Development of a Hand Hygiene Cognitive Scale for Novice Nurses Using the Health Action Process Approach
Yoko YAMAMOTO1), Kiyomi HARADA1), Yukie TAKISHITA1), Masako MUROTA1), Yukari NISHIUCHI2) and Yoko IWAWAKI1)
1)School of Nursing, Kyoto Prefectural University of Medicine, 2)Division of Nursing, University Hospital, Kyoto Prefectural University of Medicine
The aim of this study was to develop a hand hygiene cognitive scale for novice nurses using the Health Action Process Approach (HAPA).
A questionnaire survey on hand hygiene was administered to 209 nurses working at university hospitals. There were 83 effective responses (39.7%). These were subjected to exploratory factor analysis using maximum likelihood method and Promax rotation, and the five factors structure comprising 20 items, which included the main elements of the HAPA, was obtained.
The cumulative contribution rate was 71.07%. Cronbach's α values for the factors "self-efficacy,""intention,""coping planning,""action planning," and "outcome expectancies" were 0.92, 0.91, 0.91, 0.86, and 0.77, respectively. "Self-efficacy" is related to self-efficacy for practicing hand hygiene, "Intention" is the intention to practice hand hygiene, "coping planning" and "action planning" are concrete plans for practicing hand hygiene, and "outcome anticipation" is the anticipated result of hand hygiene practice. Each item concerning the outcome was included. Confirmatory factor analysis of these factors provided the following results: goodness of fit index = 0.772, adjusted goodness of fit index = 0.703, comparative fit index = 0.910, and root mean square error of approximation = 0.090.
Although there is a need for improvement in the future, this study developed a hand hygiene cognitive scale for novice nurses that included the major elements of the HAPA.
Key words：Health Action Process Approach, hand hygiene, cognitivity, scale
Received: June 29, 2018
Accepted: October 29, 2018