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Variables influencing worker compliance with universal precautions in the emergency department.

Authors
O'Boyle Williams-C; Campbell-S; Henry-K; Collier-P
Source
Am J Infect Control 1994 Jun; 22(3):138-148
NIOSHTIC No.
00221838
Abstract
Factors that influenced compliance of health care workers in the emergency department with universal precautions and other practices thought to reduce the transmission of blood born pathogens were investigated. Variables were described using the Health Brief Model. Of the 95 workers in a level-II trauma emergency department of a midwestern, suburban hospital, 56 responded to a questionnaire. Nine of these were physicians, 35 were registered nurses, five were nursing assistants or licensed practical nurses, and two were classed as other. The respondents indicated that they were most likely to perform handwashing after contact with body fluids and to wear gloves when they anticipated contact with blood. Lack of time, feeling that the patients were at lower risk for human immunodeficiency virus or hepatitis-B infections, and interference with technical skills were the reasons most often given for not adhering to universal precautions. Those workers who had a high degree of experience in universal precautions were more likely to use gloves when anticipating blood contact, and were less likely to recap a needle after an intravascular injection or after the drawing of a blood gas sample or even injecting medication into an intravenous line. The authors conclude that an integrated approach is appropriate which would incorporate engineering controls, cognitive approaches, behavior modification strategies, and training experiences to improve skills and dexterity.
Keywords
NIOSH-Publication; NIOSH-Cooperative-Agreement; Health-care-personnel; Risk-factors; AIDS-virus; Infectious-diseases; Viral-infections; Body-fluids; Infection-control; Work-practices
CODEN
AJICDC
Publication Date
19940601
Document Type
Journal Article
Funding Type
Cooperative Agreement
Fiscal Year
1994
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-CCU-902886
Issue of Publication
3
ISSN
0196-6553
Priority Area
AIDS-virus
Source Name
American Journal of Infection Control
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