Association between Hand Hygiene Knowledge and Self-Efficacy in Nursing Students: A Multicenter Cross-Sectional Study within the Framework of the Erasmus Project.

IF 2.4 Q1 NURSING
Ljudmila Linnik, Nuray Turan, Cansu Polat Dünya, Kati Lahtinen, Teija Franck, Maija Valta, Tuluha Ayoğlu, Nuray Akyüz, Verónica Coutinho, Luis Paiva, Irma Brito, Natura Colomer-Pérez, María Del Carmen Giménez-Espert, Cristina Buigues, Omar Cauli
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Abstract

Adherence to hand hygiene procedures is crucial for all populations, and the World Health Organization (WHO) has implemented specific guidelines for infection control. Frequent and correct hand hygiene can prevent infections, but non-compliance with hand hygiene is pervasive. Nursing students address this issue from the beginning of their training. In nursing training, self-efficacy is crucial in enhancing students' competence, motivation, and clinical performance. We performed a cross-sectional multicenter study in five European countries, with a cross-sectional design with an online application of an instrument measuring hand hygiene knowledge based on WHO guidelines and general self-efficacy and specific self-efficacy for infection control. A total of 638 first-year nursing students participated in this study. The mean percentage of correct answers was 67.9%, with a considerable difference depending on the items. The worst results were obtained for questions related to sources of infection and types of hand hygiene methods in different situations. Finnish students displayed significantly (p < 0.001) higher scores in HH knowledge, whereas Estonian students had significantly (p < 0.001) higher levels of self-efficacy. There were significant correlations between the hand hygiene knowledge score and the self-efficacy score (p < 0.001). A multivariate analysis by linear regression analysis showed significant associations between the hand hygiene knowledge survey score and the students' age (p < 0.001, OR = 0.18, 95% CI 0.04-0.10), as well as their country of origin (p = 0.01, OR = 0.09, 95% CI 0.03-0.34). HH knowledge is quite low among nursing students, and is correlated with self-efficacy, although the strongest predictors are age and country of origin. Different nursing curricula must favor HH knowledge, with varying degrees of emphasis depending on the country.

护理专业学生手部卫生知识与自我效能之间的关系:伊拉斯谟项目框架内的多中心横断面研究。
遵守手部卫生程序对所有人群都至关重要,世界卫生组织(WHO)已实施了具体的感染控制指南。经常进行正确的手部卫生可以预防感染,但不遵守手部卫生的现象却很普遍。护理专业学生从培训一开始就要解决这个问题。在护理培训中,自我效能感对提高学生的能力、积极性和临床表现至关重要。我们在五个欧洲国家开展了一项横断面多中心研究,采用横断面设计,在线应用一种工具,测量基于世界卫生组织指南的手卫生知识以及感染控制的一般自我效能和特定自我效能。共有 638 名护理专业一年级学生参加了这项研究。正确答案的平均百分比为 67.9%,不同项目的正确率差异很大。与感染源和不同情况下的手部卫生方法有关的问题结果最差。芬兰学生的手卫生知识得分明显更高(p < 0.001),而爱沙尼亚学生的自我效能水平明显更高(p < 0.001)。手卫生知识得分与自我效能得分之间存在明显的相关性(p < 0.001)。通过线性回归分析进行的多变量分析表明,手卫生知识调查得分与学生的年龄(p < 0.001,OR = 0.18,95% CI 0.04-0.10)和原籍国(p = 0.01,OR = 0.09,95% CI 0.03-0.34)之间存在明显关联。在护理专业学生中,HH 知识水平相当低,且与自我效能感相关,但最强的预测因素是年龄和原籍国。不同的护理课程必须偏重于 HH 知识,不同的国家对 HH 知识的重视程度也不同。
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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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