Attitudes of Student Nurses’ towards Adherence to Standard Precautions in the Clinical Area at a Large Teaching Hospital in Uganda
Abstract:
Standard
precautions guidelines are the effective cornerstone W.H.O and CDCC measures of
infection control and management used to reduce healthcare associated infections
among healthcare workers and patients. However, healthcare workers especially students
do not always adhere to them. The purpose of this study was to assess attitudes
of student nurses and midwives towards adhering to standard precautions. A quantitative,
exploratory study using a self-report questionnaire was carried out on 53 third
year diploma nursing and midwifery students at a large teaching hospital in Uganda.
Only 81% of the respondents scored at least 80% on the attitude scale that was measured
using constructs from Rosenstock's, (1974) Health Belief Model. The construct of
perceived benefits (84.9%), self-efficacy (63.5%), and perceived barriers (62.3%)
rated higher than the rest. The attitudes towards adherence to standard precautions
was lower than expected, revealing a gap that may lead to nonadherence to SP and
continued predisposition to nosocomial infections in the hospital setting. Findings
had implications for nurse educators, administrators, and practitioners to promote
nurse’s attitudes towards adherence to standard precautions.
Keywords: Standard precautions, universal precautions, occupational risks, nosocomial
infections, compliance, adherence, health belief model, nurses, healthcare workers.
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