Araştırma Makalesi
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A study of development an attitude scale towards social hand washing on nursing students

Yıl 2021, Cilt: 7 Sayı: 3, 258 - 268, 31.12.2021
https://doi.org/10.30569/adiyamansaglik.926156

Öz

Aim: To develop a valid and reliable scale to measure nursing students' social hand washing attitudes.
Materials and Methods: This methodological study was carried out with the data were collected from 369 students in a university Faculty of Health Science Nursing Department. The scale was reviewed by 11 experts for the content validity. Construct validity was evaluated by exploratory and confirmatory factor analysis. The data were analyzed using Cronbach-alpha coefficient, pearson correlation coefficient, and confirmatory factor analysis fit indices.
Results: As a result of the analysis a three factor structure consisting of 20 items that explains 45.30% of the total variance is found. Cronbach-alpha coefficient for the total scale was 0.825.
Conclusion: The result of this study support that “Attitude Scale Towards Social Hand Washing on Nursing Student” is valid, reliable and can be used in nursing students.

Kaynakça

  • Boyce JM, Pittet D, HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Centers for Disease Control and Prevention, Hospital Infection Control Practice Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force: Guideline for hand hygiene in health-care settings. MMWR Morb Mortal Wkly Rep: Recommandations and Reports. 2002;51(RR-6):1-45. doi: 10.1086/503164.
  • Umscheid CA, Mitchell MD, Doshi JA, Agarwal R, Williams K, Brennan PJ. Estimating the proportion of health care associated infections that are reasonably preventable and the related mortality and costs. ICHE. 2011;32(2): 101-14. doi: 10.1086/657912.
  • Yıldırım N, Tapan B, Gayet A, Sezen A, Alıcı S, Tapan, TK. Hastane enfeksiyonlarının önlenmesine yönelik yapılan uygulamalar ve bir hastane örneği. Tepecik Eğitim ve Araştırma Hastanesi Dergisi. 2015; 25(2): 93-100.
  • Erdil F, Elbaş NÖ. Cerrahi Hastalıkları Hemşireliği. 5. Baskı. Ankara: Aydoğdu Ofset Matbaacılık; 2012.
  • World Health Organization, 2020. WHO Save Lives: Clean Your Hands in the Context of Covıd-19. https://www.who.int/infection-prevention/campaigns/clean-hands/WHO_HH-Community-Campaign_finalv3.pdf. Accessed April 4, 2021.
  • Akyıl R, Uzun Ö. Hastanede çalışan hemşirelerin el yıkama durumlarının belirlenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2007;10(2):66-72.
  • Centers for disease control and prevention. How to Select and Use Hand Sanitizer https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/hand-sanitizer.html. Accessed April 4, 2021.
  • Cruz JP, Bashtawi MA. Predictors of hand hygiene practice among Saudi nursing students: A cross-sectional self-reported study. J Infect Public Health. 2016; 9(4): 485-93. https://doi.org/10.1016/j.jiph.2015.11.010.
  • Labrague LJ, Rosales RA, Tizon MM. Knowledge of and compliance with standard precautions among student nurses. IJCRM. 2012; 4(1): 19-30. doi: 10.14419/ijans.v1i2.132.
  • Nasirudeen AMA, Koh JWN, Lau ALC, Li W, Lim LS, Xuan CY. Hand hygiene knowledge and practices of nursing students in Singapore. AJIC. 2012; 40(8): e241-243. doi: 10.1016/j.ajic.2012.02.026.
  • Jeong SY, Kim KM. Influencing factors on hand hygiene behavior of nursing students based on theory of planned behavior: A descriptive survey study. Nurse Educ Today. 2016; 36: 159-64. https://doi.org/10.1016/j.nedt.2015.09.014.
  • Barrett R, Randle J. Hand hygiene practices: nursing students’ perceptions. J Clin Nurs. 2008; 17(14): 1851-7. doi: 10.1111/j.1365-2702.2007.02215.x.
  • Karadağ M, Yıldırım N, İşeri ÖP. El hijyeni inanç ölçeği ve el hijyeni uygulamaları envanterinin geçerlilik ve güvenirliliği. Çukurova Medical Journal. 2016; 41(2): 271-84.
  • Gül A, Üstündağ H, Zengin N. Assessing undergraduate nursing and midwifery students’s compliance with hand hygiene by self-report. Int J Nurs Pract. 2012; 18(3): 275-80. doi:10.1111/j.1440-172X.2012.02041.x.
  • Çağlar S, Yılmaz ÖE, Savaşer S. Hemşirelik ve sağlık alanı dışında öğrenim gören üniversite öğrencilerinin sosyal el yıkama ile ilgili görüş ve davranışları. G.O.P Taksim E.A.H. JAREN. 2018; 4(2): 83-91.
