Adherence to standard precautions of nurses working in intensive care at a university hospital

Pereira, Fernanda Maria Vieira; Malaguti-Toffano, Silmara Elaine; Silva, Adriana Maria da; Canini, Silvia Rita Marin da Silva; Gir, Elucir

doi:10.1590/S0080-623420130000300023

Acessibilidade / Reportar erro

Brasil

Revista da Escola de Enfermagem da USP

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

• Rev. esc. enferm. USP 47 (3) • June 2013 • https://doi.org/10.1590/S0080-623420130000300023 copy

Adherence to standard precautions of nurses working in intensive care at a university hospital^* * Extracted from the dissertation, "Adesão às precauções-padrão por profi ssionais de enfermagem que atuam em terapia intensiva de um hospital universitário do interior paulista" School of Nursing, Universidade de São Paulo - Ribeirão Preto, 2011.

Authorship SCIMAGO INSTITUTIONS RANKINGS

This study evaluated individual factors relating to work and the organization, related to adherence to standard precautions for nurses working in intensive care. It was a cross-sectional study conducted in a large hospital with 178 professionals. For data collection, Likert-type psychometric scales were used. In the Adherence Scale to Standard Precautions we obtained a score of 4.45 (SD=0.27), classified as intermediate. There was a correlation when compared with the individual risk factors of the Scale of the Risk Personality (r =- 0.169, p=0.024) and the factors related to working with the barriers of the Scale for following standard precautions (r =- 0.359, p=0.000). Adherence to standard precautions among the nursing professionals was intermediate. Individual factors and factors related to work influenced the adherence to standard precautions.

Universal precautions; Intensive care; Nursing; team; Occupational health

Variables	Nº	%
P r o f e ss i o n a l Category
Nurse	54	30.3
Technical Nurse	30	16.9
Nursing Assistant	94	52.8

Sex
Feminine	141	79.2
Masculine	37	20.8

Age ( year s )
20\|–\|29	48	27.0
30\|–\|39	72	40.4
40\|–\|49	38	21.3
50 or more	20	11.2

Time in function ( years) ≤ 0 5
≤05	53	29.8
06\|–\|10	59	33.1
11\|–\|20	42	23.6
> 21	24	13.5

Quantity of jobs
1	117	65.7
2	59	33.1
>3	02	1.1

Worked hours per week
≤39	72	40.4
40\|–\|49	27	15.2
>50	79	44.4

Training in the hospital
Yes	167	93.8
No	11	6.2

Standard Precautions Adherence Scale Items	Always	Many times	Sometimes	Rarely	Never
Standard Precautions Adherence Scale Items	%	%	%	%	%
1. Discarded sharp objects in proper containers	97.8	1.7	0.6	0	0
2. Handled all the patients as if they were infected with HIV	61.2	19.7	11.2	3.4	4.5
3. Followed standard precautions (SP) with all patients regardless of diagnosis	67.4	24.2	6.7	1.7	0
4. Washed hands after removing disposable gloves	84.3	13.5	2.2	0	0
5. Used protective apron when there was a possibility of soiling clothes with blood or other secretions	78.1	17.4	3.4	1.1	0
6. Used disposable gloves when there was a possibility of contact with blood or other secretions	90.4	7.9	1.7	0	0
7. Used protective goggles when there was a possibility of splashing the eyes with blood or other secretions	58.4	27.0	10.7	3.4	0.6
8. Used disposable mask when there was possibility of splashing the mouth with blood or other secretions	75.8	15.7	6.7	1.7	0
9. Cleaned bloodshed or other secretions immediately with disinfectant	55.6	21.3	15.7	5.1	2.2
10. Carefully handled scalpels or other sharp objects	97.8	1.1	0.6	0	0.6
11. Recapping needles	4.5	6.2	17.4	18.5	53.4
12. Wore gloves to puncture the patients vein	77.0	14.6	6.2	2.2	0
13. Considered all materials in contact with patients saliva to be contaminated	86.5	8.4	4.5	0.6	0

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence: Fernanda Maria Vieira Pereira Rua Aldo Focosi, 320 - Apto. 310 - Presidente Médici CEP 14091-310- Ribeirão Preto, SP, Brasil