Korean J Rehabil Nurs.  2021 Jun;24(1):56-66. 10.7587/kjrehn.2021.56.

Factors Influencing the Intention of Hand Hygiene Compliance among Nursing Caregivers in Long Term Care Facilities: Based on the Planned Behavior Theory

• Shim MO
• Kim KM

• KMID: 2519113
• DOI: http://doi.org/10.7587/kjrehn.2021.56

Abstract

Purpose
The purpose of this study was to investigate factors influencing the intention of hand hygiene implementation based on the theory of planned behavior among caregivers in long-term care facilities (LTCF).
Methods
A descriptive cross-sectional survey was conducted with 231 caregivers who are employed in LTCF. Data were collected from April, in 2020 until April, in 2021.
Results
Nursing caregivers working at LTCF tend to have a high level of interest in and awareness of the importance of hand hygiene. Levels of behavioral beliefs, normative beliefs, attitude toward behavior, and subjective norms were relatively high, but control beliefs and perceived control levels were relatively low. For variables that affect intention of hand hygiene, behavioral beliefs (β=0.23, p<.001) and normative beliefs (β=0.18, p=.003) significantly affected hand hygiene compliance intentions in belief factors, while subjective norm (β=0.23, p<.001) and attitude toward behavior (β=0.11, p=.047) significantly affected hand hygiene compliance intentions in key factors. with a total explanatory power of 28.2% (F=23.53, p<.001).
Conclusion
As in the result, hand hygiene compliance rate can be enhanced by multilateral hand hygiene promotion programs and education that can increase levels of behavior beliefs, normative beliefs, subjective norms, and attitude toward behavior, which are significant variables in the nursing caregivers’ hand hygiene compliance intentions.

Keyword

Long term care facility; Nursing home; Caregivers; Hand hygiene; Theory of planned behavior