The role of time pressure and different psychological safety climate referents in the prediction of nurses' hand hygiene compliance

Jimmieson, NL; Tucker, MK; White, KM; Liao, J; Campbell, M; Brain, D; Page, K; Barnett, AG; Graves, N

The role of time pressure and different psychological safety climate referents in the prediction of nurses' hand hygiene compliance

Jimmieson, NL Tucker, MK White, KM Liao, J Campbell, M Brain, D Page, K

Barnett, AG Graves, N

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Publisher:: ELSEVIER
Publication Type:: Journal Article
Citation:: Safety Science, 2016, 82, pp. 29-43
Issue Date:: 2016-02-01

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Field	Value	Language
dc.contributor.author	Jimmieson, NL
dc.contributor.author	Tucker, MK
dc.contributor.author	White, KM
dc.contributor.author	Liao, J
dc.contributor.author	Campbell, M
dc.contributor.author	Brain, D
dc.contributor.author	Page, K https://orcid.org/0000-0001-9183-9175
dc.contributor.author	Barnett, AG
dc.contributor.author	Graves, N
dc.date.accessioned	2022-08-07T06:55:14Z
dc.date.available	2022-08-07T06:55:14Z
dc.date.issued	2016-02-01
dc.identifier.citation	Safety Science, 2016, 82, pp. 29-43
dc.identifier.issn	0925-7535
dc.identifier.issn	1879-1042
dc.identifier.uri	http://hdl.handle.net/10453/159739
dc.description.abstract	In this study of 638 Australian nurses, compliance to hand hygiene (HH), as defined by the "five moments" recommended by the World Health Organisation (2009), was examined. Hypotheses focused on the extent to which time pressure reduces compliance and safety climate (operationalised in relation to HH using colleagues, manager, and hospital as referents) increases compliance. It also was proposed that HH climate would interact with time pressure, such that the negative effects of time pressure would be less marked when HH climate is high. The extent to which the three HH climate variables would interact among each other, either in the form of boosting or compensatory effects, was tested in an exploratory manner. A prospective research design was used in which time pressure and the HH climate variables were assessed at Time 1 and compliance was assessed by self-report two weeks later. Compliance was high but varied significantly across the 5 HH Moments, suggesting that nurses make distinctions between inherent and elective HH and also seemed to engage in some implicit rationing of HH. Time pressure dominated the utility of HH climate to have its positive impact on compliance. The most conducive workplace for compliance was one low in time pressure and high in HH climate. Colleagues were very influential in determining compliance, more so than the manager and hospital. Manager and hospital support for HH enhanced the positive effects of colleagues on compliance. Providing training and enhancing knowledge was important, not just for compliance, but for safety climate.
dc.language	English
dc.publisher	ELSEVIER
dc.relation.ispartof	Safety Science
dc.relation.isbasedon	10.1016/j.ssci.2015.08.015
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	09 Engineering, 11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Human Factors
dc.title	The role of time pressure and different psychological safety climate referents in the prediction of nurses' hand hygiene compliance
dc.type	Journal Article
utslib.citation.volume	82
utslib.for	09 Engineering
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Centre for Health Economics Research and Evaluation
utslib.copyright.status	closed_access	*
dc.date.updated	2022-08-07T06:55:13Z
pubs.publication-status	Published
pubs.volume	82

Abstract:

In this study of 638 Australian nurses, compliance to hand hygiene (HH), as defined by the "five moments" recommended by the World Health Organisation (2009), was examined. Hypotheses focused on the extent to which time pressure reduces compliance and safety climate (operationalised in relation to HH using colleagues, manager, and hospital as referents) increases compliance. It also was proposed that HH climate would interact with time pressure, such that the negative effects of time pressure would be less marked when HH climate is high. The extent to which the three HH climate variables would interact among each other, either in the form of boosting or compensatory effects, was tested in an exploratory manner. A prospective research design was used in which time pressure and the HH climate variables were assessed at Time 1 and compliance was assessed by self-report two weeks later. Compliance was high but varied significantly across the 5 HH Moments, suggesting that nurses make distinctions between inherent and elective HH and also seemed to engage in some implicit rationing of HH. Time pressure dominated the utility of HH climate to have its positive impact on compliance. The most conducive workplace for compliance was one low in time pressure and high in HH climate. Colleagues were very influential in determining compliance, more so than the manager and hospital. Manager and hospital support for HH enhanced the positive effects of colleagues on compliance. Providing training and enhancing knowledge was important, not just for compliance, but for safety climate.

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http://hdl.handle.net/10453/159739