Changes in affect during the pursuit of performance goals.

The aim of this article is to examine how affect changes when people are pursuing performance goals. We do this using the circumplex model of affect, in which a person's current affective state is represented as a point on a plane defined by the latent dimensions of pleasure and activation. We test competing hypotheses regarding the direction of changes within this 2-dimensional space. The first set of hypotheses are derived from Carver and Scheier's (1998) theory of self-regulation, which predicts that changes in the prospects of goal attainment should produce changes along axes offset 45° from the pleasure and activation dimensions. The second set of hypotheses are derived from the concept of core affect (Russell, 2003), which predicts that changes in the prospects of goal attainment should produce changes in pleasure, while changes in task demands should produce changes in activation. Two studies are reported in which participants provided ratings of momentary affect during goal pursuit. We developed a latent change model to estimate the direction and magnitude of changes in affect attributable to changes in the prospects of goal attainment and task demand. The results are more consistent with the hypotheses derived from the core affect account than with the hypotheses derived from the Carver and Scheier account. Theoretical and practical implications are discussed, with a focus on prospects for the development of an integrative theory, which accounts for both the motivational and affective components of goal pursuit. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Understanding the determinants of Australian hospital nurses' hand hygiene decisions following the implementation of a national hand hygiene initiative.

Hand hygiene is the primary measure in hospitals to reduce the spread of infections, with nurses experiencing the greatest frequency of patient contact. The '5 critical moments' of hand hygiene initiative has been implemented in hospitals across Australia, accompanied by awareness-raising, staff training and auditing. The aim of this study was to understand the determinants of nurses' hand hygiene decisions, using an extension of a common health decision-making model, the theory of planned behaviour (TPB), to inform future health education strategies to increase compliance. Nurses from 50 Australian hospitals (n = 2378) completed standard TPB measures (attitude, subjective norm, perceived behavioural control [PBC], intention) and the extended variables of group norm, risk perceptions (susceptibility, severity) and knowledge (subjective, objective) at Time 1, while a sub-sample (n = 797) reported their hand hygiene behaviour 2 weeks later. Regression analyses identified subjective norm, PBC, group norm, subjective knowledge and risk susceptibility as the significant predictors of nurses' hand hygiene intentions, with intention and PBC predicting their compliance behaviour. Rather than targeting attitudes which are already very favourable among nurses, health education strategies should focus on normative influences and perceptions of control and risk in efforts to encourage hand hygiene adherence.

Key beliefs of hospital nurses' hand-hygiene behaviour: protecting your peers and needing effective reminders.

ISSUES ADDRESSED: Hand hygiene in hospitals is vital to limit the spread of infections. This study aimed to identify key beliefs underlying hospital nurses' hand-hygiene decisions to consolidate strategies that encourage compliance. METHODS: Informed by a theory of planned behaviour belief framework, nurses from 50 Australian hospitals (n=797) responded to how likely behavioural beliefs (advantages and disadvantages), normative beliefs (important referents) and control beliefs (barriers) impacted on their hand-hygiene decisions following the introduction of a national '5 moments for hand hygiene' initiative. Two weeks after completing the survey, they reported their hand-hygiene adherence. Stepwise regression analyses identified key beliefs that determined nurses' hand-hygiene behaviour. RESULTS: Reducing the chance of infection for co-workers influenced nurses' hygiene behaviour, with lack of time and forgetfulness identified as barriers. CONCLUSIONS: Future efforts to improve hand hygiene should highlight the potential impact on colleagues and consider strategies to combat time constraints, as well as implementing workplace reminders to prompt greater hand-hygiene compliance. SO WHAT?: Rather than emphasising the health of self and patients in efforts to encourage hand-hygiene practices, a focus on peer protection should be adopted and more effective workplace reminders should be implemented to combat forgetting.

Using a theory of planned behaviour framework to explore hand hygiene beliefs at the '5 critical moments' among Australian hospital-based nurses.

BACKGROUND: Improving hand hygiene among health care workers (HCWs) is the single most effective intervention to reduce health care associated infections in hospitals. Understanding the cognitive determinants of hand hygiene decisions for HCWs with the greatest patient contact (nurses) is essential to improve compliance. The aim of this study was to explore hospital-based nurses' beliefs associated with performing hand hygiene guided by the World Health Organization's (WHO) 5 critical moments. Using the belief-base framework of the Theory of Planned Behaviour, we examined attitudinal, normative, and control beliefs underpinning nurses' decisions to perform hand hygiene according to the recently implemented national guidelines. METHODS: Thematic content analysis of qualitative data from focus group discussions with hospital-based registered nurses from 5 wards across 3 hospitals in Queensland, Australia. RESULTS: Important advantages (protection of patient and self), disadvantages (time, hand damage), referents (supportive: patients, colleagues; unsupportive: some doctors), barriers (being too busy, emergency situations), and facilitators (accessibility of sinks/products, training, reminders) were identified. There was some equivocation regarding the relative importance of hand washing following contact with patient surroundings. CONCLUSIONS: The belief base of the theory of planned behaviour provided a useful framework to explore systematically the underlying beliefs of nurses' hand hygiene decisions according to the 5 critical moments, allowing comparisons with previous belief studies. A commitment to improve nurses' hand hygiene practice across the 5 moments should focus on individual strategies to combat distraction from other duties, peer-based initiatives to foster a sense of shared responsibility, and management-driven solutions to tackle staffing and resource issues. Hand hygiene following touching a patient's surroundings continues to be reported as the most neglected opportunity for compliance.