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Assessment of compliance to standard precautions among nurses using the Health Belief Model

Noer Triyanto Rusli, Muchtaruddin Mansyur, Aria Kekalih, Astrid Sulistomo, Retno Asti Werdhani
Submission date: Monday, 18 May 2020
Published date: Tuesday, 15 December 2020
DOI: http://dx.doi.org/10.18051/UnivMed.2020.v39.199-206

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Abstract


BACKGROUND
The application of Standard Precautions (SP) has become a significant challenge for healthcare workers, especially in developing countries, endangering their safety and increasing their exposure to blood-related pathogens. This study was aimed at exploring the factors related to nurses’ compliance with the practice of SP.

METHODS
A cross-sectional study was conducted on 120 nurses working at a hospital in Palembang. Health Belief Model components of the subjects were recorded through questionnaires. A 12-point observation form assessed the nurses’ SP compliance. Multiple logistic regression models were used to explore factors associated with nurses’ compliance.

RESULTS
The results showed that 56.7% of participants had good compliance, although the five moments of hand hygiene still needed to be improved. The study revealed that the proportion of the operating room and emergency room nurses who complied with the SP was larger than the proportion of those who worked at the other wards (OR=2.57, 95% CI 1.51-4.36). The nurses who had received training also showed a larger proportion of compliance with SP than those who had not been trained (OR=2.70, 95% CI 1.07-6.79).

CONCLUSION
Nurses’ behavior to SP was significantly associated with the adequacy of the training and work unit. It is suggested that the practice of SP was also influenced by enabling factors and subjective norms. Adequate training of nurses, provision of infection prevention equipment, and assessment of occupational exposures need to be introduced.

Keywords


Standard precautions; compliance; health belief model; nurses

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Copyright (c) 2020 Noer Triyanto Rusli, Muchtaruddin Mansyur, Aria Kekalih, Astrid Sulistomo, Retno Asti Werdhani

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Creative Commons License
Universa Medicina by Faculty of Medicine, Trisakti University is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Based on a work at https://univmed.org/ejurnal/index.php/medicina/


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