Health  Vol.7 No.5 , May 2015
Influence of Nursing Students Handwashing Knowledge, Beliefs, and Attitudes on Their Handwashing Compliance
Abstract: Information regarding current status of handwashing knowledge, beliefs, attitudes and compliance with handwashing practice in nursing students in Jordan is limited. This study aims to explore handwashing knowledge, beliefs, attitudes, and self-reported compliance and to examine significant variables predicting compliance with handwashing practice among nursing students. The study used a cross-sectional survey design. Results found a statistically significant relationship between nursing students’ handwashing compliance and their handwashing knowledge, attitudes, and beliefs (r = 0.68, 0.65, 0.58, P < 0.05), respectively. Also, results revealed three statistically significant predictors. Namely, handwashing knowledge was the strongest predictor (β = 0.423, P = 0.000), followed by attitudes (β = 0.322, P = 0.000), and beliefs (β = 0.171, P = 0.027). Specific handwashing training courses integrated in nursing education curriculum are recommended. These courses need to consider nursing students’ handwashing attitudes and beliefs in conjunction with handwashing knowledge.
Cite this paper: Al-Khawaldeh, O. , Al-Hussami, M. and Darawad, M. (2015) Influence of Nursing Students Handwashing Knowledge, Beliefs, and Attitudes on Their Handwashing Compliance. Health, 7, 572-579. doi: 10.4236/health.2015.75068.

[1]   Kilpatrick, C., Allegranzi, B. and Pittet, D. (2011) WHO First Global Patient Safety Challenge: Clean Care Is Safer Care. Contributing to the Training of Health-Care Workers around the Globe. International Journal of Infection Control, 7, 1-8.

[2]   World Health Organization (2009) WHO Guidelines on Hand Hygiene in Health Care 2009.

[3]   Centers for Disease Control and Prevention (2002) Guidelines for Hand Hygiene in Health Care Settings. Morbidity and Mortality Weekly Report, 51, 1-48.

[4]   Creedon, S. (2005) Healthcare Workers’ Hand Decontamination Practices: Compliance with Recommended Guidelines. Journal of Advanced Nursing, 51, 208-216.

[5]   Gould, D.J., Drey, N.S., Moralejo, D., Grimshaw, J. and Chudleigh, J. (2008) Interventions to Improve Hand Hygiene Compliance in Patient Care. Journal of Hospital Infection, 68, 193-202.

[6]   Kosgeroglu, N., Ayranci, U., Vardareli, E. and Dincer, S. (2004) Occupational Exposure to Hepatitis Infection among Turkish Nurses: Frequency of Needle Exposure, Sharps Injuries and Vaccination. Epidemiolology and Infection, 132, 27-33.

[7]   Labrague, L.G., Rosales, R.A. and Tizon, M.M. (2012) Knowledge of and Compliance with Standard Precautions among Student Nurses. International Journal of Advanced Nursing Studies, 1, 84-97.

[8]   Ward, D.J. (2011) The Infection Control Education Needs of Nursing Students: An Interview Study with Students and Mentors. Nurse Education Today, 31, 819-824.

[9]   Ward, D.J. (2011) The Role of Education in the Prevention and Control of Infection: A Review of the Literature. Nurse Education Today, 31, 9-17.

[10]   Cole, M. (2009) Exploring the Hand Hygiene Competence of Student Nurses: A Case of Flawed Self Assessment. Nurse Education Today, 29, 380-388.

[11]   Celik, S. and Kocaslis, S. (2008) Hygienic Hand Washing among Nursing Students in Turkey. Applied Nursing Research, 21, 207-211.

[12]   Al-Hussami, M. and Darawad, M.W. (2012) Compliance of Nursing Students with Infection Prevention Precautions: Effectiveness of a Teaching Program. American Journal of Infection Control, 41, 332-336.

[13]   Darawad, M.W. and Al-Hussami, M. (2012) Jordanian Nursing Students’ Knowledge of, Attitudes towards, and Compliance with Infection Control Precautions. Nurse Education Today, 33, 580-583.

[14]   Jocab, C. (1992) Quantitative Methods in Psychology: A Power Primer. Psychological Bulletin, 112, 155-159.

[15]   O’Boyle, C.A., Henly, S.J. and Duckett, L.J. (2001) Nurses’ Motivation to Wash Their Hands: A Standardized Measurement Approach. Applied Nursing Research, 14, 136-145.

[16]   van de Mortel, T.F., Apostolopoulou, E. and Petrikkos, G. (2010) A Comparison of the Hand Hygiene Knowledge, Beliefs, and Practices of Greek Nursing and Medical Students. American Journal of Infection Control, 38, 75-77.

[17]   Kelcíkova, S., Skodova, Z. and Straka, S. (2011) Effectiveness of Hand Hygiene Education in a Basic Nursing School Curriculum. Public Health Nursing, 29, 152-159.

[18]   Nasirudeen, A.M.A., Koh, J., Chin Lau, A., Li, W.J., Lim, L.S., and Ow, C.X. (2012) Hand Hygiene Knowledge and Practices of Nursing Students in Singapore. American Journal of Infection Control, 40, e241-e243.

[19]   Darawad, M.W., Al-Hussami, M., Al-Mhairat, I.I. and Al-Sutari, M. (2011) Investigating Jordanian Nurses’ Handwashing Beliefs, Attitudes, and Compliance. American Journal of Infection Control, 40, 643-647.

[20]   Al-Hussami, M., Darawad, M.W. and Al-Mhairat, I.I. (2011) Predictors of Compliance Hand Hygiene Practice among Healthcare Professionals. Healthcare Infection, 16, 79-84.

[21]   al Kadi, A. and Salati, S.A. (2012) Hand Hygiene Practices among Medical Students. Interdisciplinary Perspectives on Infectious Diseases, 2012, Article ID: 679129.

[22]   Vandijck, D.M., Labeau, S.O., De Somere, J., Claes, B. and Blot, S.I. (2008) Undergraduate Nursing Students’ Knowledge and Perception of Infection Prevention and Control. Journal of Hospital Infection, 68, 92-94.

[23]   World Health Organization (2009) WHO Tools for Training and Education on the Importance of Hand Hygiene. education/en/

[24]   Centers for Disease Control and Prevention (2014) Hand Hygiene Interactive Training Course.