Background: Standard precautions (SPs) are the minimum healthcare-associated infection (HAI) prevention practice, which is important for preventing HAIs in all healthcare settings. This study aimed to investigate adherence to SPs using a survey and surveillance, and the factors affecting observed adherence to SPs.
Methods: This study included 163 clinical nurses who were directly involved in patient care to examine the adherence to SPs. We compared the adherence according to the investigative methods and represented them by box plots. Quantile regression analysis was used to identify the factors affecting the observed adherence to SPs to determine the factors influencing each adherence quantile.
Results: The observed adherence to SPs was 76.8 out of 100 points, while the self-reported adherence to SPs was approximately 95 points. Among the SP components, the observed adherence to hand hygiene was under 70 points, which was the lowest score. The statistically significant factors were self-reported adherence and work experience in the 25% quantile, self-reported adherence and working department in the 50% quantile, and nothing in the 75% quantile.
Conclusion: Since inadequate adherence to SPs might lead to increase HAIs, we should consider both individual and organizational risk factors and construct prevention strategies for adequate adherence to SPs.

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Posted 05 Apr, 2021
Posted 05 Apr, 2021
Background: Standard precautions (SPs) are the minimum healthcare-associated infection (HAI) prevention practice, which is important for preventing HAIs in all healthcare settings. This study aimed to investigate adherence to SPs using a survey and surveillance, and the factors affecting observed adherence to SPs.
Methods: This study included 163 clinical nurses who were directly involved in patient care to examine the adherence to SPs. We compared the adherence according to the investigative methods and represented them by box plots. Quantile regression analysis was used to identify the factors affecting the observed adherence to SPs to determine the factors influencing each adherence quantile.
Results: The observed adherence to SPs was 76.8 out of 100 points, while the self-reported adherence to SPs was approximately 95 points. Among the SP components, the observed adherence to hand hygiene was under 70 points, which was the lowest score. The statistically significant factors were self-reported adherence and work experience in the 25% quantile, self-reported adherence and working department in the 50% quantile, and nothing in the 75% quantile.
Conclusion: Since inadequate adherence to SPs might lead to increase HAIs, we should consider both individual and organizational risk factors and construct prevention strategies for adequate adherence to SPs.

Figure 1

Figure 2
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