Behavioral-diagnostic analysis of compliance with universal precautions among nurses.
DeJoy-DM; Searcy-CA; Murphy-LR; Gershon-RR
J Occup Health Psychol 2000 Jan; 5(1):127-141
This study used the PRECEDE model (L.W. Green, M.W. Kreuter, S.G. Deeds, & K.B. Partridge, 1980) to examine individual, job-task, and environmental-organizational factors related to compliance with universal precautions (UP) among nurses. Structural equation modeling showed that the hypothesized model did a better job predicting general compliance (R2 = .41) than compliance with personal protective equipment (PPE; R2 = .18). All 3 categories of diagnostic factors (predisposing, enabling, and reinforcing) influenced general compliance, but predisposing factors were relatively unimportant for compliance with PPE. With a set of nested models, the greatest improvement in model fit occurred when the indirect effects of reinforcing factors were added. A positive safety climate may increase the likelihood that the work environment will contain features that enable workers to comply with safe work practices.
Behavior; Behavior-patterns; Behavioral-testing; Nurses; Nursing; Health-care-personnel; Environmental-factors; Models; Personal-protective-equipment; Work-practices; Work-environment
David M. DeJoy, Department of Health Promotion and Behavior, 300 River Road, University of Georgia, Athens, GA 30602-6522
Journal of Occupational Health Psychology
Johns Hopkins University, Baltimore, Maryland