Surgical nurses and compliance with personal protective equipment

Pomeranian Medical University in Szczecin, Stettin, West Pomeranian Voivodeship, Poland
Journal of Hospital Infection (Impact Factor: 2.54). 08/2007; 66(4):346-51. DOI: 10.1016/j.jhin.2007.05.007
Source: PubMed

ABSTRACT The study objectives were to evaluate self-reported compliance with personal protective equipment (PPE) use among surgical nurses and factors associated with both compliance and non-compliance. A total of 601 surgical nurses, from 18 randomly selected hospitals (seven urban and 11 rural) in the Pomeranian region of Poland, were surveyed using a confidential questionnaire. The survey indicated that compliance with PPE varied considerably. Compliance was high for glove use (83%), but much lower for protective eyewear (9%). Only 5% of respondents routinely used gloves, masks, protective eyewear and gowns when in contact with potentially infective material. Adherence to PPE use was highest in the municipal hospitals and in the operating rooms. Nurses who had a high or moderate level of fear of acquiring human immunodeficiency virus (HIV) at work were more likely (P<0.005 and P<0.04, respectively) than staff with no fear to be compliant. Significantly higher compliance was found among nurses with previous training in infection control or experience of caring for an HIV patient; the combined effect of training and experience exceeded that for either alone. The most commonly stated reasons for non-compliance were non-availability of PPE (37%), the conviction that the source patient was not infected (33%) and staff concern that following locally recommended practices actually interfered with providing good patient care (32%). We recommend wider implementation, evaluation and improvement of training in infection control, preferably combined with practical experience with HIV patients and easier access and improved comfort of PPE.

452 Reads
    • "2003 , Ji et al . 2005 , Ganczak & Szych 2007 ) . The Infection Prevention and Control Nurse ( IPCN ) has an important role to play in the prevention and control of HCAIs ( Gould & Brooker 2008 ) . "
    [Show abstract] [Hide abstract]
    ABSTRACT: A study was undertaken involving nursing students and nurse mentors to investigate the experiences and learning needs of nursing students in relation to infection prevention. One of the objectives was to consider the views of both nursing students and mentors towards the Infection Prevention and Control Nurse (IPCN) as an important staff member in infection prevention and control. Infection prevention and control is a national and international priority but compliance with precautions can be low. One reason for this is staff attitudes. Infection Prevention and Control Nurses have an important role to play in the management of patient care through clinical staff and it is therefore important that they are seen as approachable and effective in their role. Using a qualitative approach, data were obtained through semistructured interviews with 31 nursing students and 32 nurse mentors. Interviews were recorded, transcribed and analysed using framework analysis. Three themes emerged: attitudes towards the IPCN, effects of the presence of the IPCN and preferred qualities in IPCNs. Areas for future research are identified and recommendations made to address areas where attitudes may affect both clinical practice and the education of nursing students in clinical placements. Nurse specialists or practitioners, who are often seen within a management role, need to consider how they work with clinical staff in order to foster more collaborative relationships.
    Journal of Nursing Management 07/2012; 20(5):648-58. DOI:10.1111/j.1365-2834.2012.01354.x · 1.50 Impact Factor
  • Source
    • "The main determinant for the use of PPE among agricultural and healthcare workers was perception of risk (Avory and Coggon, 1994; Murphy et al., 1996; Hwang et al., 2000; Mandel et al., 2000; Macfarlane et al., 2008), especially with health staff working in high-risk environments (Linn et al., 1990; Akduman et al., 1999; Ganczak and Szych, 2007). Perception of risk can become a barrier when workers perceive the risk as low because, in such circumstances , they are less convinced of the value of wearing PPE (DeJoy et al., 2000). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Although personal respiratory protection is widely recognized as having a lower priority than reduction of any risk at source, respiratory protective equipment (RPE) is a major part of risk management for many employers. We have identified the key elements of what constitutes an effective risk control programme involving RPE, through a 3-fold approach involving (i) a review of the published scientific literature, (ii) exploring the issue through >40 years of research publications from the Institute of Occupational Medicine (IOM) (in which the ergonomics of personal protection equipment has been a significant thread), and (iii) a series of interviews and discussions with IOM and Health and Safety Executive staff with experience in the testing, prescription, or use of RPE. We have used the findings to formulate a series of recommendations for the constituents of an effective RPE programme. The role of management is paramount in recognizing the need for and providing appropriate RPE, which is both technically and ergonomically effective. Only then does any focus on the role of the employee, in wearing the RPE correctly at the appropriate times, becomes viable.
    Annals of Occupational Hygiene 03/2011; 55(3):230-8. DOI:10.1093/annhyg/meq098 · 2.10 Impact Factor
  • Source
    • "Enligt Socialstyrelsens föreskrifter och allmänna råd (SOSFS 2001:12) om användning och egentillverkning av medicintekniska produkter i hälso-och sjukvård, så är vårdgivaren ansvarig för att medicintekniska produkter underhålls regelbundet och att de utrangeras när de inte längre får användas. Cutter och Jordan (2004), Lymer et al. (2003), Ferguson et al. (2004), Tait et al. (2000) samt Ganczak och Szych (2007) fann i sina studier att vårdpersonalens subjektiva bedömningar av patienter påverkade valet att använda UP. I Hälso-och sjukvårdslagen (SFS 1982:763) beskrivs att målet med hälso-och sjukvården är en god hälsa och en vård på lika villkor för hela befolkningen. "
Show more