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      Cumplimiento de las medidas de precaución estándar por profesionales sanitarios: comparación entre dos hospitales Translated title: Compliance with standard precaution measures by health professionals: comparison between two hospitals Translated title: Cumprimento das medidas de precauções-padrão por profissionais de saúde: comparação entre dois hospitais

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          Abstract

          RESUMEN: Objetivo: Evaluar el cumplimiento de las precauciones estándar por parte de los profesionales de la salud en dos hospitales. Método: Se trata de un estudio descriptivo, con abordaje cuantitativo, realizado en dos hospitales del Estado de Rio de Janeiro. La muestra está compuesta por profesionales de la salud que trabajan en la asistencia. Estudio desarrollado en el período comprendido entre febrero de 2019 y febrero de 2020. Para la recolección de datos se utilizó lo siguiente: 1- Formulario de información individual y profesional; 2- Versión en portugués brasileño de la Escala de Cumplimiento de Precauciones Estándar. Los datos se analizaron mediante estadística descriptiva y pruebas de hipótesis. Resultados: El estudio incluyó a 366 (100,0%) profesionales de la salud. La puntuación global de cumplimiento de las precauciones estándar fue de 13,4 (66,8%), con un rango de 4 a 20. En cuanto a la media de las puntuaciones entre las instituciones, los profesionales del hospital 1 tuvieron una media de 12,6 y el hospital 2 mostró un cumplimiento de 13,6. Conclusiones: El cumplimiento de las precauciones estándar entre los profesionales de la salud no se produjo en su totalidad.

          Translated abstract

          ABSTRACT: Objective: To assess compliance with standard precautions by health professionals in two hospitals. Method: This is a descriptive study, with a quantitative approach, conducted in two hospitals in the State of Rio de Janeiro. The sample is composed of health professionals who work in health care. Study developed in the period between February 2019 and February 2020. In order to collect data, the we used: 1- Individual and professional information form; 2- Brazilian Portuguese version of the Compliance with Standard Precautions Scale. Data were analyzed using descriptive statistics and hypothesis tests. Results: The study was attended by 366 (100.0%) health professionals. The overall score of compliance with standard precautions was 13.4 (66.8%), ranging from 4 to 20. As for the average of the scores between the institutions, the professionals from hospital 1 had an average of 12.6 and those from hospital 2 showed a compliance of 13.6. Conclusions: Compliance with standard precautions among health professionals did not happen in its entirety.

          Translated abstract

          RESUMO: Objetivo: Avaliar o cumprimento às precauções-padrão por profissionais de saúde de dois hospitais. Método: Trata-se de um estudo descritivo, de abordagem quantitativa, realizado em dois hospitais do Estado do Rio de Janeiro. A amostra é composta por profissionais de saúde que atuam na assistência. Estudo desenvolvido no período entre fevereiro de 2019 até fevereiro de 2020. Para a coleta de dados foram utilizados: 1- Formulário de informações individuais e profissionais; 2- Versão para o Português do Brasil da Compliance with Standard Precautions Scale. Os dados foram analisados utilizando estatística descritiva e testes de hipótese. Resultados: Participaram do estudo 366 (100,0%) profissionais de saúde. O escore geral de cumprimento das precauções-padrão foi de 13,4 (66,8%) variando entre 4 e 20. Quanto a média dos escores entre as instituições, os profissionais do hospital 1 obtiveram uma média de 12,6 e o hospital 2 apresentou 13,6 de cumprimento. Conclusões: O cumprimento às precauções-padrão entre profissionais de saúde não aconteceu em sua totalidade.

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          Universal to standard precautions in disease prevention: preliminary development of compliance scale for clinical nursing.

