Escola Anna Nery Revista de Enfermagem
https://eanjournal.org/article/doi/10.1590/2177-9465-EAN-2020-0193
Escola Anna Nery Revista de Enfermagem
Research

Compliance with standard precautions by nursing professionals and related factors

Observancia de precauciones estándar por parte de profesionales de enfermería y factores asociados

Cumprimento às precauções-padrão por profissionais de enfermagem e fatores associados

Vitória Helena Pereira; Leticia Nunes Torres; Nathália Montanher Rodrigues; Damiana Aparecida Trindade Monteiro; Juliano Teixeira Moraes; Fernanda Maria Vieira Pereira-Ávila; Mariana Alvina dos Santos; Elucir Gir; Silmara Elaine Malaguti-Toffano

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Abstract

Objective: To verify compliance with the Standard Precautions by nursing professionals and associated factors.

Method: A descriptive, cross-sectional study was carried out with 522 nursing professionals, in two Brazilian hospitals, between January 2017 and March 2018. Data were collected using a form containing demographic and professional variables and the Compliance with Standard Precautions Scale (Portuguese-Brazilian version); later, analyzed by descriptive and exploratory statistics and a multiple linear regression model.

Results: The global mean score was 12.9 (SD = 2.5). Nursing professionals had statistically significant higher scores (p <0.01) than nurses. There was a significant difference in terms of professional category (p < 0.01)) and education (p <0.01), and marginally significant in relation to age (p = 0.06). There were no differences regarding professional experience (p = 077), participation in training (p = 0.79), and type of hospital (p = 0.13), respectively. Education did not contribute to greater compliance with the measures (p <0.01), nor did higher education (p ≤ 0.01).

Conclusion and implications for practice: Increased education and professional experience did not contribute to greater compliance with the Standards Precautions. By considering aspects of nursing practice, occupational exposure prevention strategies can be reviewed and improved.

Keywords

Infection control; Universal Precautions; Nursing, Team; Occupational Exposure; Communicable Diseases

Resumen

Objetivo: Verificar la observancia de las Precauciones Estándar por parte de profesionales de enfermería, y sus factores asociados.

Método: Estudio descriptivo, transversal, con 522 profesionales de enfermería, realizado en dos hospitales brasileños entre enero de 2017 y marzo de 2018. Datos recolectados mediante formulario incluyendo variables sociodemográficas y profesionales, y Compliance with Standard Precautions Scale (versión Portugués-Brasil); analizados por estadística descriptiva y exploratoria y un modelo de regresión lineal múltiple.

Resultados: Puntaje medio global de 12,9 (DS=2,5). Los auxiliares de enfermería obtuvieron puntajes promedio mayores, estadísticamente significantes (p<0,01) respecto de los enfermeros. Existió diferencia significante respecto de la categoría profesional (p<0,01) y la escolarización (p<0,01); y marginalmente significante en relación a la edad (p=0,06). No hubo diferencias relativas a la experiencia profesional (p=0,77), participación en capacitaciones (p=0,79) y tipos de hospital (p=0,13). La escolarización no contribuyó a una mayor observancia de las medidas (p<0,01), al igual que los estudios superiores (p≤0,01).

Conclusión e Implicaciones para la práctica: Mayores grados de escolarización y experiencia profesional no contribuyeron a la observancia de las Precauciones. En razón de contemplar aspectos de la práctica de enfermería, las estrategias de prevención y exposición profesional merecen ser revisadas y perfeccionadas.

Palabras clave

Control de Infecciones; Precauciones Universales; Grupo de Enfermería; Exposición Profesional; Enfermedades Transmisibles

Resumo

Objetivo: Verificar o cumprimento às Precauções-Padrão por profissionais de enfermagem e fatores associados.

Método: Estudo descritivo, transversal, com 522 profissionais de enfermagem, realizado em dois hospitais brasileiros, entre janeiro de 2017 a março de 2018. Os dados foram coletados por meio de um formulário contendo variáveis demográficas e profissionais e a Compliance with Standard Precautions Scale (versão Português-Brasil); posteriormente, analisados por estatísticas descritivas e exploratórias e um modelo de regressão linear múltiplo.

Resultados: O escore médio global 12,9 (DP=2,5). Técnicos de enfermagem tiveram escores médios estatisticamente significativos maiores (p <0,01) do que enfermeiros. Houve diferença significativa quanto à categoria profissional (p <0,01) e escolaridade (p <0,01), e, marginalmente significativa em relação à idade (p = 0,06). Não houve diferenças quanto à experiência profissional (p = 077), participação em treinamentos (p = 0,79), tipo de hospital (p = 0,13), respectivamente. A escolaridade não contribuiu para um maior cumprimento às medidas (p <0,01), assim como o ensino superior (p ≤ 0,01).

Conclusão e Implicações para a prática: O aumento na escolaridade e experiência profissional não contribuiu para maior cumprimento às Precações. Por contemplar aspectos da prática de enfermagem, estratégias de prevenção de exposição ocupacional podem ser revistas e aperfeiçoadas.

Palavras-chave

Controle de Infecção; Precauções Universais; Equipe de Enfermagem; Exposição Ocupacional; Doenças Transmissíveis

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Submitted date:
07/21/2020

Accepted date:
12/09/2020

67f97f8ba95395736c502743 ean Articles

Esc. Anna Nery

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