Abstract：
BACKGROUND:Hand hygiene is promoted as an effective practice to counter health care-acquired infections; however, compliance is less than optimal. Nurses have many patient contact opportunities and therefore are frequent participants in intervention research. The optimal combination of efficient and effective intervention components has not been conclusively identified. METHODS:A factorial survey research design offers an efficient method to assess multiple factors simultaneously by combining elements into vignettes. This article describes a process, grounded in the framework of Bandura's social cognitive theory, that explored environmental and individual factors that potentially influence nurses' hand hygiene behavior in acute care settings. Survey respondents consisted of nurses employed in patient care; respondents also could address an open response item. RESULTS:A total of 466 participants scored a total of 3,685 vignettes. Statistically significant parameters included goal, supervisor priority, electronic monitoring, and rewards. The most frequently mentioned open response item was the need to keep hand hygiene product dispensers refilled. Participants also suggested that culture and intrinsic motivation influenced hand hygiene behavior. CONCLUSIONS:Researchers might consider assessing promising factors, especially use of goal setting, as an intervention rather than as components of an intervention. Further research is indicated to better understand how nurses define and view hand hygiene culture.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Chatfield SL,Nolan R,Crawford H,Hallam JSdoi
10.1016/j.ajic.2016.12.024subject
Has Abstractpub_date
2017-06-01 00:00:00pages
620-625issue
6eissn
0196-6553issn
1527-3296pii
S0196-6553(17)30031-7journal_volume
45pub_type
杂志文章abstract：:Using a standardized methodology by the National Nosocomial Infection Surveillance System, a continuous health care-associated infections (HAIs) surveillance was conducted in our mixed intensive care unit at a Chinese teaching hospital. During the study period (2010-2014), 4,013 patients were hospitalized for 32,924 b...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.07.023
更新日期：2015-12-01 00:00:00
abstract：BACKGROUND:Influenza causes mortality and morbidity in the frail elderly population. Influenza prevention and mitigation models need to be developed for this population. METHODS:An observational study at a Program for All-Inclusive Care for the Elderly (PACE) during years 1999-2004. Participants were frail elderly adu...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.02.001
更新日期：2005-05-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(93)90007-q
更新日期：1993-06-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.02.020
更新日期：2015-06-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.02.032
更新日期：2012-08-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.08.017
更新日期：2011-04-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：1984-02-01 00:00:00
abstract：BACKGROUND:The Association for Professionals in Infection Control and Epidemiology (APIC) MegaSurvey, administered in 2015, was completed by approximately 4,079 APIC members. The survey sought to gain a better understanding the current state of 4 components of infection prevention practice: demographic characteristics,...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.03.021
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Extended-spectrum beta-lactamase (ESBL)-producing organisms, first identified in Germany in 1983, are now widely recognized as clinically relevant causes of infections in community. METHODS:Our objective was to evaluate the clinical and molecular epidemiology of community-onset, extended-spectrum beta-lacta...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.05.008
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Nosocomial infection (NI) is a cause of patient morbidity and mortality. Conducting an audit of deaths due to NI is a potentially useful approach to improving professional standards. In France, these deaths are required to be reported, but the reporting is left to clinicians, who often do not comply. The aim...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2011-03-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.06.003
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Rifampin has been used for the eradication of Staphylococcus aureus (S. aureus) colonization in various populations of healthy and sick people. METHODS:We performed a systematic review of the evidence from randomized and nonrandomized controlled trials that compared the effectiveness and safety of a rifampi...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2006.09.005
更新日期：2007-03-01 00:00:00
abstract：:Hand dermatitis as a result of frequent exposure to water and cleansing agents is a significant problem in the health care industry. In developing prevention efforts to address this problem, it is necessary to make appropriate recommendations for moisturizers that are compatible with latex gloves and/or handwashing ag...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2001.117298
更新日期：2001-12-01 00:00:00
abstract：:We aimed to validate quality assurance (QA) criteria for rectal surveillance cultures (RSCs) for extended-spectrum β-lactamase-producing Enterobacteriaceae. QA for RSCs were tested by observing the presence or absence of fecal soiling and by examining the growth of Enterobacteriaceae on MacConkey agar. Extended-spectr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.02.036
更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:Chlorhexidine gluconate (CHG) and povidone iodine (PI) are rarely used concurrently despite a lack of evidence regarding functional incompatibility of these agents. METHODS:CHG and PI, alone and combined, were evaluated against Staphylococcus aureus (methicillin-susceptible S aureus [MSSA] and methicillin-r...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.06.022
更新日期：2010-12-01 00:00:00
abstract：:The antibacterial efficacy of 4% chlorhexidine gluconate (CHG) and 1% triclosan as handwash antiseptics is well established. Few published studies have identified hand bacteria found in glove juice samples, and most studies have used nonclinical study subjects. We report a longitudinal comparative study to determine t...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1016/s0196-6553(99)70051-9
更新日期：1999-08-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.10.023
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Numerous state health departments (SHDs) have validated central line-associated bloodstream infection (CLABSI) data, and results from these studies provide important insights into the accuracy of CLABSI reporting to the National Healthcare Safety Network (NHSN) and remediable shortcomings in adherence to the...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2018.04.233
更新日期：2018-11-01 00:00:00
abstract：BACKGROUND:Airborne infection isolation rooms (AIIRs) help prevent the spread of infectious agents in hospitals. The performance of 678 AIIRs was evaluated and compared with construction design guidelines. METHODS:The pressure differentials (DeltaP) between the isolation rooms and adjacent areas were measured, and ven...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.10.012
更新日期：2007-06-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.05.028
更新日期：2016-12-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.02.003
更新日期：2020-05-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(93)90205-i
更新日期：1993-02-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.11.013
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVE:To determine whether periurethral cleaning with water before indwelling urinary catheterization increases the risk of urinary tract infections (UTIs) compared with studies using anti-infective agents. METHODS:A literature search via MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials thro...
journal_title：American journal of infection control
pub_type： 杂志文章,meta分析
doi：10.1016/j.ajic.2018.02.031
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Tuberculosis (TB) has re-emerged as a major infectious disease in several areas in the world. Airborne tubercle bacilli produced by individuals with pulmonary TB and droplet nuclei remain suspended in the air for a long time. This study attempts to use a sensitive polymerase chain reaction (PCR) analytic met...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(03)00090-7
更新日期：2004-02-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.06.020
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:A penicillin allergy label has been associated with significantly higher rates of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) colonization, and correspondingly poorer clinical outcomes. However, there are limited data examining the association between any an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.09.021
更新日期：2020-06-01 00:00:00
abstract：:Randomized controlled trials (RCTs) are useful in the evaluation of both new and well-established hospital infection control practices for which the benefit is unproven and not obvious. RCTs are often undertaken to resolve controversies, and many of them have a "negative" or inconclusive outcome. Well-designed RCTs wi...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章,评审
doi：10.1016/0196-6553(83)90076-7
更新日期：1983-10-01 00:00:00
abstract：BACKGROUND:Despite increased focus on health care-associated infections (HAI), between 1.6 and 3.8 million HAI occur annually among the vulnerable population residing in US nursing homes (NH). This study characterized state department of health (DOH) activities and policies intended to improve quality and reduce HAI in...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.11.024
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVE:We sought to determine the cause and mode of transmission of a cluster of bloodstream infections as a result of Klebsiella pneumoniae. DESIGN AND SETTING:We conducted a prospective cohort study in a neonatal intensive care department from May 1999 to December 2000. METHODS:We performed surveillance of nosoc...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.70
更新日期：2003-11-01 00:00:00
