Universal precautions A review of knowledge, compliance and strategies to improve practice
Universal precautions A review of knowledge, compliance and strategies to improve practice
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DOI：
10.1177/136140960501000503
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发表时间：
2005-09-01
影响因子：
3.1
通讯作者：
Gould, Dinah
中科院分区：
文献类型：
--
作者：
Gammon, John;Gould, Dinah
本文献综述的目的是考虑从经验研究的知识和遵守普遍的预防措施之间的医疗从业人员的关键主题。利用国际研究，分析了改善普遍预防措施的战略。该综述确定了知识有限的领域，综合现有的研究，并提出了需要进一步研究的普遍预防措施的方面。从1990年至2003年，使用一些关键词，对护理和相关健康文献累积索引（CINAHL）数据库中列出的研究进行了文献检索。对选定的研究进行了回顾、分析和综合，结果表明，普遍预防措施被认为是保护患者和工作人员以及控制感染的有效手段。从这一证据中得出的共识是，在全球范围内，普遍预防措施的知识不足，遵守率低。来自许多国家的研究表明，教育等具体干预策略对提高知识和依从性具有影响力。本综述的结论是，未来的研究必须探讨如何影响和改变从业者的态度和信仰，以加强对普遍预防措施的遵守。在临床实践环境中。仍然缺乏实践干预措施的长期益处的证据，以提高依从性，以及哪些具体的障碍是影响医疗从业者如何在实践中更有效地采取普遍预防措施的影响。
The purpose of this literature review is to consider key themes from empirical research relating to the knowledge and compliance of universal precautions amongst healthcare practitioners. Utilising international studies, strategies to improve universal precautions are analysed. The review identifies areas of limited knowledge, synthesises existing research and suggests aspects of universal precautions that need to be studied further.A literature search of studies listed in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) database was conducted from 1990-2003, using a number of key words. Review, analysis and synthesis of selected studies were performed.The findings of this review showed that universal precautions are considered an effective means of protecting patients and staff and controlling infection. The consensus from this body of evidence is that, globally, knowledge of universal precautions is inadequate and compliance low. Studies from many countries have shown that specific intervention strategies, such as education, are influential in improving knowledge and compliance.This review concludes that it is imperative that future research examines how the attitudes and beliefs of practitioners can be influenced and changed to reenforce adherence to universal precautions within the clinical practice setting. There remains a lack of evidence on the long-term benefits of practice interventions to improve compliance, and what specific barriers are influential in affecting how healthcare practitioners adopt universal precautions more effectively in their practice.