A tool to assess barriers to adherence to hand hygiene guideline
Abstract
This Brief Report presents results of preliminary testing of a tool, "Attitudes Regarding Practice Guidelines," adapted from previous work by Cabana et al to examine barriers to adherence to practice guidelines. In a small sample of 21 clinicians (10 infectious disease physicians and 11 clinical nurses), the test-retest reliability was.86 and Chronbach alpha was.80, indicating acceptable levels of stability. It is recommended that the instrument undergo further testing and adaptation as a measure of potential barriers to adherence to practice guidelines in general, and to the new Hand Hygiene Guideline for Healthcare Settings specifically.
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Other approaches to assessing readiness have focused on organizational culture, climate, and work attitudes, and on providers' attitudes towards evidence-based practices.
“Other approaches to assessing readiness have focused on organizational culture, climate, and work attitudes [73], and on providers’ attitudes towards evidence-based practices [21,22,74].”
From Writing implementation research grant proposals: ten key ingredients (2012) · cites this paper as [74]
A number of scales for measuring implementation barriers have been developed.
“In fact, a number of scales for measuring implementation barriers have been developed [74,83,84].”
From Writing implementation research grant proposals: ten key ingredients (2012) · cites this paper as [74]
Cites
Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement
Cabana, M. D., Rand, C. S., Powe, N. R., Wu, A. W., Wilson, M. H., Abboud, P.-A. C., & Rubin, H. R. (1999) · JAMA · doi:10.1001/jama.282.15.1458 · Cited by 6,677 · see citing works
Guideline for hand hygiene in health-care settings
Boyce, J. M., & Pittet, D. (2002) · American Journal of Infection Control · doi:10.1067/mic.2002.130391 · Cited by 2,121 · see citing works
Reasons for Pediatrician Nonadherence to Asthma Guidelines
Cabana, M. D., Rand, C. S., Becher, O. J., & Rubin, H. R. (2001) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.155.9.1057 · Cited by 280 · see citing works
Barriers Pediatricians Face When Using Asthma Practice Guidelines
Cabana, M. D., Ebel, B. E., Cooper, L. A., Powe, N. R., Rubin, H. R., & Rand, C. S. (2000) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.154.7.685 · Cited by 240 · see citing works
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Writing implementation research grant proposals: ten key ingredients
Proctor, E. K., Powell, B. J., Baumann, A. A., Hamilton, A. M., & Santens, R. L. (2012) · Implementation Science · doi:10.1186/1748-5908-7-96 · Cited by 169 · see citing works
Collet, J.-P., Sarmast, H., Kissoon, N., & Mosavianpour, M. (2016) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s107796 · Cited by 54 · see citing works
- Authors
- Larson, E.
- Affiliations
- Columbia University (US)
- Corresponding author
- Larson, Elaine
- ORCID
- Larson, Elaine
- Venue
- American Journal of Infection Control
- Publisher
- Elsevier BV
- Published
- 2004-02
- Volume
- 32
- Issue
- 1
- Pages
- 48-51
- ISSN
- 0196-6553 (ISSN-L)
- OpenAlex
- W1979712170
- Cited by
- 65
- References
- 4
- Citations by year
- 2024: 4 · 2023: 4 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 6 · 2013: 7 · 2012: 1
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Infection Control (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- hand hygiene, practice guideline adherence, barriers to adherence, instrument validation, test-retest reliability, nosocomial infections, infectious disease physicians, clinical nurses
- MeSH terms
- Attitude of Health Personnel, Hand Disinfection, Humans, Surveys and Questionnaires, United States, Reproducibility of Results, Practice Guidelines as Topic, Guideline Adherence
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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