International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

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 Volume 10, Issue 3 (March 2023), Pages: 46-55

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 Original Research Paper

Behavioral determinants of hand hygiene compliance among nurses in intensive care units in Hai’l, Saudi Arabia

 Author(s): 

 Afaf Alrimali 1, Nashi Alreshidi 1, *, Awatif Alenizi 2, Salwa Alrashidi 1, Wadida Alshammari 1, Jordan LLego 3

 Affiliation(s):

 1Nursing Executive Administration, Hai'l Health Cluster, Saudi Arabia
 2Department of Nursing, College of Applied Medical Sciences, Shaqra University, Dawadmi, Saudi Arabia
 3Medical Surgical Nursing Department, College of Nursing, University of Hai’l, Hai’l, Saudi Arabia

  Full Text - PDF          XML

 * Corresponding Author. 

  Corresponding author's ORCID profile: https://orcid.org/0000-0002-5864-084X

 Digital Object Identifier: 

 https://doi.org/10.21833/ijaas.2023.03.006

 Abstract:

Hand hygiene (HH) is widely regarded as the single most effective method of preventing healthcare-associated infections yet achieving and maintaining compliance among healthcare workers remains a significant challenge. This study aims to identify behavioral determinants of HH compliance using the Attitude-Social Influence-Self-Efficacy (ASE) model among Intensive Care Unit (ICU) nurses in Saudi Arabia. This is a descriptive cross-sectional study using a self-reported questionnaire among ICU nursing staff in 6 Ha’il, Saudi Arabia hospitals. The study employed convenience sampling, using the Behavioral Determinants of Hand Hygiene Compliance in ICU questionnaire with 128 respondents. Frequency, percentage, mean, standard deviation, ANOVA, Pearson-r, and Multiple Regression analysis were used. Total compliance to HH for six hospitals was 86.83%. Self-efficacy was high (mean=3.59, SD=.54). The average score of participants’ knowledge of HH was 57% (SD=2.30). Only social pressure was identified as a predictor of noncompliance to HH (β=-1.97; P=.001). The current data highlight the importance of self-efficacy, social influence, positive attitude, and good knowledge regarding HH. However, only social pressure was a predictor of compliance with HH guidelines. When developing interventions to improve HH in ICUs, strategies should include these determinants tailored to the individual, cultural, and institutional factors.

 © 2022 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords: Hand hygiene, Nurses, ICU, Self-efficacy, Social pressure

 Article History: Received 14 September 2022, Received in revised form 30 November 2022, Accepted 2 December 2022

 Acknowledgment 

No Acknowledgment.

 Compliance with ethical standards

 Ethics approval

The Research Ethics Committee approval letter was obtained from the IRB of the General Directorate of Health Affairs, Hail region (approval no 2022-13).

 Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

 Citation:

 Alrimali A, Alreshidi N, Alenizi A, Alrashidi S, Alshammari W, and LLego J (2023). Behavioral determinants of hand hygiene compliance among nurses in intensive care units in Hai’l, Saudi Arabia. International Journal of Advanced and Applied Sciences, 10(3): 46-55

 Permanent Link to this page

 Figures

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 Tables

 Table 1 Table 2 Table 3 Table 4 Table 5 

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