hand hygiene belief scale and hand hygiene practices ınventory”. Cukurova Medical Journal, 41(2), 271-284. doi: 10.17826/cutf.206317.
  • Koşucu, S.N., Baltacı, G.S., Yıldız, T. (2015). “The rate of compliance of healthcare personnel to hand hygiene”. MÜSBED, 5(2), 105- 108. doi: 10.5455/musbed.20150327042901.
  • Lambe, K., Lydon, S., Madden, C., McSharry, J., Marshall, R., Boylan, R., et al. (2020). “Understanding hand hygiene behaviour in the intensive care unit to inform interventions: an interview study”. BMC Health Services Research, 20, 353. https://doi.org/10.1186/s12913-020-05215-4.
  • Maria, H.S.Y., Ivan, W.Y.Y.I., Samson, Y.W.S., Amy, Y.K.A., Cherry, N.C.Y. (2018). “Knowledge, practices, compliance and beliefs of university nursing students’ toward hand hygiene: A cross-sectional survey”. Journal of Nursing and Health Care, 5(1). doi: 10.5176/2345-7198_5.1.21.
  • Moore, L.D., Robbins, G., Quinn, J., Arbogast, J.W. (2021). “The impact of COVID-19 pandemic on hand hygiene performance in hospitals”. American Journal of Infection Control, 49, 30−33. https://doi.org/10.1016/j.ajic.2020.08.021.
  • Musu, M., Lai, A., Mereu, N.M., Galletta, M., Campagna, M., Tidore, M, et al. (2017). “Assessing hand hygiene compliance among healthcare workers in six Intensive Care Units”. Journal of Preventive Medicine and Hygiene, 58(3), E231-E237. PMID: 29123370; PMCID: PMC5668933.
  • Nasution, S. L. R., Suyono, T., Khu, A., Simarmata, H. P., & Happy, H. (2023). Health Belief Model Effect on Nurses Hand Hygiene Adherence. International Journal of Health and Pharmaceutical (IJHP), 3(2), 225-231. https://doi.org/10.51601/ijhp.v3i2.118.
  • Riberio, C.T.D.A, Lima. M.M. (2020). “A morning with Louis Pasteur: a short history of the clean hands”. Cadernos de. Saúde Pública, 36(6), e00068619. doi: 10.1590/0102-311X00068619.
  • Rios, R.S., Aguilera, G. (2017). “Nurses’ perceptions of reasons for persistent low rates in hand hygiene compliance”. Intensive and Critical Care Nursing, 42, 17-21. http://dx.doi.org/10.1016/j.iccn.2017.02.005.
  • Stahmeyer, J.T., Lutze, B., Lengerke, T.V., Chaberny, I.F., Krauth, C. (2017). “Hand hygiene in intensive care units: a matter of time?”. Journal of Hospital Infection, 95, 338-343. http://dx.doi.org/10.1016/j.jhin.2017.01.011.
  • Suen, L..KP., So, Z.Y.Y., Yeung, S.K.W., Lo, K.Y.K., Lam, S.C. (2019). “Epidemiological investigation on hand hygiene knowledge and behaviour: a cross-sectional study on gender disparity”. BMC Public Health, 19, 401. https://doi.org/10.1186/s12889-019-6705-5.
  • Sundal, J.S., Aune, A.G., Storvig, E., Aasland, J.K., Fjeldsæter, K.L., Torjuul, K. (2017). “The hand hygiene compliance of student nurses during clinical placements”. Journal of Clinical Nursing, 26, 4646–4653. https://doi.org/10.1111/jocn.13811.
  • Türkmen, L., Bakır, B. (2017). “Evaluation of knowledge, attitude and practices of hand hygiene (routine/hand washing) of health technician candidates”. Gümüşhane University Journal of Health Sciences, 6(3), 122-127.

Sağlık Uygulamalarında Sağlık İnancının Etkisi: Hemşirelerde El Hijyeni Örneği

Year 2023, Volume: 12 Issue: 1, 1 - 7, 15.03.2023
https://doi.org/10.53424/balikesirsbd.1084361