  • Gould D, Drey N. Student nurses’ experiences of infection prevention and control during clinical placement. Am J Infect Control. 2013; 41(9): 760-3. https://doi.org/10.1016/j.ajic.2013.01.025.
  • Kelcikova S, Skodova Z, Straka S. Effectiveness of hand hygiene education in a basic nursing school cirricula. Public Health Nurs. 2012; 28(2): 152-9. doi: 10.1111/j.1525-1446.2011.00985.x.
  • Gürefe N, Kan A. The study of validity and reability of the attitude scale on the subject of geometric objects for the prospective teachers. Elementary Education Online. 2013; 12(2): 356-66.
  • Nair SS, Hanumantappa R, Hiremath SG, Siraj MA, Raghunath P. Knowledge, attitude, and practice of hand hygiene among medical and nursing students at a tertiary health care centre in Raichur, India. ISRN Preventive Medicine. 2014; 1-4. http://dx.doi.org/10.1155/2014/608927.
  • Çakmak EK, Çebi A, Kan A. E-öğrenme ortamlarına yönelik “Sosyal Bulunuşluk Ölçeği” geliştirme çalışması. Kuram ve Uygulamada Eğitim Bilimleri. 2014; 14(2): 755-68.
  • Esin, N. Veri toplama yöntem ve araçları & veri toplama araçlarının güvenirlik ve geçerliği. 1. Baskı. Erdoğan S, Nahcivan N, Esin MN, editörler. Hemşirelikte Araştırma, Süreç, Uygulama ve Kritik: Nobel Tıp Kitabevleri; 2015.
  • Korhonen A, Ojanpera H, Puhto T, Jarvinen R, Kejonen P, Halopainen A. Adherence to hand hygiene guidelines-significance of measuring fidelity. J Clin Nurs. 2015; 24: 3197-205. doi: 10.1111/jocn.12969.
  • Mortel T. Development of a questionnaire to assess health care students’ hand hygiene knowledge, beliefs, and practices. Aust J Adv Nurs. 2010; 26(3): 9-16.
  • Mortel T, Kermode S, Progano T, Sansoni JA. Comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students. J. Adv. Nurs. 2011; 68(3): 569-79. https://doi.org/10.1111/j.1365-2648.2011.05758.x.
  • Davis LL. Instrument review: getting the most from a panel of experts. Appl Nurs Res. 1992; 5(4): 194-7. https://doi.org/10.1016/S0897-1897(05)80008-4.
  • Alpar R. Spor, Sağlık ve Eğitim Bilimlerinde Uygulamalı İstatistik ve Geçerlik-Güvenirlik. 1.Baskı. Ankara: Detay Yayıncılık; 2010.
  • Beavers AS, Lounsbury JW, Richards JK, Huck SW, Skolits GJ, Esquivel SL. Practical considerations for using exploratory factor analysis in educational research. Pract Assess. Res. 2013; 18. https://doi. org/10.7275/qv2q-rk76.
  • Huang WL, Liang JC, Tsai CC. Exploring the relationship between university students’ conceptions of and approaches to learning mass communication in Taiwan. Asia-Pac Educ Res. 2018; 27(1): 43-54. https://doi.org/10. 1007/s40299-017-0364-z
  • Kline RB. Principles and Practice of Structural Equation Modeling. 3rd ed. New York: The Guilford Press; 2011.
  • Fietzer AW, Ponterotto J. A psychometric review of instruments for social justice and advocacy attitudes. J. Soc. Action Couns. Psychol. 2015; 7(1): 19-40. https://doi.org/10.33043/JSACP.7.1.19-40.
  • Romppel M, Hinz A, Finck C, Young J, Brähler E, Glaesmer H. Cross‐cultural measurement invariance of the General Health Questionnaire‐12 in a German and a Colombian population sample. Int. J. Methods Psychiatr Res. 2017; 26(4): e1532. https://doi.org/10.1002/mpr.1532.
  • Lundin A, Hallgren M, Theobald H, Hellgren C, Torgén M. Validity of the 12-item version of the General Health Questionnaire in detecting depression in the general population. Public Health. 2016; 136: 66-74. https://doi.org/10.1016/j.puhe.2016.03.005.
  • Hjelle EG, Bragstad LK, Zucknick M, Kirkevold M, Thommessen B, Sveen U. The General Health Questionnaire-28 (GHQ-28) as an outcome measurement in a randomized controlled trial in a Norwegian stroke population. BMC Psychol. 2019; 7(1): 18. https://doi.org/10.1186/s40359-019-0293-0.
  • Lee K. Student and infection prevention and control nurses' hand hygiene decision making in simulated clinical scenarios: a qualitative research study of hand washing, gel and glove use choices. J Infec Prev. 2013; 14(3): 96-103. doi: 10.1177/1757177413484784.
  • Karadağ M, İşeri ÖP, Yıldırım N, Etikan İ. Knowledge, beliefs and practices of nurses and nursing students for hand hygiene. Jundishapur J Health Sci. 2016; 8(4): e36469. https://doi.org/10.17795/jjhs-36469.
  • Erasmus V, Daha TJ, Brup T. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol. 2010; 31(3): 283-94. https://doi.org/10.1086/650451.

