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Evaluating the program 'helping hands' : a program utilizing self-determination theory to promote nurses' knowledge, beliefs, attitudes and compliance on hand hygiene in primary care
Author
Yan, Chau Chain
Supervisor
Lim, Kam Ming
Abstract
This study has used the self-determination theory as a framework to implement an educational program entitled “Helping Hands” for nurses under five healthcare centres randomized to the intervention group. The program was aimed at examining the effect of a self-determination program on nurses’ autonomous motivation and satisfaction of their innate psychological needs for autonomy and competence on hand hygiene practice. Study findings suggest that the program was successful in improving primary care nurses hand hygiene adherence rate overtime and between groups. Primary care nurses in the intervention group showed significantly less introjected regulation with moderate effect at three and six months into the study. The relative autonomy index scores for autonomous motivation was statistically significant at three months but was not sustained at six months. Autonomous motivation was significantly associated with autonomy and competence whilst autonomous motivation, perceived autonomy and competence were significantly associated with attitude and beliefs. This study provides new insight into a relatively difficult behaviour to modify as hand hygiene adherence is often perplexing and is affected by multifactorial issues in the healthcare setting. Study finding is encouraging as it highlights that self-determination is effective in efforts to change task value and behaviour as applied to hand hygiene practice in primary healthcare. More studies should be undertaken to further lend evidence to its use on hand hygiene adherence amongst healthcare workers in healthcare setting.
Date Issued
2019
Call Number
RT86 Yan
Date Submitted
2019