Hand hygiene of medical students and resident physicians: predictors of attitudes and behaviour
| Autor: | Wendy Caceres, Lisa Shieh, Violeta Barroso, Kambria H. Evans, Pooja Loftus |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Students Medical Multivariate analysis Attitude of Health Personnel media_common.quotation_subject education Population Psychological intervention 030501 epidemiology Compliance (psychology) Young Adult 03 medical and health sciences 0302 clinical medicine Nursing Hygiene Surveys and Questionnaires Medical Staff Hospital Humans Medicine Hand Hygiene 030212 general & internal medicine Young adult Students medical media_common Response rate (survey) Cross Infection education.field_of_study business.industry Internship and Residency General Medicine Family medicine Multivariate Analysis Regression Analysis Female 0305 other medical science business |
| Zdroj: | Postgraduate Medical Journal. 92:497-500 |
| ISSN: | 1469-0756 0032-5473 |
| DOI: | 10.1136/postgradmedj-2015-133509 |
| Popis: | Objectives We measured medical students' and resident trainees' hand hygiene behaviour, knowledge and attitudes in order to identify important predictors of hand hygiene behaviour in this population. Methods An anonymous, web-based questionnaire was distributed to medical students and residents at Stanford University School of Medicine in August of 2012. The questionnaire included questions regarding participants' behaviour, knowledge, attitude and experiences about hand hygiene. Behaviour, knowledge and attitude indices were scaled from 0 to 1, with 1 representing superior responses. Using multivariate regression, we identified positive and negative predictors of superior hand hygiene behaviour. We investigated effectiveness of interventions, barriers and comfort reminding others. Results 280 participants (111 students and 169 residents) completed the questionnaire (response rate 27.8%). Residents and medical students reported hand hygiene behaviour compliance of 0.45 and 0.55, respectively (p=0.02). Resident and medical student knowledge was 0.80 and 0.73, respectively (p=0.001). The attitude index for residents was 0.56 and 0.55 for medical students. Regression analysis identified experiences as predictors of hand hygiene behaviour (both positive and negative influence). Knowledge was not a significant predictor of behaviour, but a working gel dispenser and observing attending physicians with good hand hygiene practices were reported by both groups as the most effective strategy in influencing trainees. Conclusions Medical students and residents have similar attitudes about hand hygiene, but differ in their level of knowledge and compliance. Concerns about hierarchy may have a significant negative impact on hand hygiene advocacy. |
| Databáze: | OpenAIRE |
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