A tool to assess barriers to adherence to hand hygiene guideline

Am J Infect Control. 2004 Feb;32(1):48-51. doi: 10.1016/j.ajic.2003.05.005.


This Brief Report presents results of preliminary testing of a tool, "Attitudes Regarding Practice Guidelines," adapted from previous work by Cabana et al to examine barriers to adherence to practice guidelines. In a small sample of 21 clinicians (10 infectious disease physicians and 11 clinical nurses), the test-retest reliability was.86 and Chronbach alpha was.80, indicating acceptable levels of stability. It is recommended that the instrument undergo further testing and adaptation as a measure of potential barriers to adherence to practice guidelines in general, and to the new Hand Hygiene Guideline for Healthcare Settings specifically.

Publication types

  • Evaluation Study

MeSH terms

  • Attitude of Health Personnel*
  • Guideline Adherence*
  • Hand Disinfection*
  • Humans
  • Practice Guidelines as Topic*
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • United States