Compliance with Standard Precautions and Associated Factors among Critical Care Nurses in Peshawar, Pakistan and Kunming, China: Comparative Cross-Sectional Study

Authors

  • Sajad Hussain Fatima College of Nursing and Health Sciences, Swat
  • Tariq Siraj Qazi Nursing school, Kunming Medical University, China
  • Zhang YING Nursing school, Kunming Medical University, China
  • Adil AHMAD Fatima College of nursing and Health Sciences swat
  • Liu XIANG Technology Achievement Incubation Center, Kunming Medical University, China
  • Kamran Shehzad Ayub teaching hospital Abbottabad

DOI:

https://doi.org/10.37762/jgmds.10-4.449

Keywords:

Compliance, Barriers, Standard Precautions, Health Care Associated Infections, Personal Protective Equipment

Abstract

OBJECTIVES

To find the level of compliance and the associated factors of compliance with standard precautions among registered nurses.

METHODOLOGY

Cross-sectional study was conducted during March and August 2020 in four hospitals, two from each country; Pakistan and China. Data was gathered through a modified version of the adopted questionnaire from 424 registered nurses, selected by a simple random sampling technique. Data were analyzed by SPSS version 26.

RESULTS
The overall compliance with SPs among registered nurses in Pakistan was 57.1%, and among the respondents from China was 75.2%. Gender, age and working area were associated with the compliance of SPs. Female nurses from China are 1.72 times less compliant, while the increasing age of Pakistani nurses increases the risk for non-compliance with SPs by 1.7 times. Participants working in Emergency Department in Pakistan were 2.07 times less compliant than those working in Intensive Care Unit/Coronary Care Unit (ICU/CCU). Lack of training increases the risk of being 2.9 times more non-compliant. For Chinese Nurses, less knowledge and a lack of resources were associated with non-compliance in both countries nurses.

CONCLUSION

Noteworthy numbers of nurses were found non-compliant with standard precaution practices in both study populations. Therefore, strategies like regular training on standard precautions, availability of Personal Protective Equipment and policymaking may improve compliance with SPs practice.

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Author Biographies

Sajad Hussain, Fatima College of Nursing and Health Sciences, Swat

Principal,
Fatima College of Nursing and Health Sciences, Swat

Tariq Siraj Qazi, Nursing school, Kunming Medical University, China

Principal,
Jinnah College of Nursing, Abbottabad

Zhang YING, Nursing school, Kunming Medical University, China

2nd Author

Adil AHMAD, Fatima College of nursing and Health Sciences swat

4th Author

Liu XIANG , Technology Achievement Incubation Center, Kunming Medical University, China

5th Author

Kamran Shehzad, Ayub teaching hospital Abbottabad

6th Author

References

References:

Adebayo O, Labiran A and Imarhiagbe L (2015) Standard Precautions in Clinical Practices: A Review. International Journal of Health Sciences and Research 5: 521–528.

Ankita B and Ipsa M (2021) First year medical students’ and standard precautions: The need for change. Clinical Epidemiology and Global Health 9: 221–226. DOI: 10.1016/j.cegh.2020.09.002.

CDC (2020a) Hand Hygiene Guidance | Hand Hygiene | CDC. Available at: https://www.cdc.gov/handhygiene/providers/guideline.html (accessed 30 July 2022).

CDC (2020b) Standard Precautions. Available at: https://www.cdc.gov/oralhealth/infectioncontrol/summary-infection-prevention-practices/standard-precautions.html (accessed 30 July 2022).

Cheung K, Chan CK, Chang MY, et al. (2015) Predictors for compliance of standard precautions among nursing students. American Journal of Infection Control 43(7): 729–734. DOI: 10.1016/j.ajic.2015.03.007.

Colet PC, Cruz JP, Alotaibi KA, et al. (2017) Compliance with standard precautions among baccalaureate nursing students in a Saudi university: A self-report study. Journal of Infection and Public Health 10(4): 421–430. DOI: 10.1016/j.jiph.2016.06.005.

Fashafsheh I, Ayed A, Koni M, et al. (2016) Midwives and Nurses Compliance with Standard Precautions in Palestinian Hospitals. Open Journal of Nursing 06(04): 294–302. DOI: 10.4236/ojn.2016.64030.

Haile T, Engeda E and Abdo A (2017) Compliance with Standard Precautions and Associated Factors among Healthcare Workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia. Journal of environmental and public health 2017. J Environ Public Health. DOI: 10.1155/2017/2050635.

Jawaid M, Iqbal M and Shahbaz S (2009) Compliance with Standard Precautions: A long way ahead. Iranian Journal of Public Health 38.

