QUESTIONNAIRE ON STANDARD PRECAUTION KNOWLEDGE: VALIDATION STUDY FOR BRAZILIAN NURSES USE

Valim, Marília Duarte; Pinto, Priscila Aparecida; Marziale, Maria Helena Palucci

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Original Article • Texto contexto - enferm. 26 (3) • 2017 • https://doi.org/10.1590/0104-07072017001190016 copy

QUESTIONNAIRE ON STANDARD PRECAUTION KNOWLEDGE: VALIDATION STUDY FOR BRAZILIAN NURSES USE

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to validate the Knowledge Questionnaire regarding Standard Precautions Measures for Brazilian nurses.

Method:

a methodological exploratory study carried out in health institutions of two municipalities in the interior of São Paulo with 121 nurses. Data were collected through the sociodemographic questionnaire and the standard precautions knowledge questionnaire, adapted for Brazilian Portuguese, both of which were self-applicable.

Results:

the questionnaire showed to be stable and concordant, with an Intraclass Correlation Coefficient of 0.91 and a satisfactory Kappa index. The validation by discriminant groups did not identify a statistically significant difference between the groups of nurses who reported receiving training or not on standard precautions measures (p=0.209).

Conclusion:

the use of this questionnaire can help in the planning and implementation of educational programs aimed at patient and professional safety, focusing on health workers adherence to standard precautions measures.

DESCRIPTORS:
Nursing; Universal precautions; Validation studies; Knowledge, attitudes and practices in health; Occupational risk

Variables	f	%
Gender
Feminine	110	90.9
Masculine	11	9.1
Age group
20 to 30	38	31.4
31 to 40	50	41.3
41 to 50	18	14.9
≥ 51	12	9.9
Missing data	3	2.5
Educational level
3rd level	35	28.8
Incomplete specialization	6	5.0
Specialization	62	51.2
Incomplete Masters Degree	2	1.7
Masters Degree	8	6.6
Incomplete Doctorate Degree	6	5.0
Doctorate Degree	2	1.7
Place of professional practice
University Hospital
Emergency Department	32	26.4
Hospital Clinic	59	48.8
Non university establishments
Philanthropic Municipal Hospital	16	13.2
Private Hospital	7	5.8
Emergency Clinic	7	5.8

Items	Correct	Incorrect	No answer
	f %	f %	f %
1	114 (94.2)	6 (5.0)	1 (0.8)
2	112 (92.5)	9 (7.5)	-
3	15 (12.4)	106 (87.6)	-
4	120 (99.2)	-	1 (0.8)
5	104 (86.0)	16 (13.2)	1 (0.8)
6	120 (99.2)	1 (0.8)	-
7	105 (86.8)	13 (10.8)	3 (2.4)
8	113 (93.4)	8 (6.6)	-
9	117 (96.7)	4 (3.3)	-
10	119 (98.3)	2 (1.7)	-
11	120 (99.2)	1 (0.8)	-
12	121 (100)	-	-
13	118 (97.5)	3 (2.5)	-
14	119 (98.3)	2 (1.7)	-
15	107 (88.4)	14 (11.6)	-
16	52 (43.0)	67 (55.3)	2 (1.7)
17	108 (89.3)	14 (11.4)	-
18	93 (76.8)	28 (23.2)	-
19	21 (17.3)	100 (82.7)	-
20	113 (93.4)	8 (6.6)	-

ICC^† † Interclass coefficient correlation	Confidence Interval^* * p<0,001;
ICC^† † Interclass coefficient correlation	Lower Limit	Upper Limit
0.9 13	0.809	0.961

Standard Precautions Knowledge Questionnaire Items	Kappa	p value
1. Do you know what the standard precautions measures are?	Absent^* * Absent: Kappa statistic could not be calculated in these situations due to the presence of 0 on the concordant diagonal (1.1) and (0.0).	Absent
2. Standard precautions should only be used in patients diagnosed with infection or patients who are in the incubation period for a given infection	1,000	<0,001
3. The adherence to the standard precautions measures has as main objective to protect the health team	Absent	Absent
4. When in contact with blood or any other potentially contaminated materials, wash hands immediately	Absent	Absent
5. Hand hygiene should be performed while providing care to different patients	0,711	<0,001
6. Since gloves may prevent hand contamination, it is not necessary to wash hands after removing gloves	Absent	Absent
7. Contact with objects, materials, equipment, clothing and individuals with contaminated Personal Protective Equipment (SPE) should be avoided	0,650	<0,001
8. PPE should not be shared	Absent	Absent
9. When performing oral care procedures or other procedures that may involve contact with the patient’s mucous membranes, the use of gloves is not mandatory	0,650	<0,001
10. In blood collection or venipuncture procedures, the use of gloves is required	Absent	Absent
11. In procedures where hand contact with secretion or excretion occurs, glove use is required	Absent	Absent
12. Gloves should be changed between care of different patients	Absent	Absent
13. In procedures where there is a possibility of blood, body fluid, secretions or excretions spilling, protective masks or face shields should be used	1,000	<0,001
14. In procedures where there is a possibility of blood, body fluid, secretion or excretion spilling, personal protective goggles or face shields should be worn	Absent	Absent
15. In procedures where there is a possibility of blood, body fluid, secretion or excretion spilling, a protective apron should be worn	0,837	<0,001
16. In situations where blood splatters, body fluid, secretion or excretion may occur, disposable caps and hats should be used	0,682	<0,001
17. It is forbidden to bend or recap needles. When necessary, perform the one-hand recapping method. Disposal containers should be near the handling area	0,632	<0,001
18. When providing nursing care to patients with hepatitis C or syphilis, it is only necessary to adopt the standard precautions measures	0,919	<0,001
19. When providing nursing care to patients with active tuberculosis or chickenpox, it is only necessary to adopt the standard precautions measures in addition to the droplet precautions measures	1,000	<0.001
20. When providing nursing care to patients with intestinal infections or skin infections, standard precautions should be taken in addition to contact precautions	Absent	Absent

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspondence: Marília Duarte Valim, Av. Fernando Corrêa da Costa, n. 2367, 78060-900 - Boa Esperança, Cuiabá, MT, Brasil. E-mail: marilia.duarte.valim@gmail.com