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Related Experiment Video

Updated: Mar 18, 2026

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens

Published on: June 7, 2017

Can theoretical intervention improve hand hygiene behavior among nurses?

Rahim Baghaei¹, Elham Sharifian¹, Aziz Kamran²

¹Inpatient Safety Research Center, Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, Iran.

Psychology Research and Behavior Management

|July 2, 2016

Summary

The BASNEF model improved nurses' attitudes and intentions toward hand hygiene but did not significantly change their actual hand hygiene behavior in Iran. Further research is needed to enhance adherence to infection control practices.

Keywords:

adherence behavior education nurse hand hygiene

Related Experiment Videos

Last Updated: Mar 18, 2026

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens

Published on: June 7, 2017

Area of Science:

Healthcare Management
Infection Control
Nursing Education

Background:

Nosocomial infections are a significant concern, with hand washing identified as the primary prevention strategy.
Nurses' hand hygiene adherence in Iran is reported to be suboptimal, necessitating targeted interventions.

Purpose of the Study:

To evaluate the effectiveness of the BASNEF (Behavior, Attitude, Subjective Norms, and Enabling Factors) model in improving hand hygiene adherence among nurses.
To assess the impact of BASNEF-based education on nurses' hand hygiene practices in a hemodialysis unit.

Main Methods:

A controlled quasi-experimental study involving 70 nurses in hemodialysis units in Urmia, Iran.
Data collected using a validated six-part questionnaire, analyzed with statistical tests (Wilcoxon, Mann-Whitney, chi-square, Fisher's exact).
Intervention group received BASNEF model education; control group did not.

Main Results:

Post-intervention, the intervention group showed significant improvements in attitude, subjective norms, enabling factors, and intention (P<0.001).
However, no statistically significant change was observed in the hand hygiene behavior of the intervention group (P=0.16).
Demographic variables and pre-intervention BASNEF components showed no significant differences between groups.

Conclusions:

The BASNEF model effectively enhanced nurses' attitudes and intentions regarding hand hygiene.
The intervention did not translate into a significant improvement in actual hand hygiene behavior among the studied nurses.
Strategies to bridge the gap between intention and behavior are crucial for effective infection control.