Nursing students' intentions to comply with standard precautions: An exploratory prospective cohort study

Livshiz–Riven, Ilana; Nativ, Ronit; Borer, Abraham; Kanat‐Maymon, Yaniv; Anson, Ofra

doi:10.1016/j.ajic.2014.04.002

Cited by 18 publications

(14 citation statements)

References 20 publications

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“…In an ED where there are numerous 'leaders', different role models and aberrant behaviour can impact negatively on the IPC culture of the department. Participants identified a lack of positive role modelling and leadership which has been shown elsewhere to influence individual behaviour towards PPE [26,47,48]. In contrast to our findings, a recent qualitative study that utilised focus groups with nurses and assistants, reported a positive peer culture for encouraging respirator mask use [49].…”

Section: Discussioncontrasting

confidence: 95%

Enablers of, and barriers to, optimal glove and mask use for routine care in the emergency department: an ethnographic study of Australian clinicians

Barratt

Gilbert

Shaban

et al. 2020

Australasian Emergency Care

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a b s t r a c tBackground: The risk of healthcare-acquired infection increases during outbreaks of novel infectious diseases. Emergency department (ED) clinicians are at high risk of exposure to both these and common communicable diseases. Personal protective equipment (PPE) is recommended to protect clinicians from acquiring, or becoming vectors of, infection, yet compliance is typically sub-optimal. Little is known about factors that influence use of PPE-specifically gloves and masks-during routine care in the ED. Methods: This was an ethnographic study, incorporating documentation review, field observations and interviews. The theoretical domains framework (TDF) was used to aid thematic analysis and identify relevant enablers of and barriers to optimal PPE use. Results: Thirty-one behavioural themes were identified that influenced participants' use of masks and gloves. There were significant differences, namely: more reported enablers of glove use vs more barriers to mask use. Reasons included more positive unit culture towards glove use, and lower perception of risk via facial contamination. Conclusion: Emerging infectious diseases, spread (among other routes) by respiratory droplets, have caused global outbreaks. Emergency clinicians should ensure that, as with gloves, the use of masks is incorporated into routine cares where appropriate. Further research which examines items of PPE independently is warranted. (R. Barratt).severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS) and pandemic influenza A [2]. Healthcareassociated transmission of these viral infections, into previously unaffected communities, was a key feature of the early stages of, for example, SARS in Toronto and MERS in Seoul [3,4]. A notable feature of both outbreaks was the high proportion of those affected who were healthcare workers, with reports of up to 27% and 57% for MERS and SARS, respectively [5]. First responders and emergency department (ED) clinicians are at high risk of exposure to both common and emerging communicable diseases of high consequence, as they are in close contact with symptomatic patients before a diagnosis is made [5][6][7]. For example, ED staff are among

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Section: Discussioncontrasting

confidence: 95%

Enablers of, and barriers to, optimal glove and mask use for routine care in the emergency department: an ethnographic study of Australian clinicians

Barratt

Gilbert

Shaban

et al. 2020

Australasian Emergency Care

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“…Saudi males are known to possess a higher level of confidence when performing tasks and are not very particular about the manner in which the task is accomplished, while female Saudis exhibit less confidence in accomplishing tasks [6,16]. Moreover, our finding that compliance of NSs was higher in the latter years of the nursing program is consistent with reports from earlier studies [14,34] and is complementary to the significant correlation between clinical exposure and compliance to SPs. NSs who are in the latter years of the nursing program have greater exposure to clinical settings and therefore have more clinical experience than the NSs in the lower years.…”

Section: Discussionsupporting

confidence: 94%

Validity and reliability assessment of the Compliance with Standard Precautions Scale Arabic version in Saudi nursing students

