Exposure to Blood and Body Fluids and Influencing Factors on Compliance with Standard Precautions among Nurses in General Hospital

Abstract

The purpose of this study was to identify blood and body fluids exposure, and factors influencing compliance with standard precautions among nurses. Participants consisted of 144 nurses in three general hospitals located in C province. Data were collected using a questionnaire that consisted of awareness, compliance, safety environment and attitude toward standard precautions. A total of 40.3% of participants had been injured by syringes or sharp tools that had already been used for patients within the last 1 year 1.01 times. Moreover, 22.9% of participants had been exposed to blood and body fluid of patients 1.06 times within the last 1 year. The mean score for compliance with standard precautions was lower than its awareness. There was a significant correlation between compliance and awareness and a safe environment. Multiple regression revealed an adjusted R 2 of 0.166 with the awareness score serving as the major predictor variable for compliance of standard precautions. Therefore, it is necessary to develop strategies to apply to systemic and continuous education regarding standard precautions and to foster a safe environment to enhance nurses' compliance with standard precautions.

Organizational Culture for Infection Control and Practice of Standard Precaution in Veterans Hospital Nurses: The Mediating Effect of Self-Efficacy

“…이러한 표준주의 지침이 있다 하더라도 2016년도 이전 연구에서 우리나라 간호사의 약 50% 이상이 환자의 혈액이나 체액 분비물에 노출되었고 [5], 손씻기 수 행도는 약 40%에 불과하였다 [6]. 또한 보호장비 착용수행도가 현저하 게 낮았다 [7]. 하지만…”

Factors Influencing Emergency Department Nurses’ Compliance with Standard Precautions Using Multilevel Analysis

“…This tool consists of seven items, with each item rated on a four-point Likert scale. The reliability of the tool, as measured with Cronbach’s α, was 0.73 at the time of development [ 16 ] and 0.81 in this study.…”

“…Previous studies have not investigated the impact of organizational factors on compliance with SPs [ 9 , 10 , 14 , 15 , 16 , 17 ]. However, healthcare professionals’ compliance with SPs varies according to the features of their organizations, such as facilities for hand hygiene, staffing, and organizational culture for infection control [ 10 ].…”

“…In particular, the differences in facilities, equipment, and human resources affect not only the nurse-to-patient ratio in emergency healthcare facilities but also the formation of an organizational culture for infection control and safety environment [ 10 ]. The safety environment refers to the personnel and physical environment needed to comply with SPs [ 16 ]; compliance with SPs is related to accessibility to PPE and the amount of time available [ 17 ]. Furthermore, although the nurse-to-patient ratio is a predictor of nurses’ compliance with SPs [ 13 ], none of the previous studies were conducted in the ED.…”

Relationships between Safety Perception, Knowledge, and Compliance among Hospital Employees

“…The concept of safety compliance has been actively promoted in industrial workplaces since the 1990s in foreign countries and has been actively introduced in hospital environments since the 2000s. Most safety-related studies involving Korean hospitals were mainly investigative studies that examined safety-related perceptions and attitudes [1] [2] and studies on safety compliance mainly investigated the relationships among perceptions of safety climate, sense of safety control, and safety compliance [10] and the factors that affected compliance with standard precautions [11]. However, there have not been any studies conducted to identify which factors affect safety compliance.…”