Universal precautions: a survey of community nurses’ experience and practice

Bennett, Glynis; Mansell, Ian

doi:10.1046/j.1365-2702.2003.00889.x

Cited by 50 publications

(58 citation statements)

References 21 publications

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“…Although this behaviour may help them provide care more easily or efficiently, nurses should have in mind that is leaves them without protection against pathogens; therefore the use of protective equipment should always be implemented. This report supports previous findings in the literature [8,23,29,68,70,71,73] where also negative influence on skills was reported as a barrier for following precautions.…”

Section: Discussionsupporting

confidence: 92%

Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study

et al. 2011

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BackgroundNurses may acquire an infection during the provision of nursing care because of occupational exposure to microorganisms. Relevant literature reports that, compliance with Standard Precautions (a set of guidelines that can protect health care professionals from being exposed to microorganisms) is low among nurses. Additionally, high rates of exposure to microorganisms among nurses via several modes (needlesticks, hand contamination with blood, exposure to air-transmitted microorganisms) occur. The aim of the study was to study the factors that influence nurses' compliance with Standard Precaution in order to avoid occupational exposure to pathogens, by employing a qualitative research design.MethodA focus group approach was used to explore the issue under study. Four focus groups (N = 30) were organised to elicit nurses' perception of the factors that influence their compliance with Standard Precautions. The Health Belief Model (HBM) was used as the theoretical framework and the data were analysed according to predetermined criteria.ResultsFollowing content analysis, factors that influence nurses' compliance emerged. Most factors could be applied to one of the main domains of the HBM: benefits, barriers, severity, susceptibility, cues to action, and self-efficacy.ConclusionsChanging current behavior requires knowledge of the factors that may influence nurses' compliance with Standard Precautions. This knowledge will facilitate in the implementation of programs and preventive actions that contribute in avoiding of occupational exposure.

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Section: Discussionsupporting

confidence: 92%

Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study

et al. 2011

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“…Bennett and Mansell (2004) investigated the infection control knowledge of community nurses. Through self-reporting she offered respondents three fixed alternative answers, more than adequate, adequate or inadequate.…”

Section: Survey Researchmentioning

confidence: 99%

Qualitative research: a challenging paradigm for infection control

Cole

2006

British Journal of Infection Control

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he importance of high-quality research to address our knowledge deficits in relation to the causes of hospital-acquired infection has been acknowledged by the Department of Health. However, the contribution of nursing research may be restricted by confusion over the use of different paradigms and the discipline's lack of research pedigree. This paper discusses how nursing and infection control has historically favoured quantitative methods as they are associated with rigour, objectivity, generalisation and increased credibility. However, increasingly nurse researchers are turning to qualitative methods as they better explain the complex behavioural issues that affect practice. The paper describes a number of qualitative methods and infection control studies that have adopted these approaches. It concludes by suggesting that infection control nurses, because of their close relationship with practice are well placed to consider the merits of qualitative research as a way of contributing towards the discipline's research agenda.

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“…Studies have extensively reported suboptimal and non-uniform adherence to standard precautions by HCWs in developing countries as in developed ones [12,14,15]. It is evident the occurrence of percutaneous injury and muco-cutaneous blood exposure is inversely related to routine standard precaution compliance [8].…”

Section: Introductionmentioning

confidence: 99%

Self-reported occupational exposure to HIV and factors influencing its management practice: a study of healthcare workers in Tumbi and Dodoma Hospitals, Tanzania

Mashoto

Mubyazi

Mohamed

et al. 2013

BMC Health Serv Res

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BackgroundBlood borne infectious agents such as hepatitis B virus (HBV), hepatitis C virus (HCV) and human immune deficiency virus (HIV) constitute a major occupational hazard for healthcare workers (HCWs). To some degree it is inevitable that HCWs sustain injuries from sharp objects such as needles, scalpels and splintered bone during execution of their duties. However, in Tanzania, there is little or no information on factors that influence the practice of managing occupational exposure to HIV by HCWs. This study was conducted to determine the prevalence of self-reported occupational exposure to HIV among HCWs and explore factors that influence the practice of managing occupational exposure to HIV by HCWs in Tanzania.MethodsSelf-administered questionnaire was designed to gather information of healthcare workers’ occupational exposures in the past 12 months and circumstances in which these injuries occurred. Practice of managing occupational exposure was assessed by the following questions:ResultsNearly half of the HCWs had experienced at least one occupational injury in the past 12 months. Though most of the occupational exposures to HIV were experienced by female nurses, non-medical hospital staff received PEP more frequently than nurses and doctors. Doctors and nurses frequently encountered occupational injuries in surgery room and labor room respectively. HCWs with knowledge on the possibility of HIV transmission and those who knew whom to contact in event of occupational exposure to HIV were less likely to have poor practice of managing occupational exposure.ConclusionNeedle stick injuries and splashes are common among HCWs at Tumbi and Dodoma hospitals. Knowledge of the risk of HIV transmission due to occupational exposure and knowing whom to contact in event of exposure predicted practice of managing the exposure. Thus provision of health education on occupational exposure may strengthen healthcare workers’ practices to manage occupational exposure.

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Universal precautions: a survey of community nurses’ experience and practice

Cited by 50 publications

References 21 publications

Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study

Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study

Qualitative research: a challenging paradigm for infection control

Self-reported occupational exposure to HIV and factors influencing its management practice: a study of healthcare workers in Tumbi and Dodoma Hospitals, Tanzania

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