Knowledge and Compliance of Standard Precautions among Student Nurses

  • Authors

    • Leodoro Jabien Labrague Samar State University
    • Rheajane Aguilar Rosales Samar State University
    • Maricel Mabulac Tizon Samar State University
    https://doi.org/10.14419/ijans.v1i2.132

    Received date: June 18, 2012

    Accepted date: October 1, 2012

    Published date: October 3, 2012

  • Standard precautions, compliance, knowledge, hospital acquired infection

  • Abstract

    Student nurses are often exposed to various infections during their clinical exposure. Knowledge and compliance with standard precautions is essential in the prevention of health care infections and protection of patients as well as medical workers from exposure to infectious agents. This investigation assessed the knowledge and degree of compliance regarding standard precautions among student nurses in a government university in Samar, Philippines. A cross-sectional study was adopted for this investigation and data were collected over a period of one month from April 8 to May 7, 2012. Fifty eight student nurses who were enrolled in the university were all asked to complete the self report questionnaires regarding standard precautions. Vast majority (89.65%) of the student nurses have good knowledge (m = 14.45/19) and high compliance (m = 3.59) of standard precautions. The use of mask has the highest degree of compliance (m = 3.95) while the use of eye goggles has the lowest degree of compliance (m = 3.19). Findings suggest no significant association between knowledge and compliance with standard precautions. Teaching approaches must be geared towards intensifying further the compliances especially with the use of other protective equipments such eye goggles and gloves. Furthermore, environment that models and promotes standard precaution practices should be developed by the faculty.

    Author Biographies

    • Leodoro Jabien Labrague, Samar State University
      Nurse Instructor, Samar State University
    • Rheajane Aguilar Rosales, Samar State University
      Nurse Instructor, College of Nursing
    • Maricel Mabulac Tizon, Samar State University
      Nurse Instructor

