title: Autonomy and self-efficacy as influencing factors in nurses' behavioral intention to disinfect needleless intravenous systems.
abstract: The purpose of this study was to examine associations among nurses' behavioral intention to disinfect needleless connectors, autonomy, self-efficacy, attitudes, beliefs, perceived control, and social norms. A convenience sample (N = 171) of registered nurses participated in a cross-sectional study to examine factors related to "scrubbing the hub." While experienced nurses reported greater autonomy and self-efficacy, recent graduates were more likely to consistently use optimal disinfection techniques. Since practice is most influenced by peers, programs should be aimed at educational pedagogy aligning preceptor practice with empirically derived guidelines. Fostering exchange of ideas in a multigenerational work force may facilitate adherence to best practices.
authors.affiliation: Seton Family of Hospitals, Austin, TX 78705, USA. jssmith@seton.org
authors.forename: Judy S
authors.initials: JS
authors.lastname: Smith
authors.forename: Kenn M
authors.initials: KM
authors.lastname: Kirksey
authors.forename: Heather
authors.initials: H
authors.lastname: Becker
authors.forename: Adama
authors.initials: A
authors.lastname: Brown
mesh_terms: D006801:Humans; D007262:Infusions, Intravenous; D009339:Needles; D009726:Nurses / Q000523:psychology*; D017009:Professional Autonomy; D020377:Self Efficacy