{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T21:37:38Z","timestamp":1792705058512,"version":"4.5.0"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Infection Prevention"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Hand hygiene is a core component of infection prevention, but self-reported behaviour may not reflect compliance at clinical opportunities. This study assessed hand hygiene knowledge, attitudes and self-reported practices among nursing staff and examined factors associated with consistent self-reported practice, focussing on operational barriers and perceived versus observed compliance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among nursing staff in a tertiary-care teaching hospital in Central India. Data were collected using a questionnaire adapted from the World Health Organization (WHO) Hand Hygiene Knowledge Questionnaire and relevant literature. Knowledge, attitudes, self-reported practices and perceived barriers were assessed. Multivariable logistic regression examined factors independently associated with reporting that hand hygiene was performed \u201calways\u201d during the work shift.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 262 participants with valid responses for the primary practice outcome, 235 (89.7%) reported always performing hand hygiene during the work shift. Awareness of the WHO Five Moments was 99.2%, and 85.8% reported hand hygiene training within the preceding three years. Before and after patient contact, 98.1% and 96.9%, respectively, reported performing hand hygiene. Insufficient time was the most frequently reported barrier (70.3%). Monitoring with feedback was associated with consistent self-reported practice in bivariate analysis (P = 0.003) and remained independently associated in multivariable analysis (aOR 3.79, 95% CI 1.50\u20139.56; P = 0.005).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Very high self-reported adherence coexisted with operational barriers and misconceptions. Reliable point-of-care supplies, workflow-sensitive interventions and monitoring with feedback may be more actionable than refresher training alone. Self-reported practice should not be interpreted as observed compliance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17571774261499519","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T11:50:45Z","timestamp":1792497045000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["From perceived compliance to practice: hand hygiene knowledge, self-reported behaviour and operational barriers among nursing staff in Central India"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6710-3647","authenticated-orcid":false,"given":"Jignesh","family":"Baraiya","sequence":"first","affiliation":[{"name":"All India Institute of Medical Sciences (AIIMS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8790-3437","authenticated-orcid":false,"given":"Neeta","family":"Gade","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences (AIIMS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9310-2538","authenticated-orcid":false,"given":"Vinita","family":"Singh","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences (AIIMS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meena","family":"Mishra","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences (AIIMS)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,20]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-025-10924-4"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2010.11.004"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/650451"},{"key":"e_1_3_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2006.03.012"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12410"},{"key":"e_1_3_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67506-X"},{"key":"e_1_3_6_8_1","doi-asserted-by":"publisher","DOI":"10.1086\/600379"},{"issue":"6","key":"e_1_3_6_9_1","first-page":"UC30","article-title":"Quality assessment of hand hygiene and effectiveness of WHO 6-step training among healthcare personnel in a tertiary care cancer hospital in trivandrum, India: a cross-sectional study","volume":"17","author":"Prabhu DJ","year":"2023","unstructured":"Prabhu DJ, Kakkolil MP, Gladston DV, et al. (2023) Quality assessment of hand hygiene and effectiveness of WHO 6-step training among healthcare personnel in a tertiary care cancer hospital in trivandrum, India: a cross-sectional study. Journal of Clinical and Diagnostic Research 17(6): UC30\u2013UC34.","journal-title":"Journal of Clinical and Diagnostic Research"},{"key":"e_1_3_6_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09603123.2021.1937580"},{"key":"e_1_3_6_11_1","volume-title":"WHO Guidelines on Hand Hygiene in Health Care","author":"World Health Organization","year":"2009","unstructured":"World Health Organization (2009) WHO Guidelines on Hand Hygiene in Health Care. World Health Organization."}],"container-title":["Journal of Infection Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17571774261499519","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17571774261499519","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17571774261499519","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:46:16Z","timestamp":1792701976000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17571774261499519"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,20]]},"references-count":10,"alternative-id":["10.1177\/17571774261499519"],"URL":"https:\/\/doi.org\/10.1177\/17571774261499519","relation":{},"ISSN":["1757-1774","1757-1782"],"issn-type":[{"value":"1757-1774","type":"print"},{"value":"1757-1782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,20]]},"article-number":"17571774261499519"}}