A management program for preventing occupational blood-borne infectious exposure among operating room nurses: an application of the PRECEDE-PROCEED model

Abstract

The study aim was to determine the effect of an occupational blood-borne pathogen exposure (OBE) management program based on the PRECEDE-PROCEED model on knowledge, attitude and behaviour regarding OBE prevention among operating room nurses. Methods: This was a one-group pre-test post-test experimental study. The PRECEDE-PROCEED model was used to design and evaluate the effect of an OBE management program on 87 operating room nurses from February to July 2018. The study included pre-intervention assessment; risk factor analysis; interventions targeted to predisposing, reinforcing and enabling factors and focusing on areas of low scoring; and a post-intervention assessment. Attitudes, knowledge and behaviour compliance regarding OBE were measured before and after the 6-month program using a self-developed questionnaire. Descriptive epidemiological analysis and t-tests were used for data analysis. Results: Low-scoring items for OBE knowledge, attitudes and behaviour were identified in the baseline assessment. Six months post-intervention, there were significant improvements in attitudes toward OBE prevention, in knowledge about OBE safety precautions and in behaviour compliance with standard precautions.

Evaluation of The Skills of Community Health Workers in Providing Self-Care Program for Pre-Diabetic Individuals Based On The Precede-Proceed Model: A Descriptive Study

“…Enabling factors is one of the most important factors in increasing the skills of community health workers because without resources (standard tools) and without the use of appropriate strategies, it will be very di cult to provide self-care programs to people with pre-diabetes. In the regression study, enabling factors after self-e cacy were the most important predictors of community health workers' skills in providing self-care programs, consistent with many previous studies (23,(40)(41)(42).…”

Psychological Status Among Anesthesiologists and Operating Room Nurses During the Outbreak Period of COVID-19 in Wuhan, China

“…Facing the critical situations, being female, living in suburb areas, shortage of protective medical equipment and close contact with COVID-19 patients were associated with depression and anxiety of anesthesiologists and OR nurses. Anesthesiologists and OR nurses are at high risk of occupational exposure to infectious diseases ( 7 – 10 ). During the initial phase of the COVID-19 outbreak, the majority of hospitals in Wuhan were faced with a severe shortage of required personal protective equipment and SARS-CoV-2 Nucleic Acid Diagnostic Kits.…”

“…Besides, anesthesiologists also joined in the medical corps in Leishenshan and Fangcang hospital and provided care for COVID-19 patients as experts in emergent airway management and intensive care, which imposed a significant risk to their own health. Anesthesiologists and operating room (OR) nurses are exposed to droplet or blood-borne transmission of pathogens during endotracheal intubation and open surgical procedures, which put them at high potential of nosocomial infection (7)(8)(9)(10)(11)(12)(13). The operating room staffs thus face the risk of occupational exposure to COVID-19 patients.…”

Occupational Health and Safety in Operating Rooms

“…Studies on infection prevalence and risk analysis are increasing and new information is obtained day by day. Another of these infections is blood-borne infections [28][29][30]. Blood-borne infections are of particular importance because of their frequency and long term negative effects.…”