Hemşirelik öğrencilerinin sosyal el yıkamaya yönelik tutumları ölçeği geliştirme çalışması

Yıl 2021, Cilt: 7 Sayı: 3, 258 - 268, 31.12.2021
https://doi.org/10.30569/adiyamansaglik.926156

Öz

Amaç: Hemşirelik öğrencilerinin sosyal el yıkama tutumlarını ölçmeye yönelik geçerli ve güvenilir bir ölçek geliştirmektir.
Gereç ve Yöntem: Bu metodolojik çalışma, bir devlet üniversitesinin Sağlık Bilimleri Fakültesi Hemşirelik Bölümü’nde öğrenim gören 369 öğrenciden toplanan verilerle gerçekleştirilmiştir. Oluşturulan ölçek taslağı, kapsam geçerliği için 11 uzmanın görüşüne sunulmuştur. Yapı geçerliği açımlayıcı ve doğrulayıcı faktör analizi ile değerlendirilmiştir. Ölçeğin analizleri Cronbach-alfa katsayısı, pearson korelasyon katsayısı kullanılarak yapılmıştır.
Bulgular: Yapılan analizler sonucunda ölçekte toplam varyansın %45,30’ını açıklayan 20 maddeden oluşan üç faktörlü bir yapı ortaya çıkmıştır. Ölçeğin toplam Cronbach-alfa değeri 0,825 olarak saptanmıştır.
Sonuç: Araştırmanın sonucunda elde edilen bulgular “Hemşirelik Öğrencilerinin Sosyal El Yıkamaya Yönelik Tutumları Ölçeği”nin hemşirelik öğrencileri için geçerli ve güvenilir bir ölçme aracı olduğunu desteklemektedir.

