en
Scientific article
English

Patients' beliefs and perceptions of their participation to increase healthcare worker compliance with hand hygiene

Published inInfection control and hospital epidemiology, vol. 30, no. 9, p. 830-839
Publication date2009
Abstract

BACKGROUND: Research suggests that patients could improve healthcare workers' compliance with hand hygiene recommendations by reminding them to cleanse their hands. OBJECTIVE: To assess patients' perceptions of a patient-participation program to improve healthcare workers' compliance with hand hygiene. DESIGN: Cross-sectional survey of patient knowledge and perceptions of healthcare-associated infections, hand hygiene, and patient participation, defined as the active involvement of patients in various aspects of their health care. SETTING: Large Swiss teaching hospital. RESULTS: Of 194 patients who participated, most responded that they would not feel comfortable asking a nurse (148 respondents [76%]) or a physician (150 [77%]) to perform hand hygiene, and 57 (29%) believed that this would help prevent healthcare-associated infections. In contrast, an explicit invitation from a healthcare worker to ask about hand hygiene doubled the intention to ask a nurse (from 34% to 83% of respondents; P <.001) and to ask a physician (from 30% to 78%; P <.001). In multivariate analysis, being nonreligious, having an expansive personality, being concerned about healthcare-associated infections, and believing that patient participation would prevent healthcare-associated infections were associated with the intention to ask a nurse or a physician to perform hand hygiene (P <.05). Being of Jewish, Eastern Orthodox, or Buddhist faith was associated also with increased intention to ask a nurse (P <.05), compared with being of Christian faith. CONCLUSIONS: This study identifies several sociodemographic characteristics associated with the intention to ask nurses and physicians about hand hygiene and underscores the importance of a direct invitation from healthcare workers to increase patient participation and foster patient empowerment. These findings could guide the development of future hand hygiene-promotion strategies.

Keywords
  • Adolescent
  • Adult
  • Aged
  • Attitude to Health
  • Cross Infection/ prevention & control
  • Cross-Sectional Studies
  • Female
  • Handwashing/ standards
  • Health Knowledge, Attitudes, Practice
  • Health Personnel/ psychology
  • Humans
  • Hygiene/standards
  • Infectious Disease Transmission, Professional-to-Patient/prevention & control
  • Male
  • Middle Aged
  • Patient Participation
  • Program Evaluation
  • Young Adult
Citation (ISO format)
LONGTIN, Yves et al. Patients” beliefs and perceptions of their participation to increase healthcare worker compliance with hand hygiene. In: Infection control and hospital epidemiology, 2009, vol. 30, n° 9, p. 830–839. doi: 10.1086/599118
Identifiers
ISSN of the journal0899-823X
532views
0downloads

Technical informations

Creation07/12/2010 2:37:05 PM
First validation07/12/2010 2:37:05 PM
Update time03/14/2023 3:54:33 PM
Status update03/14/2023 3:54:33 PM
Last indexation01/15/2024 8:51:59 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack