https://scholars.lib.ntu.edu.tw/handle/123456789/515788
Title: | Patient empowerment in a hand hygiene program: Differing points of view between patients/family members and health care workers in Asian culture | Authors: | SUNG-CHING PAN Tien K.-L. Hung I.-C. Lin Y.-J. YA-LING YANG Yang M.-C. MING-JIUH WANG SHAN-CHWEN CHANG YEE-CHUN CHEN |
Issue Date: | 2013 | Journal Volume: | 41 | Journal Issue: | 11 | Start page/Pages: | 979-983 | Source: | American Journal of Infection Control | Abstract: | Background: "Patient empowerment" is an important component of World Health Organization hand hygiene program, but little is known about the intentions and attitude of patients/families and health care workers (HCWs) regarding this. Methods: A cross-sectional survey using questionnaires was conducted in a tertiary teaching hospital in Taiwan to assess hand hygiene knowledge and the attitudes and intentions regarding patient empowerment among patients/families and HCWs. Results: Among patients/families, 95.4% (329/345) had positive attitudes regarding patient empowerment; however, only 67.2% (232/345) had the positive intention to remind HCWs about hand hygiene (P <.001). Risk factors for negative intention were being female (odds ratio [OR], 1.82; 95% confidence interval [CI]: 1.08-3.03), illiteracy (OR, 3.18; 95% CI: 0.86-11.7), and being patients/families in the pediatric department (OR, 1.86; 95% CI: 0.93-3.64). Among HCWs, the difference between positive attitude (81.1%; 714/880) and positive intention regarding being reminded about hand hygiene (62.8%; 553/880) was significant (P <.001). Risk factors for negative intention were age > 25 years (OR, 3.20; 95% CI: 1.51-6.81) and a negative attitude toward patient empowerment (OR, 10.00; 95% CI: 5.88-16.67). Conclusion: There were significant gaps between attitude and intention regarding patient empowerment both among patients/families and HCWs. Special strategies targeting women, the pediatric population, or illiterate people may help improve patient/family participation. Additionally, hand hygiene education should be incorporated into early-stage medical/nursing education to create a facilitating environment. Patients/families and HCWs cooperation is needed to promote the hand hygiene program further. Copyright ? 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84887025257&doi=10.1016%2fj.ajic.2013.02.008&partnerID=40&md5=85acf0422d98cc2cf3aaaa5641faa1b0 https://scholars.lib.ntu.edu.tw/handle/123456789/515788 |
ISSN: | 0196-6553 | DOI: | 10.1016/j.ajic.2013.02.008 | SDG/Keyword: | adult; article; Asian; cross-sectional study; family; female; gender; hand washing; health care personnel; health program; health survey; human; knowledge; major clinical study; male; patient attitude; patient empowerment; questionnaire; risk factor; teaching hospital; wound dressing; Hand hygiene; Infection control; Patient care; Patient participation; Adult; Asian Continental Ancestry Group; Attitude of Health Personnel; Cross Infection; Cross-Sectional Studies; Family; Female; Guideline Adherence; Hand Hygiene; Health Knowledge, Attitudes, Practice; Hospitals, Teaching; Humans; Male; Middle Aged; Patient Participation; Questionnaires; Taiwan; Tertiary Care Centers |
Appears in Collections: | 醫學系 |
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