Journal article
Monitoring adherence to Standard Precautions
American journal of infection control, Vol.29(1), pp.24-31
2001
DOI: 10.1067/mic.2001.111226
PMID: 11172315
Abstract
Background: Health care workers (HCWs) do not consistently follow Standard Precautions (SP). This is a serious problem because inadequate compliance is associated with increased blood exposure thus predisposing HCWs to bloodborne pathogen transmission. Methods: The primary goal of this study was to identify institutional factors associated with adequacy of HCW training to monitor coworkers' adherence to SP. Surveys were sent to all community hospital infection control practitioners (ICPs) in Iowa and Virginia. ICPs indicated on a 5-point Likert scale, ranging from strongly disagree to strongly agree, their assessment of HCW training adequacy. Data from another statewide survey of HCWs in Iowa were assessed to validate this outcome measure. Multiple logistic regression models were developed to identify predictors of assessed training adequacy. Independent variables included methods of education, training, approaches to SP compliance assessment, provision of SP reinforcement by clinical leaders, and organizational data. Results: A total of 149 institutions (62%) participated. Models of training program adequacy varied across occupations. Management commitment to SP training programs, leadership support, frequency of providing bloodborne pathogen information, and safety climate were important institutional predictors of assessed adequacy of training. The outcome was validated by demonstrating an association between the ICPs' assessment of HCW training and workers who reported having sufficient information to comply with SP (P <. 05). Conclusions: Institutional safety climate, leadership support, and frequency of education play an important role in HCWs' training adequacy to monitor coworkers' adherence to SP. Occupational groups should be considered independently when strategies are developed to increase compliance. Interventions based on modifiable factors identified by this study may reduce bloodborne pathogen exposure among HCWs.
Details
- Title: Subtitle
- Monitoring adherence to Standard Precautions
- Creators
- Kimberly D Mccoy - Department of Internal Medicine, The University of Iowa College of Medicine, United StatesSusan E Beekmann - Department of Internal Medicine, The University of Iowa College of Medicine, United StatesKristi J Ferguson - Department of Community and Behavioral Health, The University of Iowa College of Public Health, United StatesThomas E Vaughn - Department of Health Management and Policy, The University of Iowa College of Public Health, United StatesJames C Torner - Department of Epidemiology, The University of Iowa College of Public Health, United StatesRobert F Woolson - Department of Biostatistics, The University of Iowa College of Public Health, United StatesBradley N Doebbeling - Department of Internal Medicine, The University of Iowa College of Medicine, United States
- Resource Type
- Journal article
- Publication Details
- American journal of infection control, Vol.29(1), pp.24-31
- DOI
- 10.1067/mic.2001.111226
- PMID
- 11172315
- NLM abbreviation
- Am J Infect Control
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Publisher
- Mosby
- Language
- English
- Date published
- 2001
- Academic Unit
- Statistics and Actuarial Science; Health Management and Policy; Epidemiology; Biostatistics; Surgery; Nursing; Injury Prevention Research Center; General Internal Medicine; Neurosurgery; Internal Medicine
- Record Identifier
- 9984214826902771
Metrics
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