Factors Influencing Adherence to Standard Precautions Scale: A psychometric validation

Abstract

Despite the mandated use of standard precaution guidelines to limit infection transmission in health‐care settings, adherence by health‐care professionals is suboptimal. There is currently no psychometrically‐validated scale to assess influences on workers' adherence. After the data collection was conducted, Michinov et al. (2016) published a questionnaire to determine sociocognitive determinants of adherence to Standard Precautions. The aim of the present study was to develop and test the psychometric properties of such a scale. Forty nine items were derived from interviews with 29 nurses and tested across two studies. Study 1 was a repeated‐measures survey using principal components analysis with data from 363 participants; a 29 item, five factor solution was extracted with good to acceptable internal reliabilities (α = .61–.85). Data from 122 of the original participants retested at 4 weeks showed intraclass correlations of .69–.84. Study 2, which was 6 months later, used confirmatory factor analysis with data from a second sample of 384 participants, and supported the five factor structure of leadership, justification, culture/practice, contextual cues, and judgement. The Factors Influencing Adherence to Standard Precautions Scale has good psychometric properties and stability across time and samples. The scale is suitable for use with nurses, and its validation with other health‐care professionals and trainees is important in order to tailor effective interventions to promote adherence.

Compliance with standard precautions by nursing professionals in high complexity care

“…When analyzing the answers of each of the CSPS-PB items for some items, compliance with SP for hand hygiene, use of PPE, bath after extensive spattering and needle repacking was unsatisfactory. These data corroborate with the literature, since [4][5][6][7][8] One of the concerns regarding the results presented is the hand hygiene between contacts with patients after removing the gloves, since Regulatory Standard 32 (NR-32) 14 states that the use of gloves does not replace the hand hygiene process, which should occur at least before and after the use of the same. Similar results were observed in a study that indicated adherence of 65.6% of the professionals to this practice, even though it was recognized as simple and important in the prevention and control of infections related to health care.…”

“…1,2 With a view to reducing accidents with biological material, it is important to adhere to preventive measures, such as Standard Precautions (SP). [3][4][5] SP have been established by the Centers for Disease Control and Prevention and adopted worldwide and are intended to protect health care professionals and ensure safe patient care, preventing infections in the provision of care. 4,5 Considering that behavioral factors such as decision-making not to use Personal Protective Equipment (PPE) or low perception of risk of exposure can influence compliance with SP.…”

“…[3][4][5] SP have been established by the Centers for Disease Control and Prevention and adopted worldwide and are intended to protect health care professionals and ensure safe patient care, preventing infections in the provision of care. 4,5 Considering that behavioral factors such as decision-making not to use Personal Protective Equipment (PPE) or low perception of risk of exposure can influence compliance with SP. [4][5][6][7][8][9] Considering that factors such as work hours, professional category, time of professional experience, and the need for improvements in working conditions in critical sectors, this study had the objective of evaluating compliance with SP by nursing professionals who worked in high complexity care.…”

Factors contributing to clinical nurse compliance with infection prevention and control practices: A cross‐sectional study

“…The result that providing sufficient resources and training improved handwashing from 66 to 97% (Helms, Dorval, Laurent, & Winter, ) indicates that a safe environment, including resources such as nursing staff, material and equipment, and supportive hospital management, can result in increased nurse compliance with IPC practices. Although a nurse's individual knowledge and attitudes are important, a safe hospital environment must be established for effective IPC because behavioral changes are influenced by a combination of education, attitudes, and organizational changes (Bouchoucha & Moore, ; Valim et al, ).…”

Conhecimento E Atitudes De Profissionais De Enfermagem De Um Hospital Paulista Frente Às Precauções Padrão

“…A literatura evidencia que, ao realizar o encape ativo, as chances do profissional se acidentar aumentam em até 25 vezes (19) . Em muitos países, é exigido legalmente que as instituições de saúde disponibilizem aos profissionais de saúde agulhas com dispositivos de segurança, e estudos comprovam que tais dispositivos reduzem a ocorrência de acidentes perfurantes com agulhas e dispositivos intravenosos (20) .…”