Monitoring adherence to Standard Precautions

Kimberly D. McCoy, Susan E. Beekmann, Kristi J. Ferguson, Thomas E. Vaughn, James C. Torner, Robert F. Woolson, Bradley Doebbeling

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Background: Health care workers (HCWs) do not consistently follow Standard Precautions (SP). This is a serious problem because inadequate compliance is associated with increased blood exposure thus predisposing HCWs to bloodborne pathogen transmission. Methods: The primary goal of this study was to identify institutional factors associated with adequacy of HCW training to monitor coworkers' adherence to SP. Surveys were sent to all community hospital infection control practitioners (ICPs) in Iowa and Virginia. ICPs indicated on a 5-point Likert scale, ranging from strongly disagree to strongly agree, their assessment of HCW training adequacy. Data from another statewide survey of HCWs in Iowa were assessed to validate this outcome measure. Multiple logistic regression models were developed to identify predictors of assessed training adequacy. Independent variables included methods of education, training, approaches to SP compliance assessment, provision of SP reinforcement by clinical leaders, and organizational data. Results: A total of 149 institutions (62%) participated. Models of training program adequacy varied across occupations. Management commitment to SP training programs, leadership support, frequency of providing bloodborne pathogen information, and safety climate were important institutional predictors of assessed adequacy of training. The outcome was validated by demonstrating an association between the ICPs' assessment of HCW training and workers who reported having sufficient information to comply with SP (P <.05). Conclusions: Institutional safety climate, leadership support, and frequency of education play an important role in HCWs' training adequacy to monitor coworkers' adherence to SP. Occupational groups should be considered independently when strategies are developed to increase compliance. Interventions based on modifiable factors identified by this study may reduce bloodborne pathogen exposure among HCWs.

Original languageEnglish (US)
Pages (from-to)24-31
Number of pages8
JournalAmerican Journal of Infection Control
Volume29
Issue number1
DOIs
StatePublished - 2001
Externally publishedYes

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Infection Control Practitioners
Delivery of Health Care
Blood-Borne Pathogens
Compliance
Education
Climate
Logistic Models
Health Care Surveys
Safety
Occupational Groups
Infectious Disease Transmission
Community Hospital
Cross Infection
Occupations
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Microbiology
  • Infectious Diseases

Cite this

McCoy, K. D., Beekmann, S. E., Ferguson, K. J., Vaughn, T. E., Torner, J. C., Woolson, R. F., & Doebbeling, B. (2001). Monitoring adherence to Standard Precautions. American Journal of Infection Control, 29(1), 24-31. https://doi.org/10.1067/mic.2001.111226

Monitoring adherence to Standard Precautions. / McCoy, Kimberly D.; Beekmann, Susan E.; Ferguson, Kristi J.; Vaughn, Thomas E.; Torner, James C.; Woolson, Robert F.; Doebbeling, Bradley.

In: American Journal of Infection Control, Vol. 29, No. 1, 2001, p. 24-31.

Research output: Contribution to journalArticle

McCoy, KD, Beekmann, SE, Ferguson, KJ, Vaughn, TE, Torner, JC, Woolson, RF & Doebbeling, B 2001, 'Monitoring adherence to Standard Precautions', American Journal of Infection Control, vol. 29, no. 1, pp. 24-31. https://doi.org/10.1067/mic.2001.111226
McCoy KD, Beekmann SE, Ferguson KJ, Vaughn TE, Torner JC, Woolson RF et al. Monitoring adherence to Standard Precautions. American Journal of Infection Control. 2001;29(1):24-31. https://doi.org/10.1067/mic.2001.111226
McCoy, Kimberly D. ; Beekmann, Susan E. ; Ferguson, Kristi J. ; Vaughn, Thomas E. ; Torner, James C. ; Woolson, Robert F. ; Doebbeling, Bradley. / Monitoring adherence to Standard Precautions. In: American Journal of Infection Control. 2001 ; Vol. 29, No. 1. pp. 24-31.
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