Analysis on influencing factors and improving measures of hand hygiene implementation among healthcare workers based on the Grounded Theory_West China Medical Journal

Authors：

LI Jing ,  LI Qiaoqiao , MA Houzhi

Department of Nosocomial Infection Control, Chengdu Women’s and Children’s Central Hospital, Chengdu, Sichuan 610091, P. R. China;

Corresponding author：

LI Qiaoqiao, Email: 764311077@qq.com

Keywords：

Grounded Theory; Hand hygiene; Influencing factors; Improving measures

DOI：

10.7507/1002-0179.201606256

Video：

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Objective To explore the influencing factors and improving measures of hand hygiene among healthcare workers. Methods From June to August 2016, several healthcare workers from clinical departments and nosocomial infection control department in Chengdu were selected by purposive sampling method. Data was collected by individual in-depth interviews, and was three-rank coded by Nvivo 8 software based on Grounded Theory. Results After three-rank coding, 6 important influencing factors were generalized which were re-categorized into 3 levels: personal cognition, behavior capacity and social support. At the last, the whole framework of the theory was constructed through core coding. Conclusion In clinical practice, we should take reasonable measures to strengthen the training of hand hygiene, improve the hand hygiene facilities, strengthen supervision and management, and effectively improve the implementation rate of hand hygiene.

Citation： LI Jing, LI Qiaoqiao, MA Houzhi. Analysis on influencing factors and improving measures of hand hygiene implementation among healthcare workers based on the Grounded Theory. West China Medical Journal, 2017, 32(8): 1251-1254. doi: 10.7507/1002-0179.201606256 Copy

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1. 宋丽红, 贾会学, 贾建侠, 等. 医务人员手卫生影响因素的调查与分析. 中华医院感染学杂志, 2009, 19(1): 35-37.
2. 中华人民共和国卫生部. WS/T 313－2009 医务人员手卫生规范, 2009.
3. 张昌, 连玉佳, 陈盛义. 医务人员手卫生依从性现状调查. 中国民康医学, 2015, 27(3): 72-73.
4. 沈燕, 胡必杰, 周晴, 等. 上海市66所医院手卫生依从性现状调查. 中华医院感染学杂志, 2012, 22(12): 2585-2587.
5. 曹芙蓉, 李俊英, 余春华. 不同层次护士手卫生认知行为态度的调查研究. 现代预防医学, 2012, 39(11): 2772-2774.
6. 许睿玮, 姚桂琴, 雷君, 等. 新入职医务人员手卫生认知水平与影响因素调查. 中华医院感染学杂志, 2015, 25(18): 4309-4311.
7. 李青青, 陈颖, 韩德琳, 等. 基于扎根理论的成都市艾滋病干预效果影响因素分析. 医学与社会, 2012, 25(1): 21-23.
8. 凯西•卡麦兹. 建构扎根理论: 质性研究实践指南. 重庆: 重庆大学出版社, 2007.
9. 高雪, 赵体玉. 患者参与医务人员手卫生的质性研究. 中国临床护理, 2015, 7(4): 355-358.
10. 何文英, 黄新玲, 史晨辉, 等. 医护人员执行手卫生的影响因素. 中国消毒学杂志, 2010, 27(6): 758-759.
11. 和欢. 医护人员手卫生执行现状及其影响因素调查分析. 辽宁医学院学报, 2016, 37(5): 85-89.
12. 邱湖海, 杨春红, 温宇霞. 县级医院医务人员手卫生现状及影响因素的调查分析. 中国当代医药, 2015, 22(19): 150-153.
13. 高燕飞. 护士手卫生现状及影响因素分析. 医院管理论坛, 2015, 32(10): 57-59.
14. 刘云娥, 李萍, 徐晓颖, 等. 部队医院护理人员手卫生依从性影响因素的调查分析. 中华医院感染学杂志, 2016, 26(21): 5019-5021.
15. 王晓艳, 李宝珍, 平宝华, 等. 综合医院医务人员手卫生认知及影响因素调查. 中国感染控制杂志, 2015, 14(11): 776-779.

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West China Medical Journal

Analysis on influencing factors and improving measures of hand hygiene implementation among healthcare workers based on the Grounded Theory

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