  • References

    1. Twitchell, K. T. (2003). Bloodborne pathogens. What you need to know–Part II. AAOHN J, 51(2), 89-97.
    2. Kosgeroglu, N., Ayranci, U., Vardareli, E., & Dincer, S. (2004). Occupational exposure to hepatitis infection among Turkish nurses: frequency of needle exposure, sharps injuries and vaccination. Epidemiol Infect, 132(1), 27-33. http://dx.doi.org/10.1017/S0950268803001407.
    3. Siegel, J. D., Rhinehart, E., Jackson, M., & Chiarello, L. (2007). Healthcare Infection Control Practices Advisory Committee. Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. Centers for Disease Control
    4. Widmer, A. F., Sax, H., & Pittet, D. (1999) Infection control and hospital epidemiology outside the United States. Infect Control Hosp Epidemiol, 20, 17-21. http://dx.doi.org/10.1086/501546.
    5. Centers for Disease Control. (1988). Update: Universal Precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings. MMWR , 37, 377-388.
    6. www.cdc.gov
    7. Garner, J. S. (1996). Guideline for isolation precautions in hospitals. The Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol, 17, 53-80. http://dx.doi.org/10.1086/647190.
    8. Jawaid M, Iqbal M, Shahbaz S. (2009) Compliance with standard precautions: a long way ahead. Journal of Public Health , 38:85-8.
    9. Gammon, J., & Morgen, H. (2007). A review of the evidence for suboptimal compliance of health care practitioners to infection control precautions. Journal of Clinical Nursing, 17, 157-167.
    10. Talan, D. A., & Baraff, L. J. (1990). Effect of education on the use of universal precautions in a university hospital emergency department. Ann Emerg Med, 19, 1322-6. http://dx.doi.org/10.1016/S0196-0644(05)82295-4.
    11. Baraff, L. J., & Talan, D. A. (1989). Compliance with universal precautions in a university hospital emergency department. Ann Emerg Med, 18, 654-7. http://dx.doi.org/10.1016/S0196-0644(89)80522-0.
    12. Gershon, R. R. M., Vlahov, D., Felknor, S. A., Vesley, D., Johnson, P. C., Delcios, G. L., & Murphy, L. R. (1995). Compliance with universal precautions among health care workers at three regional hospitals. Am J Infection Control, 23(4), 225-36. http://dx.doi.org/10.1016/0196-6553(95)90067-5
    13. Taneja, J. (2009). Evaluation of knowledge and practice amongst nursing staff toward infection control measures in tertiary care hospital in India. The Canadian Journal of Infection Control, 24(2), 104-107.
    14. Vij, A., Williamson, S. N., & Gupta, S. (2001). Knowledge and Practice of Staff towards Infection Control Measures in a Tertiary Care Hospital. Journal of Academy of Hospital Administration, 13, 31-35.
    15. Chan, M. F., Ho, A., & Day, M. C. (2008). Investigating the knowledge, attitudes and practice patterns of operating room staff towards standard and transmission-based precautions: results of a cluster analysis. J Clin Nurs, 17, 1051-62. http://dx.doi.org/10.1111/j.1365-2702.2007.01998.x.
    16. Vaz1 K, McGrowder1 D, Alexander-Lindo R., Gordon L., Brown P, Irving R. (2010) Knowledge, Awareness and Compliance with Universal Precautions among Health Care Workers at the University Hospital of the West Indies, Jamaica.International Journal of Occupational and Environmental Medicine, 1(4): 171-181.
    17. Tait, A. R., Voepel-Lewis, T., Tuttle, D. B., & Malviya, S. (2000). Compliance with standard guidelines for the occupational transmission of bloodborne and airborne pathogens: A survey of post anesthesia nursing practice. Journal of Continuing Education in Nursing, 31, 38-44.
    18. Sax, H., Perneger, T., Hugonnet, S., Herrault, P., Chraiti, M. N., & Pittet, D. (2005). Knowledge of standard and isolation precautions in a large teaching hospital. Infect Control Hosp Epidemiol, 26(3), 298-304. http://dx.doi.org/10.1086/502543.
    19. Chan, R., Molassiotis, A., Chan, E., Chan, V., Ho, B., Lai, C.-Yiu, I. (2002). Nurse knowledge of and compliance with universal precaution in an acute care hospital. Int J Nurs Stud, 39, 157-163.
    20. Ofili, A. N., Asuzu, M. C., & Okojie, O. H. (2003). Knowledge and practice of universal precaution amongst nurses in Central Hospital, Benin City, Edo State, Nigera. Niger Postgrad Med J., 10, 26-31.
    21. Oliveira, A. C., Marziale, M. H., Paiva, M. H., & Lopes, A. C. (2009). Knowledge and attitude regarding standard precautions in a Brazilian public emergency service: a cross sectional study. Rev Esc Enferm USP, 43(2), 313-9.
    22. Tavolacci, M. P., Ladner, J., Bailly, L., Merle, V., Pitrou, I., & Czernichow, P. (2008). Prevention of Nosocomial Infection and Standard Precautions: Knowledge and Source of Information among Healthcare Students. Infection Control and Hospital Epidemiology, 29(7), 642-647.
    23. Luo, Y., He, G-P., Zhou, J.-W., & Luo, Y. (2010). Factors impacting compliance with standard precaution in nursing, china. International Journal of Infectious Diseases, 14(12), e1106-e1114. http://dx.doi.org/10.1016/j.ijid.2009.03.037.
    24. Kim, K. M., Kim, M. A., Chung, Y. S., & Kim, N. C. (2001). Knowledge and performance of the universal precautions by nursing and medical students in Korea. Am J Infect Control, 29, 295-300. http://dx.doi.org/10.1067/mic.2001.114837.
    25. Bamigboye, A. P., & Adesanya, A. T. (2006). Knowledge and Practice of Universal Precautions among Qualifying Medical and Nursing Students: A Case of Obafemi Awolowo University Teaching Hospitals Complex, ILE-IFE. Research Journal of Medicine and Medical Sciences, 1(3), 112-116.
    26. Vaz, K., McGrowder, D., Crawford, T., Alexander-Lindo, R. L., & Irving, R. (2010). Prevalence of injuries and reporting of accidents among Health Care Workers at the University Hospital of the West Indies. Int J Occup Med Environ Health, 23, 133-143. http://dx.doi.org/10.2478/v10001-010-0016-5
    27. Sax, H., Perneger, T., Hugonnet, S., Herrault, P., Chraiti, M. N., & Pittet, D. (2005). Knowledge of standard and isolation precautions in a large teaching hospital. Infect Control Hosp Epidemiol, 26(3), 298-304. http://dx.doi.org/10.1086/502543
    28. MeloDde S, Silva e Souza AC, Tipple AF, das Neves ZC, Pereira MS. (2006) Nurses’ understanding of standard precautions at a public hospital in Goiania – GO, Brazil. Rev Lat Am Enfermagem, 14:720–7.
    29. Abdulraheem, I. S., Amodu, M. O., Saka, M. J., Bolarinwa, O. A., & Uthman, M. M. B. (2012). Knowledge, Awareness and Compliance with Standard Precautions among Health Workers in North Eastearn Nigeria. J Community Med Health Edu, 2, 131. http://dx.doi.org/10.4172/jcmhe.1000131
    30. Bree-Williams, F. J., & Waterman, H. (1996) An examination of nurses’ practices when performing aseptic techniques for wound dressings. J Adv Nurs, 23(1), 48-54. http://dx.doi.org/10.1111/j.1365-2648.1996.tb03134.x
    31. Parmeggiani, C., Abbate, R., Marinelli, P., & Angelillo, I. F. (2010). Healthcare workers and health care-associated infections: knowledge, attitudes, and behavior in emergency departments in Italy. BMC Infect Dis., 10(1), 35. http://dx.doi.org/10.1186/1471-2334-10-35
    32. Sadoh, W. E., Fawole, A. O., Sadoh, A. E., Oladimeji, A. O., & Sotiloye, O. S. (2006). Practice of universal precautions among healthcare workers. J Natl Med Assoc, 98, 722-726.
    33. Snow, M., White, G. L. Jr., Alder, S. C., & Stanford, J. B. (2006). Mentor’s hand hygiene practices influence student’s hand hygiene rates. Am J Infect Control, 34, 8-24. http://dx.doi.org/10.1016/j.ajic.2005.05.009
    34. Feather, A., Stone, S. P., Wessier, A., Boursicot, K. A., & Pratt, C. (2007). ‘Now please wash your hands’: the handwashing behaviour of final MBBS candidates. J Hosp Infect, 45, 62-64. http://dx.doi.org/10.1053/jhin.1999.0705

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  • How to Cite

    Labrague, L. J., Rosales, R. A., & Tizon, M. M. (2012). Knowledge and Compliance of Standard Precautions among Student Nurses. International Journal of Advanced Nursing Studies, 1(2), 84-97. https://doi.org/10.14419/ijans.v1i2.132