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The Effect of Simulation on Hand Hygiene Knowledge, Beliefs, and Behaviors of Nursing Students

Konicki, Tara
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532932

Abstract Details

2014, PhD, University of Cincinnati, Nursing: Nursing - Doctoral Program.
Although hand hygiene remains an essential aspect of quality care, adherence to best patient safety practices continues to pose major challenges. Using an experimental pretest-posttest design, this study examined hand hygiene knowledge, beliefs, and behaviors in a convenience sample of sophomore nursing students. The control and intervention groups received the same 45 minute lecture pertaining to hand hygiene and 3 data collection points where van de Mortel’s Hand Hygiene Questionnaire (HHQ) was administered. In addition, the intervention group viewed a 6.5 minute video “Partnering to Heal” (U.S. Dept. of HHS) and participated in 4 simulated situations requiring hand hygiene, based on World Health Organization guidelines. For all students, the hand hygiene technique was assessed through the use of Glo Germ, followed by handwashing and photography under ultraviolet light (posttest only). Image illumination was analyzed using ImageJ (NIH). Microbiological sampling plates (pretest-posttest) were assessed quantitatively by colony counting. Study findings did not support differences in the intervention group for the 5 hypothesized relationships. During the study, several threats occurred affecting the reliability of the instruments and validity of the subsequent measurements. For instance, social desirability responding and negative item confusion were found to occur with the HHQ in the student population. Interestingly, there was a significant difference in the UV hand photographs, with students in the afternoon having lower values than students in the morning. Given the study results, there were no definitive educational recommendations to teach hand hygiene to nursing students. Future research should continue to further examine multi-focal modalities to enhance adherence to hand hygiene practices, as well as control for extraneous mediating or moderating variables found in educational settings. Additional research is needed to develop a questionnaire reliable in a beginning nursing student population.
Elaine Miller, R.N. D.N.S. (Committee Chair)
David Fankhauser, Ph.D. (Committee Member)
Adrianne Lane, Ed.D. (Committee Member)
113 p.
Nursing
hand hygiene; nursing education; simulation

Recommended Citations

Citations

  • Konicki, T. (2014). The Effect of Simulation on Hand Hygiene Knowledge, Beliefs, and Behaviors of Nursing Students [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532932

    APA Style (7th edition)

  • Konicki, Tara. The Effect of Simulation on Hand Hygiene Knowledge, Beliefs, and Behaviors of Nursing Students. 2014. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532932.

    MLA Style (8th edition)

  • Konicki, Tara. "The Effect of Simulation on Hand Hygiene Knowledge, Beliefs, and Behaviors of Nursing Students." Doctoral dissertation, University of Cincinnati, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532932

    Chicago Manual of Style (17th edition)

ucin1396532932
942
© 2014, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.