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Am J Infect Control. 2004 Feb;32(1):48-51.

A tool to assess barriers to adherence to hand hygiene guideline.

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Columbia University School of Nursing, 630 W. 168th Street, New York, NY 10032, USA.


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.

[Indexed for MEDLINE]

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