Compliance with standard precautions by nursing professionals in high complexity care

Floriano, Daniela Rosa; Rodrigues, Luana Silva; Dutra, Cíntia Machado; Toffano, Silmara Elaine Malaguti; Pereira, Fernanda Maria Vieira; Chavaglia, Suzel Regina Ribeiro

doi:10.1590/2177-9465-ean-2018-0263

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…The overall compliance rate measured by CSPS was suboptimal (64.6%) and comparable with those of previous studies. (27,(48)(49) The rates of compliance with HH (50%) and glove use (76%) obtained in the selfreported survey were higher than those obtained in the participant observation method. Such discrepancies suggested that HCWs might report the idealized practice that they are expected to perform but not their actual behavior [15].…”

Section: Discussionmentioning

confidence: 70%

Compliance of healthcare workers in a psychiatric inpatient ward to infection control practices during the COVID-19 pandemic: a participant observation study supplemented with a self-reported survey

Lau,

Lam,

Siu

et al. 2024

BMC Infect Dis

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Background As an emerging infectious disease with a heterogenous and uncertain transmission pattern, coronavirus disease 2019 (COVID-19) has created a catastrophe in healthcare-associated infections (HAIs) and posed a significant challenge to infection control practices (ICPs) in healthcare settings. While the unique characteristics of psychiatric patients and clinical settings may make the implementation of ICPs difficult, evidence is lacking for compliance with ICPs among healthcare workers (HCWs) in a psychiatric setting during the COVID-19 pandemic. Methods A cross-sectional multi-method study based on participant unobtrusive observation coupled with the completion of a self-administered ICP survey was conducted to assess compliance with ICPs among HCWs in a psychiatric inpatient ward in a regional hospital. An online checklist, called eRub, was used to record the performance of HCWs in hand hygiene (HH) and other essential ICPs. Furthermore, a well-validated questionnaire (i.e., Compliance with Standard Precautions Scale, CSPS) was used to collect the participants’ self-reported ICP compliance for later comparison. Results A total of 2,670 ICP opportunities were observed from January to April 2020. The overall compliance rate was 42.6%. HCWs exhibited satisfactory compliance to the wearing of mask (91.2%) and the handling of clinical waste (87.5%); suboptimal compliance to the handling of sharp objects (67.7%) and linen (72.7%); and poor compliance to HH (3.3%), use of gloves (40.9%), use of personal protective equipment (20%), and disinfection of used surface/area (0.4%). The compliance rates of the nurses and support staff to HH were significantly different (χ2 = 123.25, p < 0.001). In the self-reported survey, the overall compliance rate for ICPs was 64.6%. Conclusion The compliance of HCWs in a psychiatric inpatient ward to ICPs during the COVID-19 pandemic ranged from poor to suboptimal. This result was alarming. Revisions of current ICP guidelines and policies that specifically target barriers in psychiatric settings will be necessary.

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Section: Discussionmentioning

confidence: 70%

Compliance of healthcare workers in a psychiatric inpatient ward to infection control practices during the COVID-19 pandemic: a participant observation study supplemented with a self-reported survey

Lau,

Lam,

Siu

et al. 2024

BMC Infect Dis

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“…Prevenção de infecções associadas a cateteres periféricos: elaboração e validação de instrumento alcoólica. Esses achados são corroborados pela literatura que também aponta dificuldade dos profissionais na incorporação do uso da solução alcoólica (14)(15)(16)(17) .…”

Section: Discussionunclassified

Prevenção de infecções associadas a cateteres periféricos: elaboração e validação de instrumento

Pelizari¹,

Silva²,

Couto³

et al. 2021

Rev. Eletr. Enferm.

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Objetivos: Elaborar e validar, por aparência e conteúdo, instrumento para avaliação do conhecimento de profissionais e estudantes de enfermagem sobre medidas de prevenção de infecção de corrente sanguínea associada a um cateter venoso periférico. Método: Estudo metodológico realizado em duas etapas: elaboração de instrumento, baseado em guias nacionais e internacionais, validação de aparência e conteúdo por dez juízes especialistas, considerando Índice de Validade de Conteúdo ≥ 0,80 sobre clareza, relevância e pertinência, bem como análise semântica junto ao público-alvo. Resultados: Após acatar sugestões dos especialistas, o instrumento final foi composto por 36 questões e 6 dimensões com Índice de Validade de Conteúdo global >0,90. Conclusão: A disponibilização do instrumento responde a uma lacuna na área de conhecimento e pode ser utilizado para avaliação de conhecimentos de profissionais e estudantes de enfermagem sobre as medidas de prevenção das infecções de corrente sanguínea associadas a cateter venoso periférico.

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“…However, despite the existence of legislation that contemplates these measures, studies [4][5] indicate that the SP adherence by nursing workers is below the recommended level, increasing the vulnerability of these workers to occupational accidents and illnesses. The knowledge of the factors that are associated with SP adherence is extremely relevant for the planning of preventive strategies in the scope of workers' health.…”

Section: Introductionmentioning

confidence: 99%

Standard Precaution Adherence by Nursing Workers: A Mixed Methods Study

Cunha

Freitas

Pinno

et al. 2021

Texto contexto - enferm.

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Objective: to analyze standard precaution adherence and associated factors of nursing workers at a university hospital. Method: this is a study of mixed methods of convergent parallel strategy, carried out in Southern Brazil. The quantitative stage had 602 participants, using the instrument of sociodemographic and professional variables and the Instrument of Variables Related to Standard Precautions, analyzed using descriptive statistics. In the qualitative stage, a semi-structured interview was conducted with 24 workers, analyzed through content analysis. Results: the data showed an intermediate standard precaution adherence. In the Individual Factors dimension, the Prevention Effectiveness Scale showed high scores and the Risk Personality, Risk Perception and Knowledge about Occupational HIV Transmission scales, intermediate scores. In the dimension Work-related factors, both in the Obstacles to Following Standard Precautions Scale and in the Workload Scale, the scores were intermediate. In the Organizational Factors dimension, low scores were found for Climate of Safety and Training in Prevention of Exposure to the Human Immunodeficiency Virus and intermediate for Personal Protective Equipment Availability. Qualitative data showed that workers often select patients who they think are at greatest risk for occupational transmission to use standard precautions. Conclusion: standard precaution adherence does not occur fully among participants. Data integration allowed to conclude that, among the main elements that influence this phenomenon, is the lack of clarity of participants as to the purpose, indication and principles of standard precautions.

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Compliance with standard precautions by nursing professionals in high complexity care

Cited by 5 publications

References 11 publications

Compliance of healthcare workers in a psychiatric inpatient ward to infection control practices during the COVID-19 pandemic: a participant observation study supplemented with a self-reported survey

Compliance of healthcare workers in a psychiatric inpatient ward to infection control practices during the COVID-19 pandemic: a participant observation study supplemented with a self-reported survey

Prevenção de infecções associadas a cateteres periféricos: elaboração e validação de instrumento

Standard Precaution Adherence by Nursing Workers: A Mixed Methods Study

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