Table of Contents
Key references:
Lydon, S., Greally, C., Tujjar, O., Reddy, K., Lambe, K. Madden, C., Walsh, C., Fox, S. O’Connor, P. (under review). Psychometric evaluation of a theory-based measure of factors influencing hand hygiene behaviour.
Primary use / Purpose:
To measure healthcare professional’s attitudes to the factors influencing hand hygiene behaviour.
COM-B Hand Hygiene Behavior Questionnaire
Please read each item below and circle the number that best captures the extent to which you agree with each statement.
|
5. Strongly agree | |||||||
4. Agree | ||||||||
3. Neither | ||||||||
2. Disagree | ||||||||
1. Strongly disagree | ||||||||
1. Capability | |||||
a) I have received adequate training in hand hygiene practices in this unit | 1 | 2 | 3 | 4 | 5 |
b) I know the moments when hand hygiene is required | 1 | 2 | 3 | 4 | 5 |
c) I know how to conduct a complete hand wash or rub | 1 | 2 | 3 | 4 | 5 |
d) I engage in hand hygiene without thinking | 1 | 2 | 3 | 4 | 5 |
e) I find it easy to adhere to hand hygiene recommendations in this unit | 1 | 2 | 3 | 4 | 5 |
2. Opportunity | |||||
a) I have enough time to engage in hand hygiene | 1 | 2 | 3 | 4 | 5 |
b) This unit has adequate facilities for hand hygiene | 1 | 2 | 3 | 4 | 5 |
c) Nurses in this unit always engage in hand hygiene when required | 1 | 2 | 3 | 4 | 5 |
d) Doctors in this unit always engage in hand hygiene when required | 1 | 2 | 3 | 4 | 5 |
e) Healthcare providers visiting this unit always wash their hands when required | 1 | 2 | 3 | 4 | 5 |
f) The hand hygiene protocols for this unit are clear | 1 | 2 | 3 | 4 | 5 |
g) There are prompts to remind staff to engage in hand hygiene in this unit | 1 | 2 | 3 | 4 | 5 |
3. Motivation | |||||
a) Hand hygiene compliance is considered important by staff in this unit | 1 | 2 | 3 | 4 | 5 |
b) Hand hygiene compliance is considered important by my seniors in this unit | 1 | 2 | 3 | 4 | 5 |
c) I strive for complete compliance with the five moments of hand hygiene | 1 | 2 | 3 | 4 | 5 |
d) We remind each other to engage in hand hygiene in this unit | 1 | 2 | 3 | 4 | 5 |
e) Infection control audits encourage me to adhere to hand hygiene protocols in this unit Behaviour | 1 | 2 | 3 | 4 | 5 |
4. Behaviour | |||||
I wash my hands: | |||||
a) Before patient contact | 0 | 1 | 2 | 3 | 4 |
b) Before aseptic technique | 0 | 1 | 2 | 3 | 4 |
c) After body fluid exposure risk | 0 | 1 | 2 | 3 | 4 |
d) After patient contact | 0 | 1 | 2 | 3 | 4 |
e) After contact with the patient surroundings | 0 | 1 | 2 | 3 | 4 |
Scoring Key
For each of the four subscales, add the item responses within that subscale together and then divide by the number of items in the subscale order to obtain a mean subscale score. For example, for the Capability subscale, add the responses to the five items and then divide by five in order to obtain the mean subscale score