Cruz

Colet

Al-Otaibi

et al. 2016

Journal of Infection and Public Health

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Strict compliance with standard precautions (SPs) is warranted to ensure the safety of patients in healthcare facilities. Nursing students (NSs), who are regarded as nurses in training, potentially play a role in cross-contamination in the hospital. NSs are also at high risk of acquiring infections in cases of ineffective compliance with SPs. Thus, an assessment of NSs' compliance with SPs should be conducted on a regular basis, which necessitates a valid and reliable tool. This study was conducted to assess the validity and reliability of the Compliance with Standard Precautions Scale Arabic version (CSPS-A) in Saudi NSs. A convenient sample of 230 respondents (158 NSs and 72 staff nurses) was included in this descriptive, cross-sectional study. The CSPS English version was translated into the Arabic language following a recommended guideline from cross-cultural adaptation and translation instruments. The Cronbach's alpha, the intraclass correlation coefficient (ICC) of the test-retest scores, and the item-total correlations (ITC) were computed to establish the reliability. Content validity and construct validity by the known-groups method and hypothesis testing method were performed. The CSPS-A exhibited good internal consistency and reliability (Cronbach's alpha, 0.89; ICC, 0.88; ITCs, 0.325-0.728). A satisfactory content and construct validity was also reported. The CSPS-A is a valid and reliable tool that can measure the compliance to SPs among NSs in Saudi Arabia.

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“…This finding also suggests that efforts to improve equipment management, training and supervision, and interdisciplinary communications are imperative. In a descriptive study by Livshiz-Riven et al (2014), poor psychological safety means greater medical errors in the treatment of patients. Cruz and Bashtawi (2016) found that inadequate supportive environment on infection control and environment-related problems are among the crucial issues that need urgent attention.…”

Section: Discussionmentioning

confidence: 99%

Assessment of nursing students perceptions of their training hospital's infection prevention climate: A multi-university study in Saudi Arabia

Tumala

Almazan

Alabdulaziz

et al. 2019

Nurse Education Today

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A B S T R A C TBackground: The risk of acquiring and spreading infection must be minimized in nursing students because they are exposed to healthcare-associated infections during clinical training. To achieve this goal, students should be knowledgeable and competent in infection control practice before proceeding to their training hospitals. Objectives: This study assessed the nursing students' perception of the infection prevention climate in training hospitals in Saudi Arabia. It also examined the predictors of the students' perceptions. Design: A quantitative, cross-sectional design was used. Methods: This investigation was part of a large study conducted in six Saudi universities. A total of 829 Saudi nursing students were included in this study. Data were collected using the Leading Culture of Quality in Infection Prevention scale and analyzed using descriptive and inferential statistics. Ethical approval was obtained from the King Saud University, and permission was given by the administration of each participating university. Results: The overall perception of nursing students indicated a modest infection prevention climate. Prioritization of quality and improvement orientation was rated as the highest dimensions, whereas psychological safety and supportive environment were the lowest. The nursing students in University F had the poorest perceptions among the six universities. The predictors of nursing student perception of their training hospitals' infection prevention climates were the university where they studied, their age, and participation in infection prevention seminars. Conclusions: This article describes nursing students' perception of the infection prevention climate of their training hospitals in Saudi Arabia. Results may provide a unique theoretical underpinning on the perception and factors that effect an infection prevention climate. Thereby, previous knowledge and literature may be expanded. Results can be used as a guide in establishing clinical policies in efforts toward improving the infection prevention climate.

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Nursing students' intentions to comply with standard precautions: An exploratory prospective cohort study

Cited by 18 publications

References 20 publications

Enablers of, and barriers to, optimal glove and mask use for routine care in the emergency department: an ethnographic study of Australian clinicians

Enablers of, and barriers to, optimal glove and mask use for routine care in the emergency department: an ethnographic study of Australian clinicians

Validity and reliability assessment of the Compliance with Standard Precautions Scale Arabic version in Saudi nursing students

Assessment of nursing students perceptions of their training hospital's infection prevention climate: A multi-university study in Saudi Arabia

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