The aim of this study is to investigate the effect of hand hygiene training applied using cognitive behavioural therapy techniques on healthcare workers' attitudes and beliefs regarding nosocomial infections. Another aim is to increase the effectiveness of hand hygiene training and to instil correct hand hygiene behaviour by utilising cognitive behavioural therapy to raise awareness of nosocomial infections among healthcare workers. This is a single-centre, double-blind, randomised, controlled trial with a single parallel group. The hypothesis is that hand hygiene training using cognitive behavioural therapy techniques will influence healthcare workers' attitudes and beliefs regarding nosocomial infections.

Although hand hygiene is a significant factor contributing to nosocomial infections, the problem of failure to implement effective hand hygiene has not yet been fully resolved. Hospital infections are generally defined as infections that develop in a patient who has been admitted to hospital for reasons other than infection. If the patient is not in the incubation period when admitted to hospital or does not have the signs and symptoms of that infection, infections that occur in hospital are hospital-acquired infections. Supporting hand hygiene training with Cognitive Behavioural Therapy represents a relatively new approach in the literature. Like many health behaviour interventions developed based on Ajzen's Theory of Planned Behaviour, this study also aimed to achieve lasting behavioural change by targeting cognitive attitudes and norms. Similar interventions have been found to be effective particularly in areas such as diabetes management, smoking cessation, and increasing physical activity. Von Lengerke et al. observed hand hygiene behaviour in their randomised controlled trials. Boscart et al. also utilised psychological theories to promote hand hygiene behaviour. However, the number of studies employing a cognitive behavioural therapy-based approach specifically for hand hygiene is limited. In this respect, this study makes an important contribution to the literature. This study goes beyond classical education models and focuses on transforming healthcare workers' attitudes towards nosocomial infections through an education approach based on a cognitive behavioural foundation. Given the scarcity of hand hygiene training supported by Cognitive Behavioural Therapy in the current literature, this study presents a novel theoretical approach and proposes a robust strategy for preventing hospital infections in practice.

Inclusion Criteria:

1. Being a healthcare worker
2. To have been actively working in a hospital for at least 1 year
3. Agreeing to participate in the research

Exclusion Criteria:

1. Working on the infection control committee
2. Refusing to participate in the research

Study Protocol

starting 6 months after publication

The working protocol can be shared upon request.