Universal precautions training of preclinical students: impact on knowledge, attitudes, and compliance.
Diekema-DJ; Schuldt-SS; Albanese-MA; Doebbeling-BN
Prev Med 1995 Nov; 24(6):580-585
An educational and practical training program to instruct second year medical students and preclinical physician assistants (PA) in universal precautions and safe performance of invasive procedures was developed and assessed. Initial training included lectures, videotapes, and a question and answer period. During practical training, small groups were instructed by residents on the safe methods of phlebotomy and intravenous catheter insertion. Knowledge was assessed during a 1 week period before and after didactic training through a questionnaire with 16 true/false statements on key precaution concepts. Attitudes were measured with nine point Likert scales before and after training. Compliance was assessed by instructors during practical training sessions. A total of 151 medical students and 19 PA participated. The results of the two groups of students were not significantly different. Knowledge of precautions significantly increased after training, from a mean of 85% correct answers to 98% correct. Attitudes about wearing gloves was the same before and after training, but attitudes about recapping needles became significantly more important after training. Students assessed their risk of contracting human immunodeficiency virus (HIV) or hepatitis-B from patients as significantly less after training. Overall, 88% of students successfully performed phlebotomy and 83% successfully inserted catheters. Compliance was excellent for glove use, good for sharps disposal, but only fair for hand washing after glove removal. Willingness to care for HIV patients increased after training. The authors conclude that this training combined with discussions of professional ethics may accentuate willingness to care for HIV and other high risk patients.
NIOSH-Publication; NIOSH-Grant; Grants-other; Health-care-personnel; Questionnaires; Workplace-studies; AIDS-virus; Viral-infections; Infection-control; Occupational-medicine; Universal-precautions; Infectious-diseases; Bloodborne-pathogens
Internal Medicine University of Iowa 200 Hawkins Drive Iowa City, IA 52242
University of Iowa, Iowa City, Iowa