1001. Knowledge, Attitudes, and Beliefs: Looking at Hand Hygiene Through The Theory of Planned Behavior
Session: Poster Abstract Session: Hand Hygiene 2012
Friday, October 19, 2012
Room: SDCC Poster Hall F-H
  • HH Survey Poster IDWeek.pdf (665.4 kB)
  • Background: Hand hygiene (HH) is widely believed to be the most effective modifiable factor for the prevention of healthcare-associated infections, yet performance rates among healthcare providers remain alarmingly low. This cross-sectional survey study aims to assess variances in knowledge, attitudes, and beliefs (KAB) surrounding HH among physicians at different levels of training, through the lens of the Theory of Planned Behavior (TPB).  

    Methods: A validated survey incorporating TPB in practical terms was distributed electronically to residents and medical students at an academic medical center.  Medical students were categorized into pre-clinical (PCS) and clinical students (CS). PCS were the reference group for both CS and residents. A chi-square test of independence was used to assess differences in KAB surrounding HH among physician trainees at different levels of medical training. 

    Results: CS reported similar beliefs as residents about the ability of HH to protect them from carrying home microorganisms, provide a sense of self-satisfaction, and to protect themselves from acquiring antibiotic-resistant microorganisms (ARM). Clinical trainees and PCS had significantly different KAB. CS and residents were less likely to believe that HH will protect them from carrying home microorganisms (p:0.006, p:0.003), provide self-satisfaction for protecting patients (p:0.004, p:0.049), and protect them from ARMs (p:0.016, p:0.006). Medical students were more likely to feel that HH is both inconvenient (p:0.000) and frustrating (p:0.033), and reported lower confidence in their knowledge about good HH practice (p:0.017) and the control they hold over their own performance (p:0.037).  

    Conclusion: Clinical training appears to have the effect of extinguishing good HH behavior. Thus, opportunities exist for HH education to be included at all levels of physician training. Daily clinical training should incorporate HH education, making good HH practice the social norm. This may address the concerns of junior physicians over the lack of control over their own performance. Good HH behavior appears to extinguish the most among medical students entering clinical training, this group of trainees provides a target audience for inclusion of HH education and reinforcement of HH as a social norm in daily clinical practice.

    Heather Limper, MPH1, Grant Barton, MD2, Michael McGinty2, Emily Landon, MD3, Shalini Reddy, MD4 and Stephen G. Weber, MD, MS1, (1)Infectious Diseases and Global Health, University of Chicago Medicine, Chicago, IL, (2)University of Chicago Medicine, Chicago, IL, (3)Infectious Diseases and Global Health, The University of Chicago Medicine, Chicago, IL, (4)Medicine, University of Chicago Medicine, Chicago, IL


    H. Limper, None

    G. Barton, None

    M. McGinty, None

    E. Landon, None

    S. Reddy, None

    S. G. Weber, None

    See more of: Hand Hygiene 2012
    See more of: Poster Abstract Session

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 17th with the exception of research findings presented at the IDWeek press conferences.