Influences on compliance with standard precautions among operating room nurses

Influences on compliance with standard precautions among operating room nurses
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DOI:
10.1067/mic.2003.68
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发表时间:
2003-11-01
影响因子:
4.9
通讯作者:
Osborne, S
Osborne, S
中科院分区:
医学3区
文献类型:
--
作者:
Osborne, S

文献摘要

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背景:卫生保健工作者的职业暴露是由于不符合标准预防措施。本研究的目的是开发国家估计的遵守标准的预防措施和职业暴露报告之间的手术室护士(特别是,擦洗护士)在Australia和评估变量的影响compliance.Methods:描述性相关设计被用来调查变量和遵守之间的关系,使用一个理论框架,健康信念模型,给意义的变量。数据收集是通过邮寄调查的澳大利亚大学手术室nurses.Results的成员:本文报告的结果,遵守以下2个具体的自我保护行为:戴双手套,戴足够的眼睛保护。在手术过程中始终戴双层手套的平均依从率为55.6%,始终佩戴足够的眼睛保护装置的平均依从率为92%。此外,对合规性的影响最大的变量是遵守的障碍的看法,特别是,坚持标准的预防措施干扰的dutis.Conclusion:这些结果有影响的多方面围手术期感染控制计划的发展,包括预防,教育和政策制定的战略,以提高实践,旨在减少职业暴露在这一高风险群体。
Background: Occupational exposures of health care workers occur because of inconsistent compliance with standard precautions. The purpose of this study was to develop national estimates of compliance with standard precautions and occupational exposure reporting among operating room nurses (specifically, scrub nurses) in Australia and to assess variables that influence compliance.Methods: A descriptive correlation design was used to investigate relationships between variables and compliance, using a theoretical framework, the Health Belief Model, to give meaning to the variables. Data collection was done through mail-out surveys to members of the Australian College of Operating Room Nurses.Results: This article reports the results of compliance with the following 2 specific self-protective behaviors: double-gloving and wearing adequate eye protection. Mean compliance rates were 55.6% with always double-gloving during surgical procedures and 92% with always wearing adequate eye protection. In addition, the variable that had the most influence on compliance was the perception of barriers to compliance, specifically, that adhering to standard precautions interfered with duties.Conclusion: These results have implications for the development of multifaceted perioperative infection control programs, including strategies for prevention, education, and policy development, to improve practices aimed at reducing occupational exposures among this high-risk group.