          The Center for Disease Control and Prevention revised the infection control practice from Universal Precautions to Standard Precautions in 1996. Although the practice of Standard Precautions has been implemented for almost 15 years in clinical settings, recent local research still adopts the Universal Precautions Scale to measure the compliance with the current infection control practice of general frontline nursing staff and students. Despite the scale's sound psychometric properties, that its items may not be sensitive and comprehensive enough to reflect the current compliance of frontline staff to Standard Precautions is questionable.
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            Motivos e consequências da baixa adesão às precauções padrão pela equipe de enfermagem

            RESUMO As precauções padrão (PP) são recomendações para prevenir infecções e proteger os trabalhadores de saúde durante a prestação de cuidados. Porém, constata-se baixa adesão a estas recomendações. Objetivo Analisar os motivos e as consequências da baixa adesão às PP pela equipe de enfermagem. Método Revisão integrativa da literatura, busca em sete bases de dados, período de 2005 a 2014. Resultados 30 artigos foram selecionados para análise. Os motivos da baixa adesão evidenciados relacionam-se a práticas deficitárias de educação permanente, comportamentos de risco de trabalhadores, provisão de material e equipamentos de proteção inadequados e condições de trabalho inadequadas. As consequências são os acidentes e as doenças do trabalho. Os estudos de intervenção são escassos e limitam-se à educação dos profissionais. Conclusões A baixa adesão às PP está vinculada a aspectos individuais dos trabalhadores e às instituições empregadoras e formadoras. As estratégias de intervenção realizadas mostram-se pouco eficientes por focar apenas o trabalhador.
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              Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, Ghana

              Background Implementing standard precautions (SP) has been a major challenge for health care workers (HCWs) especially those in developing countries thereby compromising their safety and increasing their exposure to blood-related pathogens. Compliance with safety precautions and occupational accidents among health workers are often unreported. The literature on knowledge and compliance to SP in Ghana is scanty. We report findings of a study that examined knowledge of SP, compliance and barriers to compliance with SP among HCWs in two health facilities in Ghana. Methods This is a facility-based cross-sectional study involving 100 HCWs from two health facilities in the Lower Manya Krobo District of the Eastern region. Statistical analysis summarised data on socio-demographic characteristics of respondents, knowledge of SP and compliance and barriers to SP in frequencies and percentages. Results Most respondents had been working as health staff for 0–5 years (65.0%). Generally, knowledge of the basic concepts of SP was low; only 37.0% of HCWs knew that SP includes hand washing before and after any direct contact with the patient, 39.0% knew about cough etiquettes and 40.0% knew about aseptic techniques which involve infection prevention strategies to minimise the risks of infection. Fifty percent of respondents always protect themselves against BBFs of patients. About a quarter of the respondents do not recap needles after use and 28.0% of respondents sometimes promptly wipe all blood spills. HCWs were of the opinion that wearing PPEs—such as gloves, aprons, gowns and goggles—might cause patients to panic sometimes (63.0%) and complying with SP sometimes interferes with the ability to provide care (38.0%). Sometimes, because of the demands of patient care, HCWs do not have enough time to comply with the rigours of SP (44.0%) and sometimes PPEs are not available. Conclusion Education programmes on the benefits of SP should be organised frequently. The OHS national policy together with the application of the IPC training manual in all health care facilities must be enforced. Communities of practice should be established and sanctions and rewards should be introduced to limit negative behavior and reinforce positive attitudes as regards SP.
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                Author and article information

                Journal
                eg
                Enfermería Global
                Enferm. glob.
                Universidad de Murcia (Murcia, Murcia, Spain )
                1695-6141
                2022
                : 21
                : 65
                : 1-42
                Affiliations
                [2] orgnameUniversidad Federal del Estado de Rio de Janeiro Brasil
                [1] Rio de Janeiro orgnameUniversidade Federal Fluminense Brazil priscilabrandao@ 123456id.uff.br
                [3] orgnameTung Wah College Hong Kong
                Article
                S1695-61412022000100001 S1695-6141(22)02106500001
                10.6018/eglobal.484091
                37c9ef8f-5cbf-4eb5-b990-b961c51791e9

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 21 September 2021
                : 21 June 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 42
                Product

                SciELO Spain

                Categories
                Originales

                Infection Control,Universal Precautions,Health Personnel,Control de infecciones,Precauciones universales,Personal de salud,Controle de infecções,Precauções universais,Pessoal de saúde

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