Kaynakça

  • Boyce JM, Pittet D, HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Centers for Disease Control and Prevention, Hospital Infection Control Practice Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force: Guideline for hand hygiene in health-care settings. MMWR Morb Mortal Wkly Rep: Recommandations and Reports. 2002;51(RR-6):1-45. doi: 10.1086/503164.
  • Umscheid CA, Mitchell MD, Doshi JA, Agarwal R, Williams K, Brennan PJ. Estimating the proportion of health care associated infections that are reasonably preventable and the related mortality and costs. ICHE. 2011;32(2): 101-14. doi: 10.1086/657912.
  • Yıldırım N, Tapan B, Gayet A, Sezen A, Alıcı S, Tapan, TK. Hastane enfeksiyonlarının önlenmesine yönelik yapılan uygulamalar ve bir hastane örneği. Tepecik Eğitim ve Araştırma Hastanesi Dergisi. 2015; 25(2): 93-100.
  • Erdil F, Elbaş NÖ. Cerrahi Hastalıkları Hemşireliği. 5. Baskı. Ankara: Aydoğdu Ofset Matbaacılık; 2012.
  • World Health Organization, 2020. WHO Save Lives: Clean Your Hands in the Context of Covıd-19. https://www.who.int/infection-prevention/campaigns/clean-hands/WHO_HH-Community-Campaign_finalv3.pdf. Accessed April 4, 2021.
  • Akyıl R, Uzun Ö. Hastanede çalışan hemşirelerin el yıkama durumlarının belirlenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2007;10(2):66-72.
  • Centers for disease control and prevention. How to Select and Use Hand Sanitizer https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/hand-sanitizer.html. Accessed April 4, 2021.
  • Cruz JP, Bashtawi MA. Predictors of hand hygiene practice among Saudi nursing students: A cross-sectional self-reported study. J Infect Public Health. 2016; 9(4): 485-93. https://doi.org/10.1016/j.jiph.2015.11.010.
  • Labrague LJ, Rosales RA, Tizon MM. Knowledge of and compliance with standard precautions among student nurses. IJCRM. 2012; 4(1): 19-30. doi: 10.14419/ijans.v1i2.132.
  • Nasirudeen AMA, Koh JWN, Lau ALC, Li W, Lim LS, Xuan CY. Hand hygiene knowledge and practices of nursing students in Singapore. AJIC. 2012; 40(8): e241-243. doi: 10.1016/j.ajic.2012.02.026.
  • Jeong SY, Kim KM. Influencing factors on hand hygiene behavior of nursing students based on theory of planned behavior: A descriptive survey study. Nurse Educ Today. 2016; 36: 159-64. https://doi.org/10.1016/j.nedt.2015.09.014.
  • Barrett R, Randle J. Hand hygiene practices: nursing students’ perceptions. J Clin Nurs. 2008; 17(14): 1851-7. doi: 10.1111/j.1365-2702.2007.02215.x.
  • Karadağ M, Yıldırım N, İşeri ÖP. El hijyeni inanç ölçeği ve el hijyeni uygulamaları envanterinin geçerlilik ve güvenirliliği. Çukurova Medical Journal. 2016; 41(2): 271-84.
  • Gül A, Üstündağ H, Zengin N. Assessing undergraduate nursing and midwifery students’s compliance with hand hygiene by self-report. Int J Nurs Pract. 2012; 18(3): 275-80. doi:10.1111/j.1440-172X.2012.02041.x.
  • Çağlar S, Yılmaz ÖE, Savaşer S. Hemşirelik ve sağlık alanı dışında öğrenim gören üniversite öğrencilerinin sosyal el yıkama ile ilgili görüş ve davranışları. G.O.P Taksim E.A.H. JAREN. 2018; 4(2): 83-91.
  • Gould D, Drey N. Student nurses’ experiences of infection prevention and control during clinical placement. Am J Infect Control. 2013; 41(9): 760-3. https://doi.org/10.1016/j.ajic.2013.01.025.
  • Kelcikova S, Skodova Z, Straka S. Effectiveness of hand hygiene education in a basic nursing school cirricula. Public Health Nurs. 2012; 28(2): 152-9. doi: 10.1111/j.1525-1446.2011.00985.x.
  • Gürefe N, Kan A. The study of validity and reability of the attitude scale on the subject of geometric objects for the prospective teachers. Elementary Education Online. 2013; 12(2): 356-66.
  • Nair SS, Hanumantappa R, Hiremath SG, Siraj MA, Raghunath P. Knowledge, attitude, and practice of hand hygiene among medical and nursing students at a tertiary health care centre in Raichur, India. ISRN Preventive Medicine. 2014; 1-4. http://dx.doi.org/10.1155/2014/608927.
