Factors impacting compliance with standard precautions in nursing, China

Luo, Yang; He, Guoping; Zhou, Jijan-Wei; Luo, Ying

doi:10.1016/j.ijid.2009.03.037

Cited by 171 publications

(268 citation statements)

References 10 publications

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“…Regarding the use of aprons, goggles and protective masks at times when there is possibility of blood spatter and secretions, the results were similar to those of other studies, which indicated a low adherence to using/wearing these PPE (2,4,16,20) . However, the use of disposable gloves was high, showing that this PPE is more embedded in the everyday routines of professionals.…”

Section: Discussionsupporting

confidence: 86%

“…In other international studies, low knowledge and professional adhesion to SP were also observed (15)(16)(25)(26)(27) , indicating that there are still differences in participation rates between developed countries and developing ones.…”

Section: Discussionmentioning

confidence: 76%

“…The need for training can also be identified in a study realized in China with 1,444 nurses, which evidenced that only half of these nurses had knowledge and training on SP, and 98.20% of these nurses expressed the wish to be trained on such measures (16) .…”

Section: Discussionmentioning

confidence: 98%

“…Researchers realized that professionals of upper management must be involved in the management of infection and need to acquire proper knowledge and train their employees (16) .…”

Section: Discussionmentioning

confidence: 99%

“…National (2,4) and international (15)(16) studies show poor adherence to these measures among nurses. Considering the difficulty in the structure and control of HAIs in this scenario and the already recognized low adherence to SP, it is believed that psychiatric institutions provide even more worrying data than found in general hospitals.…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing adherence to standard precautions among nursing professionals in psychiatric hospitals

Piai-Morais

Orlandi

Figueiredo

2015

Rev. esc. enferm. USP

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Objective: Evaluate and correlate individual, work-related and organizational factors that influence adherence to standard precautions among nursing professionals of psychiatric hospitals in São Paulo. Method: An exploratory cross-sectional study conducted with 35 nursing professionals, using the assessment tool for adherence to standard precautions through the Likert scale, ranging from 1 to 5. Results: Knowledge of the precautions received a high score (4.69); adherence received (3.86) and obstacles (3.78), while intermediaries and the scales of organizational factors received low scores (2.61). There was a strong correlation between the magnitude adherence scale and the personal protective equipment availability (r = 0.643; p = 0.000). The training scale for prevention of HIV exposure (p = 0.007) was statistically different between the nurses and nursing assistants. Conclusion: The organizational factors negatively contributed to adherence to standard precautions, indicating that psychiatric institutions lack safe working conditions, ongoing training and management actions to control infections. Factors influencing adherence to standard precautions among nursing professionals in psychiatric hospitals * Fatores que influenciam a adesão às precauções-padrão entre profissionais de enfermagem em hospital psiquiátrico Factores que influencian la adhesión a las precauciones estándares entre profesionales de enfermería en hospital psiquiátrico DESCRIPTORS

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 98%

“…Researchers realized that professionals of upper management must be involved in the management of infection and need to acquire proper knowledge and train their employees (16) .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors influencing adherence to standard precautions among nursing professionals in psychiatric hospitals

Piai-Morais

Orlandi

Figueiredo

2015

Rev. esc. enferm. USP

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Compliance and determinants of infection prevention and control practices among sanitary workers in public hospitals, Eastern Ethiopia: A cross‐sectional study

