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

Abstract

Standard precautions protect patients and nurses from infection. Nevertheless, compliance with standard precautions is lower among emergency department nurses than other nurses. We examined the individual and organizational factors that influence emergency department nurses’ compliance with standard precautions via a cross-sectional study. A self-reported questionnaire survey was administered to 140 nurses working in nine emergency departments in South Korea. It included items regarding ethical awareness and standard precaution self-efficacy at the individual level as well as safety environment, organizational culture for infection control, and degree of compliance with standard precautions at the organizational level. Individual and organizational predictors were identified using a multilevel analysis. The results indicated that 81.1% of nurses’ compliance with standard precautions was influenced by individual differences, while only 18.9% was influenced by organizational differences. Individual- and organizational-level predictors explained 46.7% and 55.4% of the variance in emergency department nurses’ compliance with standard precautions, respectively. Emergency department nurses’ compliance with standard precautions was predicted by ethical awareness and standard precaution self-efficacy at the individual level and by organizational culture for infection control at the organizational level. Our findings provide evidence for the need to improve facilities and human resource management as well as the organizational culture for infection control.

Emergency Nurses' Compliance with Standard Precautions during the COVID-19 Pandemic at Governmental Hospitals in Hail City, Kingdom of Saudi Arabia

“…The results of this study showed that the overall total compliance rate of the studied nurses was optimal (more than 90%). The mean scores of standard precautions ranged from 3.1 to 3.9 out of 4, this finding is similar to the findings of previous studies who reported that the mean compliance with standard precautions among emergency nurses was 4.29 and 4.31 out of 5, respectively that used the same instrument ( 20 , 21 ). In another study conducted among Saudi nursing students using a similar CSPS tool ( 17 ), results show the overall compliance rate of the students with standard precautions was moderate (60.1%).…”

Individual factors affecting compliance with standard infection prevention precautions on the use of personal protective equipment among community health practitioners in Bayelsa State, Nigeria

“…16 Kim and Lee also confirmed that individual factor has a significant relationship with compliance with standard infection prevention precaution (46.7%). 17 In an Ethiopian study compliance was low among healthcare workers due to insufficient knowledge poses devastating consequences in PHC, interventions such as staff on standard infection prevention precautions and consistent managerial support are required. 13,18 Difficulty to use the PPE was found to be an individual factor affecting compliance with standard infection prevention precautions on the use of PPE.…”