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Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis

OBJECTIVE: Occurrences of healthcare-associated infections are associated with substantial direct and indirect costs. Improvement in hand hygiene among acute care nurses has potential to reduce incidence of healthcare-associated infections. Findings from reviews of intervention research have not con...

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Autores principales: Chatfield, Sheryl L, Nolan, Rachael, Crawford, Hannah, Hallam, Jeffrey S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077071/
https://www.ncbi.nlm.nih.gov/pubmed/27803809
http://dx.doi.org/10.1177/2050312116675098
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author Chatfield, Sheryl L
Nolan, Rachael
Crawford, Hannah
Hallam, Jeffrey S
author_facet Chatfield, Sheryl L
Nolan, Rachael
Crawford, Hannah
Hallam, Jeffrey S
author_sort Chatfield, Sheryl L
collection PubMed
description OBJECTIVE: Occurrences of healthcare-associated infections are associated with substantial direct and indirect costs. Improvement in hand hygiene among acute care nurses has potential to reduce incidence of healthcare-associated infections. Findings from reviews of intervention research have not conclusively identified components that are more or less efficient or effective. Much prior qualitative research has focused on descriptive analysis of policies and practices rather than providing interpretive explorations of how individuals’ perceptions of hygiene might drive practices. METHODS: We conducted qualitative interview research with eight nurses in the United States who were employed in various patient-care roles. We analyzed the data using an interpretative phenomenological analysis methodology to explore how nurses described their perceptions of, and experiences with, hygiene. We developed themes that explored individual, workplace, and management influences on perception of hygiene. RESULTS: Developed themes include practical hygiene, risky business, and hygiene on trial; the latter theme described the conflict between how nurses perceived their own hygiene practices and how they felt hospital management perceived these practices. Other findings included that participants distinguished between policy-mandated use of sanitizer and a personal sense of cleanliness; the latter was more likely to be associated with scrubbing or removal of contaminants than with use of protectants. CONCLUSION: While participants asserted support for facility hand hygiene policies, their behavior in certain instances might be mediated by broadly defined emergent situations and a belief that it is not currently possible to establish a causal link between an healthcare-associated infections and a specific individual or occurrence. Researchers and infection prevention practitioners might consider soliciting greater input from nurses in planning hand hygiene improvement interventions, to encourage ownership, and emphasizing detailed cases as training content to take advantage of individuals’ sensory responses to hygiene.
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spelling pubmed-50770712016-11-01 Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis Chatfield, Sheryl L Nolan, Rachael Crawford, Hannah Hallam, Jeffrey S SAGE Open Med Original Article OBJECTIVE: Occurrences of healthcare-associated infections are associated with substantial direct and indirect costs. Improvement in hand hygiene among acute care nurses has potential to reduce incidence of healthcare-associated infections. Findings from reviews of intervention research have not conclusively identified components that are more or less efficient or effective. Much prior qualitative research has focused on descriptive analysis of policies and practices rather than providing interpretive explorations of how individuals’ perceptions of hygiene might drive practices. METHODS: We conducted qualitative interview research with eight nurses in the United States who were employed in various patient-care roles. We analyzed the data using an interpretative phenomenological analysis methodology to explore how nurses described their perceptions of, and experiences with, hygiene. We developed themes that explored individual, workplace, and management influences on perception of hygiene. RESULTS: Developed themes include practical hygiene, risky business, and hygiene on trial; the latter theme described the conflict between how nurses perceived their own hygiene practices and how they felt hospital management perceived these practices. Other findings included that participants distinguished between policy-mandated use of sanitizer and a personal sense of cleanliness; the latter was more likely to be associated with scrubbing or removal of contaminants than with use of protectants. CONCLUSION: While participants asserted support for facility hand hygiene policies, their behavior in certain instances might be mediated by broadly defined emergent situations and a belief that it is not currently possible to establish a causal link between an healthcare-associated infections and a specific individual or occurrence. Researchers and infection prevention practitioners might consider soliciting greater input from nurses in planning hand hygiene improvement interventions, to encourage ownership, and emphasizing detailed cases as training content to take advantage of individuals’ sensory responses to hygiene. SAGE Publications 2016-10-19 /pmc/articles/PMC5077071/ /pubmed/27803809 http://dx.doi.org/10.1177/2050312116675098 Text en © The Author(s) 2016 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Chatfield, Sheryl L
Nolan, Rachael
Crawford, Hannah
Hallam, Jeffrey S
Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis
title Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis
title_full Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis
title_fullStr Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis
title_full_unstemmed Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis
title_short Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis
title_sort experiences of hand hygiene among acute care nurses: an interpretative phenomenological analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077071/
https://www.ncbi.nlm.nih.gov/pubmed/27803809
http://dx.doi.org/10.1177/2050312116675098
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