Applying psychological frameworks of behaviour change to improve healthcare worker hand hygiene: a systematic review

The Journal of Hospital Infection
J A SrigleyG Garber

Abstract

Despite the importance of hand hygiene in preventing transmission of healthcare-associated infections, compliance rates are suboptimal. Hand hygiene is a complex behaviour and psychological frameworks are promising tools to influence healthcare worker (HCW) behaviour. (i) To review the effectiveness of interventions based on psychological theories of behaviour change to improve HCW hand hygiene compliance; (ii) to determine which frameworks have been used to predict HCW hand hygiene compliance. Multiple databases and reference lists of included studies were searched for studies that applied psychological theories to improve and/or predict HCW hand hygiene. All steps in selection, data extraction, and quality assessment were performed independently by two reviewers. The search yielded 918 citations; seven met eligibility criteria. Four studies evaluated hand hygiene interventions based on psychological frameworks. Interventions were informed by goal setting, control theory, operant learning, positive reinforcement, change theory, the theory of planned behaviour, and the transtheoretical model. Three predictive studies employed the theory of planned behaviour, the transtheoretical model, and the theoretical domains framework. Int...Continue Reading

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Citations

Feb 6, 2017·American Journal of Infection Control·Liana Sholomovich, Racheli Magnezi
Jun 19, 2017·The Journal of Hospital Infection·N MahidaN Vaughan
Dec 12, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Lesley PriceJacqui Reilly
Sep 27, 2019·Journal of Continuing Education in Nursing·Susan C Burt
Jun 21, 2019·Critical Care Medicine·Kathryn Ann LambePaul O'Connor
Feb 20, 2020·International Journal of Environmental Research and Public Health·Chun-Qing ZhangKyra Hamilton
Sep 2, 2017·The Cochrane Database of Systematic Reviews·Dinah J GouldMonica Taljaard
Oct 23, 2019·Health Technology Assessment : HTA·Ira MadanHywel Williams
Mar 21, 2020·BMC Health Services Research·Ivonne TomsicThomas von Lengerke
May 30, 2020·Disaster Medicine and Public Health Preparedness·Kayla EnriquezMichelle Niescierenko
Jul 30, 2019·Applied Psychology. Health and Well-being·Svenja DiefenbacherJohannes Keller
Feb 7, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Heidi Storm VikkeChristian Backer Mogensen
Feb 10, 2017·Deutsches Ärzteblatt International·Thomas von LengerkeIris Freya Chaberny
Jun 19, 2021·BMC Pregnancy and Childbirth·Yolisa NaluleRobert Dreibelbis
Sep 10, 2021·The Annals of Thoracic Surgery·Brendan T HeidenVarun Puri

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