Abstract

Amaç: Bu araştırma, hemşirelerin el hijyenine ilişkin inançlarının el hijyeni uygulamalarına etkisini incelemek amacıyla yapılmıştır. Gereç ve Yöntem: Tanımlayıcı ve kesitsel nitelikteki bu araştırma, Mart-Haziran 2019 tarihleri arasında Türkiye’nin güneyinde bulunan bir ildeki Şehir Eğitim ve Araştırma hastanesinde çalışan 529 hemşire ile yapılmıştır. Araştırma verileri, kişisel bilgi formu, El Hijyeni İnanç Ölçeği (HHBS) ve El Hijyeni Uygulama Envanteri (HHPI)kullanılarak yüz yüze anket yöntemiyle toplanmıştır. Araştırma verilerinin analizi SPSS versiyon 24.0 paket programı ile yapılmıştır. Araştırma bulgularının değerlendirilmesinde frekans tabloları, tanımlayıcı istatistikler, independent-samples t-test, Analysis of Variance (ANOVA) test, Mann–Whitney U test ve Kruskal–Wallis H test kullanılmıştır. Bulgular: HHBS puan ortalaması 83.64±9.14, HHPI puan ortalaması 65.88±5.66 idi. HHBS ve HHPI puanları arasında pozitif yönde, çok zayıf derecede ve istatistiksel olarak anlamlı bir ilişki bulundu (r=0.196; p=0.000). HHBS puanlarının sadece cinsiyetten etkilendiği, HHPI puanlarının ise çocuk sahibi olma, hemşirelerin çalıştığı birim, birimdeki hasta sayısı ve mesleki memnuniyetlerinden etkilendiği bulundu. Sonuç: Araştırma, el hijyeni inanç ölçeği puanları arttıkça, el hijyeni uygulama envanteri puanlarının da pozitif yönde arttığını göstermektedir.

