The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: A scoping review

McCauley, Lauren; Kirwan, Marcia; Matthews, Anne

doi:10.1016/j.ijnsa.2021.100039

Cited by 18 publications

(26 citation statements)

References 56 publications

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“…The suboptimal adherence or compliance of nurses to SPs could be attributed to several factors. The organization of nursing staff, workplace environment, nursing care context, managerial and interprofessional relationships, and individual nurse factors were the major themes of a scoping review on missed nursing care during implementation of SPs (McCauley et al, 2021 ). In an Italian qualitative study on Intensive Care Unit nurses' compliance with SPs, the pressure of limited time, inadequate competencies regarding SPs, and overcrowding during emergency conditions were identified as the causes of poor compliance with SPs (Donati et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Nursing staff compliance and adherence to standard precautions during the COVID‐19 pandemic: A cross‐sectional study

Berdida

2022

Nursing & Health Sciences

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This study investigated the compliance and adherence of nursing staff (nurses, nursing assistants, and midwives) to standard precautions (SPs). A cross‐sectional design while adhering to STROBE guidelines was used for this study. Nursing staff from a government tertiary hospital ( n = 515) were recruited and completed the Compliance with Standard Precautions Scale (CSPS) and Factors Influencing Adherence to Standard Precautions Scale (FIASPS). Analysis of variance, Pearson's correlation, and linear regression analysis were used to analyze the data. The overall average compliance with the SPs of the nursing staff was suboptimal, and the disposal of sharps domain had the lowest compliance. Nurses were more compliant with sharps disposal, and nursing assistants with waste disposal. Contextual cues were the most influential factor influencing participants' adherence to SPs. All CSPS domains were significantly correlated with the Contextual cues factor of the FIASPS. Finally, service years and educational attainment were significant predictors of SPs adherence. The findings underscore the organization's critical responsibility for actively enforcing policies using monitoring systems and contextual cues in the workplace to ensure staff compliance and adherence with SPs.

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Section: Introductionmentioning

confidence: 99%

Nursing staff compliance and adherence to standard precautions during the COVID‐19 pandemic: A cross‐sectional study

Berdida

2022

Nursing & Health Sciences

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“…Nurses must deliver high‐quality patient care in infection control and prevention aspects. Adherence to and compliance with SPs are widely reported as positively impacting the quality of care, resulting in lower mortality rates and nosocomial infections (McCauley et al., 2021; Olds et al., 2017). However, non‐compliance with SPs as a factor in missed nursing care showed a diametric impact on nurses' quality of care (Lim et al., 2021; McCauley et al., 2021).…”

Section: Discussionmentioning

confidence: 99%

Nurses' safety climate, quality of care, and standard precautions adherence and compliance: A cross‐sectional study

Berdida,

Grande

2024

J of Nursing Scholarship

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IntroductionInvestigations about the interrelationships of nurses' safety climate, quality of care, and standard precautions (SP) adherence and compliance remain particularly scarce in the literature. Thus, we tested a model of the associations between nurses' safety climate, quality of care, and the factors influencing adherence and compliance with SPs utilizing the structural equation modeling (SEM) approach.DesignCross‐sectional design complying with STROBE guidelines.MethodsUsing convenience sampling, nurses (n = 730) from the Philippines were recruited. Data were collected between April and September 2022 using four validated self‐report measures. Spearman Rho, mediation and path analyses, and SEM were employed for data analysis.ResultsAcceptable model fit indices were shown by the emerging model. The safety climate is positively associated with quality of care and factors influencing adherence to and compliance with SPs. Quality of care directly affected factors influencing adherence to SPs. The factors influencing adherence to SPs directly affected SP compliance. Quality of care mediated between safety climate and the factors influencing adherence to SPs. Factors influencing adherence to SPs mediated between safety climate, quality of care, and SP compliance.ConclusionsThe study's variables are not distinct but overlapping nursing concepts that must be examined collectively. Nurse administrators can utilize the emerging model to formulate strategies and regulations for evaluating and enhancing nurses' safety climate, quality of care, and SP adherence and compliance.Clinical RelevanceOur findings may impact policymaking, organizational, and individual levels to improve nurses' clinical practice.Patient or Public ContributionThis study had no patient contribution or public funding.

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“…Inadequate staffing is more than an infection prevention and control workforce problem. Indeed, several studies have shown that low staffing contributed to poor IPC, infection and AMS outcomes (McCauley et al, 2021; Lowe, et al, 2021; Shang et al, 2019). For example, Wundavalli et al (2020) suggest that infection prevention and control staffing should not be based on bed numbers or patient census but should reflect characteristics of the patient population and the workload involved, techniques for applying evidence-base knowledge about infection prevention, and the unique needs of the healthcare setting.…”

Section: Discussionmentioning

confidence: 99%

Designing an optimal infection prevention service: Part 2

Robinson¹,

Price

Otter

et al. 2022

Journal of Infection Prevention

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Background There is limited information about the incidence and risk factors of surgical site infections (SSIs) after coronary artery bypass (CABG) surgeries in the Omani population. Aim To estimate the prevalence and describe possible risk factors of SSIs after CABG surgeries in Oman. Method A retrospective nested case–control design was used to screen 596 patients who underwent CABG surgeries over 2 years (2016–2017) in two tertiary hospitals in Oman. The CDC definition for SSIs was used to identify the infected cases. Results Prevalence rate of SSIs was 17.4% and 17.5% in 2016 and 2017, respectively. The most isolated microorganism was Gram-positive bacteria (45.2%). Risk factors of SSIs include female gender (OR = 3.2, p < 0.001), diabetes (OR = 5.83, p < 0.001), overweight or obese (OR = 2.14, p < 0.05) and shaving technique [using razor shaving] (OR = 8.4, p < 0.001). Readmission rate for the case group was 44.2%. Conclusion The infection rate of SSIs after CABG surgeries in developing countries, such as Oman, is considerably high. There is an urgent need to establish SSIs preventive program at the national level. Frequent and systematic assessment of infection control practices before and after CABG surgeries is fundamental and priority strategy to prevent SSIs.

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The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: A scoping review

Cited by 18 publications

References 56 publications

Nursing staff compliance and adherence to standard precautions during the COVID‐19 pandemic: A cross‐sectional study

Nursing staff compliance and adherence to standard precautions during the COVID‐19 pandemic: A cross‐sectional study

Nurses' safety climate, quality of care, and standard precautions adherence and compliance: A cross‐sectional study

Designing an optimal infection prevention service: Part 2

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