Development of a Scale to Measure Aspects of Organizational Climate Related to the Hand Hygiene of Nurses

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  • KIRIAKE Takamitsu
    Graduate School of Nursing, National College of Nursing Department of Nursing, Nippon Medical School Chiba Hokusoh Hospital
  • AMINAKA Mayumi
    Graduate School of Nursing, National College of Nursing
  • SUGIKI Yuko
    Center Hospital of the National Center for Global Health and Medicine
  • NISHIOKA Midori
    Graduate School of Nursing, National College of Nursing

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  • 看護師の手指衛生に関する組織風土尺度の開発研究

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Abstract

<p>It has been asserted that the climate of an organization affects the hand hygiene behavior of individuals. The objective of this study was to develop a scale to measure the aspects of organizational climate related to the hand hygiene of nurses and to examine its reliability and validity.</p><p>To ensure the content validity of the organizational climate scale to be developed, an item pool created by referring to resources, such as previous scales and interventional studies of aspects of organizational culture related to hand hygiene, was reviewed by 8 experts on infection control, and a pilot survey of 51 nurses was then conducted. A questionnaire survey for scale development was next conducted of nurses working in outpatient care and wards at 2 medical institutions.</p><p>The responses of 510 nurses (45.1%) were included in the analysis. Following the item analysis, an exploratory factor analysis was performed. As a result, version 1.0 of a scale of organizational climate related to the hand hygiene of nurses was developed, consisting of 34 items in 5 dimensions: the supplies environment of the unit (4 items), the unit environment (6 items), the supervisory environment of the unit (8 items), the hand hygiene activities environment of the hospital (7 items), and the hospital environment (9 items). Cronbach's alpha coefficient for the overall scale was 0.935, confirming its reliability based on internal consistency. Subscale items were confirmed to be interpretable constructs of aspects of organizational climate that affect hand hygiene behavior. There were no statistical problems for model fitting in the confirmatory factor analysis, and the scale was determined to have construct validity.</p><p>The scale of organizational climate related to the hand hygiene of nurses (version 1.0) developed in this study demonstrated the possibility of measuring how the climate of an organization affects the hand hygiene behavior of nurses working in acute hospitals.</p>

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