Tolera,

Assefa,

Geremew

et al. 2024

Health Science Reports

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BackgroundBest practice of infection prevention and control (IPC) is a hallmark for the patient care in health care settings, but it is a major problem in developing countries like Ethiopia where resources are limited. Ethiopia Federal Ministry of Health working to strengthen its IPC program, but still it there is no organized study conducted on assessment of performance gaps and implementation challenges of IPC practice faced by hospital staffs particularly among sanitary workers (SWs) at public hospitals inline to national and international guidelines.AimThis study focuses on compliance and determinants of IPC among sanitary worker in public hospitals in eastern Ethiopia: A cross sectional study design.MethodA cross‐sectional study was conducted among 809 SWs and eight IPC experts in public hospitals, eastern Ethiopia, from May to August 2023. A standard questionnaire was used to collect data. Face‐to‐face interview was conducted. Ten (10) question pursued to answer YES/NO were prepared. The cut point for categories of IPC practice was 1: Good (16–20 scores), 2: Fair (10–15 scores), and 3: Poor (<10 scores). The cut point for compliance and noncompliance of IPC practice among hospitals was mean (500.1). Multi‐level ordinal logistic regression models was applied to explore the association of dependent and independent variables at individual level (Model 1), hospital level (Model 2) and at both (Model 3). Crude odds ratio (COR) and adjusted odds ratio (AOR) at 95% confidence interval (CI) were used to report the result.ResultThe compliance of IPC practice among SWs was 36.21% (32.72, 39.82%). The Multilevel ordinal logistic regression model shows that SWs who have good knowledge of IPC trend (AOR: 4.70, 95% CI: 2.11–10.46), SWs who are not addictive with alcohol (AOR: 2.35, 95% CI: 1.15,4.78) and chew Khat (AOR: 1.62, 95% CI: 1.06,2.46) and smoke cigarette (AOR: 3.15, 95% CI: 2.35–5.41), and SWs without job stress (AOR: 1.46, 95% CI: 0.86–2.48) were more compliant to IPC practice. Similarly, those who do not have workload (AOR: 2.74, 95% CI: 1.56–4.82), work <8 h/day (AOR: 1.46, 95% CI: 0.92–2.30), and those who have good social recognition in hospitals (AOR: 6.08, 95% CI: 4.24–8.71) were more likely to increase the compliance of IPC practice among SWs. The multilevel random‐effect model revealed 93.71% of the variability of compliance of IPC practice explained by both individual and hospital level factors.ConclusionThe overall study found that inadequate IPC practice was reported among SWs as well as by IPC experts due to poor knowledge of IPC trend and individual behaviors and working environment. Thus, the study advised that hospitals have to develop and establish IPC implementation guidelines in order to solve the concerns among these groups; national IPC office should follow its implementation across health care settings particularly at public hospitals.

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Changes in Compliance with Recommended Infection Control Practices and Affecting Factors Among Dentists in Taiwan

Cheng

Huang

et al. 2012

Journal of Dental Education

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Compliance with recommended infection control practices in East Asia has not been clearly documented. To investigate changes in compliance with recommended infection control practices over a eleven-year period and to identify affecting factors, two nationwide cross-sectional surveys of dentists in Taiwan were conducted in 1999 and 2010. An anonymous questionnaire that assessed characteristics of dentists and practices of recommended infection control guidelines was mailed. Results showed that all infection control practices surveyed had improved in 2010. Factors affecting compliance with wearing basic protective barriers in 2010 were being female (odds ratio [OR]=3.631, p<0.001), aged forty-one to ifty years (OR=3.991, p<0.05), treating twentyone to thirty patients per day (OR=2.690, p<0.05), and having information sources from seminars and conferences (OR=2.659, p<0.05). Although infection control practices have improved over time, there is still much room to increase rates of wearing a head cap, protective eyewear, and a face mask and disinfecting impression materials. Providing correct information about disinfection and sterilization processes through the Internet might be effective in improving compliance.Hsin-Chung Cheng is Dean,

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Factors impacting compliance with standard precautions in nursing, China

Cited by 171 publications

References 10 publications

Factors influencing adherence to standard precautions among nursing professionals in psychiatric hospitals

Factors influencing adherence to standard precautions among nursing professionals in psychiatric hospitals

Compliance and determinants of infection prevention and control practices among sanitary workers in public hospitals, Eastern Ethiopia: A cross‐sectional study

Changes in Compliance with Recommended Infection Control Practices and Affecting Factors Among Dentists in Taiwan

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