Physician 'defiance' towards hand hygiene compliance : Is there a theory-practice-ethics gap?

BACKGROUND: The theory-practice gap has always existed [1,2]. This gap is often cited as a culmination of theory being idealistic and impractical, even if practical and beneficial, is often ignored. Most of the evidence relating to the non-integration of theory and practice assumes that environmenta...

Ausführliche Beschreibung

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 25(2013), 3 vom: 22. Juli, Seite 203-8
1. Verfasser: Mortell, Manfred (VerfasserIn)
Weitere Verfasser: Balkhy, Hanan H, Tannous, Elias B, Jong, Mei Thiee
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2013
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Ethics Hand hygiene Healthcare associated infection Physician Practice Theory
LEADER 01000caa a22002652 4500
001 NLM232146578
003 DE-627
005 20240323232655.0
007 cr uuu---uuuuu
008 231224s2013 xx |||||o 00| ||eng c
024 7 |a 10.1016/j.jsha.2013.04.003  |2 doi 
028 5 2 |a pubmed24n1342.xml 
035 |a (DE-627)NLM232146578 
035 |a (NLM)24174860 
040 |a DE-627  |b ger  |c DE-627  |e rakwb 
041 |a eng 
100 1 |a Mortell, Manfred  |e verfasserin  |4 aut 
245 1 0 |a Physician 'defiance' towards hand hygiene compliance  |b Is there a theory-practice-ethics gap? 
264 1 |c 2013 
336 |a Text  |b txt  |2 rdacontent 
337 |a ƒaComputermedien  |b c  |2 rdamedia 
338 |a ƒa Online-Ressource  |b cr  |2 rdacarrier 
500 |a Date Completed 31.10.2013 
500 |a Date Revised 23.03.2024 
500 |a published: Print-Electronic 
500 |a Citation Status PubMed-not-MEDLINE 
520 |a BACKGROUND: The theory-practice gap has always existed [1,2]. This gap is often cited as a culmination of theory being idealistic and impractical, even if practical and beneficial, is often ignored. Most of the evidence relating to the non-integration of theory and practice assumes that environmental factors are responsible and will affect learning and practice outcomes, hence the gap. Therefore, the author believes that to 'bridge the gap' between theory and practice, an additional dimension is required: ethics. A moral duty and obligation ensuring theory and practice integrate. In order to effectively implement new practices, one must deem these practices as worthy and relevant to their role as healthcare providers (HCP). Hence, this introduces a new concept which the author refers to as the theory-practice-ethics gap. This theory-practice-ethics gap must be considered when reviewing some of the unacceptable outcomes in healthcare practice [3]. The literature suggests that there is a crisis of ethics where theory and practice integrate, and healthcare providers are failing to fulfill our duty as patient advocates 
520 |a HYPOTHESIS: Physician hand hygiene practices and compliance at King Abdulaziz Cardiac Centre (KACC) are consistent with those of other physicians in the global healthcare arena. That is one of noncompliance to King Abdulaziz Medical City (KAMC) organizational expectations and the World Health Organization (WHO) requirements? 
520 |a METHODS: An observational study was conducted on the compliance of cardiac surgeons, cardiologists and nurses in the authors' cardiac center from January 2010 to December 2011. The hand hygiene (HH) compliance elements that were evaluated pertained to the WHO's five moments of HH recommendations. The data was obtained through direct observation by KAMC infection prevention and control practitioners 
520 |a RESULTS: Physician hand hygiene compliance at KACC was consistently less than 60%, with nurses regularly encouraging physicians to be diligent with hand hygiene practices in the clinical area 
520 |a CONCLUSION: Hand hygiene compliance will not improve unless evidence-based recommendations are adopted and endorsed by all healthcare professionals and providers 
650 4 |a Journal Article 
650 4 |a Ethics 
650 4 |a Hand hygiene 
650 4 |a Healthcare associated infection 
650 4 |a Physician 
650 4 |a Practice 
650 4 |a Theory 
700 1 |a Balkhy, Hanan H  |e verfasserin  |4 aut 
700 1 |a Tannous, Elias B  |e verfasserin  |4 aut 
700 1 |a Jong, Mei Thiee  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Journal of the Saudi Heart Association  |d 1999  |g 25(2013), 3 vom: 22. Juli, Seite 203-8  |w (DE-627)NLM098225227  |x 1016-7315  |7 nnns 
773 1 8 |g volume:25  |g year:2013  |g number:3  |g day:22  |g month:07  |g pages:203-8 
856 4 0 |u http://dx.doi.org/10.1016/j.jsha.2013.04.003  |3 Volltext 
912 |a GBV_USEFLAG_A 
912 |a SYSFLAG_A 
912 |a GBV_NLM 
912 |a GBV_ILN_350 
951 |a AR 
952 |d 25  |j 2013  |e 3  |b 22  |c 07  |h 203-8