References

  • Ahmed, J., Malik, F., Memon, Z.A., Arif, T.B., Ali, A., Nasim, S., et al. (2020). “Complianceand knowledge of healthcare workers regarding hand hygiene and use of disinfectants: a study based in karachi”. Cureus, 12(2): e7036. doi: 10.7759/cureus.7036.
  • Ay, P., Teker, A.G., Hidiroglu, S., Tepe, P., Surmen, A., Sili, U., et al. (2019). “A qualitative study of hand hygiene compliance among health care workers in intensive care units”. Journal of İnfection in Develeoping Countries, 13 (2), 111-117. doi:10.3855/jidc.10926.
  • Brosio, F., Kuhdari, P., Stefanati, A., Sulcaj, N., Lupi, S., Guidi, E., et al. (2017). “Knowledge and behaviour of nursing students on the prevention of healthcare associated infections”. Journal of Preventive Medicine and Hygiene, 58(2) E99-E104. PMID: 28900349; PMCID: PMC5584094.
  • Centers for Disease Control and Prevention (CDC) (2020). “Coronavirus disease 2019 (covid-19): FAQ on hand hygiene”. Retrived from: https://www.cdc.gov/coron aviru s/2019-ncov/infec tion-contr ol/hcp-hand-hygiene-faq.html (Retrived date: 10.05.2021).
  • Dickens, G.L., Goko, C., Ryan, E. (2020). “Nurses’ attitudes and perceptions towards hand hygiene in mental health and medical inpatient settings: comparative, cross-sectional study”. Issues in Mental Health Nursing, 41(11), 1011-1018. doi:10.1080/01612840.2020.1757796.
  • Dikiş, D., Şimşek, S., Kepeli, N., Küçükler, N.D., Ulusoy, B., Korkmaz, N.B., et al. (2020). “Evaluation of hygiene compliance rates among health care workers in a university hospital: A prospective study”. Ege Journal of Medicine, 59(2), 91- 96. http://egetipdergisi.com.tr/tr/download/article-file/1162403.
  • Elkhawaga, G., El-Masry, R. (2017). “Knowledge, beliefs and self-reported practices of hand hygiene among egyptian medical students: Does gender difference play a role?”. Journal of Public Health in Devoloping Countries, 3(2), 418-425. ISSN 2059-5409.
  • Gould, D. J., Moralejo, D., Drey, N., Chudleigh, J. H., & Taljaard, M. (2017). Interventions to improve hand hygiene compliance in patient care. Cochrane database of systematic reviews, (9). https://doi.org/10.1002/14651858.CD005186.pub4.
  • Hammerschmidt, J., Manser, T. (2019). “Nurses’ knowledge, behaviour and compliance concerning hand hygiene in nursing homes: a cross-sectional mixedmethods study”. BMC Health Services Research, 19, 547. https://doi.org/10.1186/s12913-019-4347-z.
  • Hillier, M.D. (2020). “Using effective hand hygiene practice to prevent and control infection”. Nursing Standard, 35(5), 45-50. doi:10.7748/ns.2020.e11552.
  • Juthamanee, S. (2020). “‘Wash your hand!’: the old message from florence nightingale to battle covid-19”. Belitung Nursing Journal, 6(2), 62. doi: https://doi.org/10.33546/bnj.1097.
  • Karadağ, M., Yıldırım, N., İşeri, Ö.P. (2016). “The validity and reliability study of hand hygiene belief scale and hand hygiene practices ınventory”. Cukurova Medical Journal, 41(2), 271-284. doi: 10.17826/cutf.206317.
  • Koşucu, S.N., Baltacı, G.S., Yıldız, T. (2015). “The rate of compliance of healthcare personnel to hand hygiene”. MÜSBED, 5(2), 105- 108. doi: 10.5455/musbed.20150327042901.
  • Lambe, K., Lydon, S., Madden, C., McSharry, J., Marshall, R., Boylan, R., et al. (2020). “Understanding hand hygiene behaviour in the intensive care unit to inform interventions: an interview study”. BMC Health Services Research, 20, 353. https://doi.org/10.1186/s12913-020-05215-4.
  • Maria, H.S.Y., Ivan, W.Y.Y.I., Samson, Y.W.S., Amy, Y.K.A., Cherry, N.C.Y. (2018). “Knowledge, practices, compliance and beliefs of university nursing students’ toward hand hygiene: A cross-sectional survey”. Journal of Nursing and Health Care, 5(1). doi: 10.5176/2345-7198_5.1.21.
  • Moore, L.D., Robbins, G., Quinn, J., Arbogast, J.W. (2021). “The impact of COVID-19 pandemic on hand hygiene performance in hospitals”. American Journal of Infection Control, 49, 30−33. https://doi.org/10.1016/j.ajic.2020.08.021.
  • Musu, M., Lai, A., Mereu, N.M., Galletta, M., Campagna, M., Tidore, M, et al. (2017). “Assessing hand hygiene compliance among healthcare workers in six Intensive Care Units”. Journal of Preventive Medicine and Hygiene, 58(3), E231-E237. PMID: 29123370; PMCID: PMC5668933.
  • Nasution, S. L. R., Suyono, T., Khu, A., Simarmata, H. P., & Happy, H. (2023). Health Belief Model Effect on Nurses Hand Hygiene Adherence. International Journal of Health and Pharmaceutical (IJHP), 3(2), 225-231. https://doi.org/10.51601/ijhp.v3i2.118.
  • Riberio, C.T.D.A, Lima. M.M. (2020). “A morning with Louis Pasteur: a short history of the clean hands”. Cadernos de. Saúde Pública, 36(6), e00068619. doi: 10.1590/0102-311X00068619.
  • Rios, R.S., Aguilera, G. (2017). “Nurses’ perceptions of reasons for persistent low rates in hand hygiene compliance”. Intensive and Critical Care Nursing, 42, 17-21. http://dx.doi.org/10.1016/j.iccn.2017.02.005.
  • Stahmeyer, J.T., Lutze, B., Lengerke, T.V., Chaberny, I.F., Krauth, C. (2017). “Hand hygiene in intensive care units: a matter of time?”. Journal of Hospital Infection, 95, 338-343. http://dx.doi.org/10.1016/j.jhin.2017.01.011.
  • Suen, L..KP., So, Z.Y.Y., Yeung, S.K.W., Lo, K.Y.K., Lam, S.C. (2019). “Epidemiological investigation on hand hygiene knowledge and behaviour: a cross-sectional study on gender disparity”. BMC Public Health, 19, 401. https://doi.org/10.1186/s12889-019-6705-5.
  • Sundal, J.S., Aune, A.G., Storvig, E., Aasland, J.K., Fjeldsæter, K.L., Torjuul, K. (2017). “The hand hygiene compliance of student nurses during clinical placements”. Journal of Clinical Nursing, 26, 4646–4653. https://doi.org/10.1111/jocn.13811.
  • Türkmen, L., Bakır, B. (2017). “Evaluation of knowledge, attitude and practices of hand hygiene (routine/hand washing) of health technician candidates”. Gümüşhane University Journal of Health Sciences, 6(3), 122-127.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Feyza Turan 0000-0001-7818-6165

Zehra Eskimez 0000-0002-8268-835X

Publication Date March 15, 2023
Submission Date March 7, 2022
Published in Issue Year 2023 Volume: 12 Issue: 1

Cite

APA Turan, F., & Eskimez, Z. (2023). The Effect of Health Belief in Health Practices: An Example of Hand Hygiene in Nurses. Balıkesir Sağlık Bilimleri Dergisi, 12(1), 1-7. https://doi.org/10.53424/balikesirsbd.1084361

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