  • Çakmak EK, Çebi A, Kan A. E-öğrenme ortamlarına yönelik “Sosyal Bulunuşluk Ölçeği” geliştirme çalışması. Kuram ve Uygulamada Eğitim Bilimleri. 2014; 14(2): 755-68.
  • Esin, N. Veri toplama yöntem ve araçları & veri toplama araçlarının güvenirlik ve geçerliği. 1. Baskı. Erdoğan S, Nahcivan N, Esin MN, editörler. Hemşirelikte Araştırma, Süreç, Uygulama ve Kritik: Nobel Tıp Kitabevleri; 2015.
  • Korhonen A, Ojanpera H, Puhto T, Jarvinen R, Kejonen P, Halopainen A. Adherence to hand hygiene guidelines-significance of measuring fidelity. J Clin Nurs. 2015; 24: 3197-205. doi: 10.1111/jocn.12969.
  • Mortel T. Development of a questionnaire to assess health care students’ hand hygiene knowledge, beliefs, and practices. Aust J Adv Nurs. 2010; 26(3): 9-16.
  • Mortel T, Kermode S, Progano T, Sansoni JA. Comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students. J. Adv. Nurs. 2011; 68(3): 569-79. https://doi.org/10.1111/j.1365-2648.2011.05758.x.
  • Davis LL. Instrument review: getting the most from a panel of experts. Appl Nurs Res. 1992; 5(4): 194-7. https://doi.org/10.1016/S0897-1897(05)80008-4.
  • Alpar R. Spor, Sağlık ve Eğitim Bilimlerinde Uygulamalı İstatistik ve Geçerlik-Güvenirlik. 1.Baskı. Ankara: Detay Yayıncılık; 2010.
  • Beavers AS, Lounsbury JW, Richards JK, Huck SW, Skolits GJ, Esquivel SL. Practical considerations for using exploratory factor analysis in educational research. Pract Assess. Res. 2013; 18. https://doi. org/10.7275/qv2q-rk76.
  • Huang WL, Liang JC, Tsai CC. Exploring the relationship between university students’ conceptions of and approaches to learning mass communication in Taiwan. Asia-Pac Educ Res. 2018; 27(1): 43-54. https://doi.org/10. 1007/s40299-017-0364-z
  • Kline RB. Principles and Practice of Structural Equation Modeling. 3rd ed. New York: The Guilford Press; 2011.
  • Fietzer AW, Ponterotto J. A psychometric review of instruments for social justice and advocacy attitudes. J. Soc. Action Couns. Psychol. 2015; 7(1): 19-40. https://doi.org/10.33043/JSACP.7.1.19-40.
  • Romppel M, Hinz A, Finck C, Young J, Brähler E, Glaesmer H. Cross‐cultural measurement invariance of the General Health Questionnaire‐12 in a German and a Colombian population sample. Int. J. Methods Psychiatr Res. 2017; 26(4): e1532. https://doi.org/10.1002/mpr.1532.
  • Lundin A, Hallgren M, Theobald H, Hellgren C, Torgén M. Validity of the 12-item version of the General Health Questionnaire in detecting depression in the general population. Public Health. 2016; 136: 66-74. https://doi.org/10.1016/j.puhe.2016.03.005.
  • Hjelle EG, Bragstad LK, Zucknick M, Kirkevold M, Thommessen B, Sveen U. The General Health Questionnaire-28 (GHQ-28) as an outcome measurement in a randomized controlled trial in a Norwegian stroke population. BMC Psychol. 2019; 7(1): 18. https://doi.org/10.1186/s40359-019-0293-0.
  • Lee K. Student and infection prevention and control nurses' hand hygiene decision making in simulated clinical scenarios: a qualitative research study of hand washing, gel and glove use choices. J Infec Prev. 2013; 14(3): 96-103. doi: 10.1177/1757177413484784.
  • Karadağ M, İşeri ÖP, Yıldırım N, Etikan İ. Knowledge, beliefs and practices of nurses and nursing students for hand hygiene. Jundishapur J Health Sci. 2016; 8(4): e36469. https://doi.org/10.17795/jjhs-36469.
  • Erasmus V, Daha TJ, Brup T. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol. 2010; 31(3): 283-94. https://doi.org/10.1086/650451.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Nevra Kalkan 0000-0003-4536-7933

Mevlüde Karadağ 0000-0003-3258-6459

Yayımlanma Tarihi 31 Aralık 2021
Gönderilme Tarihi 22 Nisan 2021
Kabul Tarihi 17 Ağustos 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 7 Sayı: 3

Kaynak Göster

AMA Kalkan N, Karadağ M. Hemşirelik öğrencilerinin sosyal el yıkamaya yönelik tutumları ölçeği geliştirme çalışması. ADYÜ Sağlık Bilimleri Derg. Aralık 2021;7(3):258-268. doi:10.30569/adiyamansaglik.926156