Objective: To determine and compare the factors which influence HH adherence among health care personnel (HCP) by using Theory of Planned Action and to apply the result to develop effective and individual HH improvement programs for ED and Intensive Care Units (ICU)
Methods: Cross-sectional survey, by use of anonymous, self-administered questionnaire. A total of 328 HCP, 40.5% (133) from ED and 59.5% (195) from ICU, at 6 general hospitals in
Results: The HCP in ICU showed higher score in all items of behavioral beliefs (p<.005) except the belief of severity of healthcare-associated infection. Among normative beliefs, the positive responses were different between ED and ICU in 4 items. The control belief was significantly higher in ICU (45.6%) than ED (32.3%) (p=.02). Self-reported adherence to HH was 69.7±20.5% and 59.8±22.5% in ICU and ER, respectively (p=.001).
Conclusions: As expected, the beliefs on HH in ER are generally lower than those of ICU and influencing factors were not identical in two departments. The HH improving programs for ED and ICU should consider the environments of each department and factors to affect the beliefs on HH.