Ruth M Sladek1, Malcolm J Bond, Paddy A Phillips. 1. Department of Palliative & Supportive Services, School of Medicine, Flinders University, Adelaide, Australia. Ruth.Sladek@flinders.edu.au
Abstract
BACKGROUND: The World Health Organization has identified cognitive determinants of hand hygiene as an outstanding research question. This study investigated whether doctors' preferences for a rational thinking style or an experiential thinking style are associated with hand hygiene compliance. METHODS: This was an observational study of hand hygiene practices of 32 doctors in 2 teaching hospitals in South Australia. Compliance rates were correlated with self-reported thinking styles. The doctors were observed by a trained observer during a ward round or outpatient clinic and were unaware that hand hygiene was under observation. The main outcome measures were hand hygiene compliance (hand hygiene compliance tool) and thinking style (Rational-Experiential Inventory). RESULTS: An overall mean compliance rate of 7.6% (standard deviation +/- 7.2%) was found. Compliance was significantly positively correlated with experiential/automatic thinking (r = .46; P = .004) and the observational setting of ward rounds (vs clinics) (r = -.47; P = .003). No significant relationship was found between compliance and a rational/deliberate thinking style (r = -.01; P = .472). CONCLUSIONS: Hand hygiene is more experiential than rational. Findings suggest that certain promotional strategies appealing to the experiential thinking mode may improve compliance, and that traditional approaches based on logic and reasoning alone probably will not work.
BACKGROUND: The World Health Organization has identified cognitive determinants of hand hygiene as an outstanding research question. This study investigated whether doctors' preferences for a rational thinking style or an experiential thinking style are associated with hand hygiene compliance. METHODS: This was an observational study of hand hygiene practices of 32 doctors in 2 teaching hospitals in South Australia. Compliance rates were correlated with self-reported thinking styles. The doctors were observed by a trained observer during a ward round or outpatient clinic and were unaware that hand hygiene was under observation. The main outcome measures were hand hygiene compliance (hand hygiene compliance tool) and thinking style (Rational-Experiential Inventory). RESULTS: An overall mean compliance rate of 7.6% (standard deviation +/- 7.2%) was found. Compliance was significantly positively correlated with experiential/automatic thinking (r = .46; P = .004) and the observational setting of ward rounds (vs clinics) (r = -.47; P = .003). No significant relationship was found between compliance and a rational/deliberate thinking style (r = -.01; P = .472). CONCLUSIONS: Hand hygiene is more experiential than rational. Findings suggest that certain promotional strategies appealing to the experiential thinking mode may improve compliance, and that traditional approaches based on logic and reasoning alone probably will not work.
Authors: Claire M Felmingham; Nikki R Adler; Zongyuan Ge; Rachael L Morton; Monika Janda; Victoria J Mar Journal: Am J Clin Dermatol Date: 2021-03 Impact factor: 7.403
Authors: Jan Breckwoldt; Monika Knecht; Ralph Massée; Barbara Flach; Caroline Hofmann-Huber; Sylvia Kaap-Fröhlich; Claudia M Witt; Ruth Aeberhard; Hugo Sax Journal: Antimicrob Resist Infect Control Date: 2019-05-14 Impact factor: 4.887