identified hand hygiene as the number one way to prevent healthcare associated infections (a never event affecting reimbursement, patient satisfaction, and patient outcomes). Kretzer and Larson (1998) found no behavioral theory has been shown consistently to predict behavior and proposed a theoretical framework connecting institutional and individual factors for an intervention for infection control, similar to comfort theory.
A review of the literature related to hand hygiene over the past twenty years identified five behavioral models previously used in hand hygiene research which could be utilized independently or in conjunction with Kolcaba’s comfort theory. Variables used in each of these models address the defining attributes of prevention …show more content…
Constructs include perceived susceptibility of the problem, perceived benefits, perceived barriers, cues to action, and self-efficacy (McEwen & Willis, 2014). The three assumptions in HBM are HSBs result when a person: believes a negative health condition can be avoided; has a positive expectation taking a recommended action will lead to avoiding a negative health condition; and believes that he/she can successfully take a recommended health action. Kretzer and Larson (1998) found the HBM alone seems to have limited predictive value for either initiation or motivation of behavior. The Protection Motivation Theory (PMT) also offers fear based motivation along with the cognitive processes mediating behavioral change. These models were rejected because they do not include the component of institutional integrity and are based on fear rather than comfort. As a result, the patient is not empowered and the health care provider is the authority. Palmer (1998) differentiated power from authority. The root of the word authority is author, so while power works from outside in, authority works from inside out. Authority is granted to authentic people who author their own words, actions, and lives. Kolcaba’s outcomes focus on a positive measure, enhanced comfort. Enhanced comfort empowers the patient for HSBs, …show more content…
This theory does not include the component of institutional integrity and was rejected as the proposed study is a structured hand hygiene program which will be administered by an interventionist rather than being a self-initiated
A review of the literature related to hand hygiene over the past twenty years identified five behavioral models previously used in hand hygiene research which could be utilized independently or in conjunction with Kolcaba’s comfort theory. Variables used in each of these models address the defining attributes of prevention …show more content…
Constructs include perceived susceptibility of the problem, perceived benefits, perceived barriers, cues to action, and self-efficacy (McEwen & Willis, 2014). The three assumptions in HBM are HSBs result when a person: believes a negative health condition can be avoided; has a positive expectation taking a recommended action will lead to avoiding a negative health condition; and believes that he/she can successfully take a recommended health action. Kretzer and Larson (1998) found the HBM alone seems to have limited predictive value for either initiation or motivation of behavior. The Protection Motivation Theory (PMT) also offers fear based motivation along with the cognitive processes mediating behavioral change. These models were rejected because they do not include the component of institutional integrity and are based on fear rather than comfort. As a result, the patient is not empowered and the health care provider is the authority. Palmer (1998) differentiated power from authority. The root of the word authority is author, so while power works from outside in, authority works from inside out. Authority is granted to authentic people who author their own words, actions, and lives. Kolcaba’s outcomes focus on a positive measure, enhanced comfort. Enhanced comfort empowers the patient for HSBs, …show more content…
This theory does not include the component of institutional integrity and was rejected as the proposed study is a structured hand hygiene program which will be administered by an interventionist rather than being a self-initiated