Kohn WG, Harte JA, Malvitz DM, et al. (2004) Guidelines for infection control in dental health care settings--2003. Journal of the American Dental Association (1939) 135(1): 33–47. DOI: 10.14219/jada.archive.2004.0019.

Kondor VD (2021) Health Worker Compliance with Infection Prevention and Control Policy in Ghana: A Case Study of La General Hospital. TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH 9(2): 150–161. DOI: 10.21522/TIJPH.2013.09.02.Art014.

Luo Yang, He G-P, Zhou J-W, et al. (2010) Factors impacting compliance with standard precautions in nursing, China. International journal of infectious diseases: IJID: official publication of the International Society for Infectious Diseases 14(12): e1106-1114. DOI: 10.1016/j.ijid.2009.03.037.

Maria Vieira Pereira F, Lam SC, Chan J, et al. (2015) Difference in compliance with Standard Precautions by nursing staff in Brazil versus Hong Kong. American journal of infection control 43. DOI: 10.1016/j.ajic.2015.03.021.

Mortada EM and Zalat MM (2014) Assessment of compliance to standard precautions among surgeons in Zagazig University Hospitals, Egypt, using the Health Belief Model. Journal of The Arab Society for Medical Research 9(1). Medknow Publications: 6. DOI: 10.4103/1687-4293.137319.

Powers D, Armellino D, Dolansky M, et al. (2016) Factors influencing nurse compliance with Standard Precautions. American Journal of Infection Control 44(1): 4–7. DOI: 10.1016/j.ajic.2015.10.001.

Sahiledengle B, Gebresilassie A, Getahun T, et al. (2018) Infection Prevention Practices and Associated Factors among Healthcare Workers in Governmental Healthcare Facilities in Addis Ababa. Ethiopian Journal of Health Sciences 28(2): 177–186. DOI: 10.4314/ejhs.v28i2.9.

Saleem Z, Hassali MA, Godman B, et al. (2019) A multicenter point prevalence survey of healthcare-associated infections in Pakistan: Findings and implications. American Journal of Infection Control 47(4): 421–424. DOI: 10.1016/j.ajic.2018.09.025.

Suliman M, Aloush S, Aljezawi M, et al. (2018) Knowledge and practices of isolation precautions among nurses in Jordan. American Journal of Infection Control 46(6): 680–684. DOI: 10.1016/j.ajic.2017.09.023.

Wang J, Liu F, Tartari E, et al. (2018) The Prevalence of Healthcare-Associated Infections in Mainland China: A Systematic Review and Meta-analysis. Infection Control and Hospital Epidemiology 39(6): 701–709. DOI: 10.1017/ice.2018.60.

WHO (2009a) The Burden of Health Care-Associated Infection. World Health Organization. Available at: https://www.ncbi.nlm.nih.gov/books/NBK144030/ (accessed 30 July 2022).

WHO (2009b) WHO-Recommended Handrub Formulations. World Health Organization. Available at: https://www.ncbi.nlm.nih.gov/books/NBK144054/ (accessed 30 July 2022).

WHO (2011) Report on the Burden of Endemic Health Care-Associated Infection Worldwide. A Systematic Review of the Literature. WHO Document Production Services, Geneva, Switzerland. Available at: https://apps.who.int/iris/bitstream/handle/10665/80135/9789241501507_eng.pdf.

Xiong P, Zhang J, Wang X, et al. (2017) Effects of a mixed media education intervention program on increasing knowledge, attitude, and compliance with standard precautions among nursing students: A randomized controlled trial. American Journal of Infection Control 45(4): 389–395. DOI: 10.1016/j.ajic.2016.11.006.

Yasmin S, Hussain M, Afzal Muhammad, et al. (2017) Factors That Influences on Standard Precautions among Nurses in Tertiary Hospital Lahore Pakistan. Saudi Journal of Medical and Pharmaceutical Sciences 3(8): 917–925. DOI: 10.21276/sjmps.

Zeb A (2019) Factors Affecting Nurses’ Compliance to Standard Precautions in Resource Scarce Settings. American Journal of Biomedical Science & Research 4(5): 384–389. DOI: 10.34297/AJBSR.2019.04.000840.

Zhang Y, Du M, Johnston JM, et al. (2019) Incidence of healthcare-associated infections in a tertiary hospital in Beijing, China: results from a real-time surveillance system. Antimicrobial Resistance & Infection Control 8(1): 145. DOI: 10.1186/s13756-019-0582-7.

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Published

2023-10-01

How to Cite

Hussain, S., Qazi, T. S., YING, Z., AHMAD, A. ., XIANG , L., & Shehzad, K. (2023). Compliance with Standard Precautions and Associated Factors among Critical Care Nurses in Peshawar, Pakistan and Kunming, China: Comparative Cross-Sectional Study. Journal of Gandhara Medical and Dental Science, 10(4), 2–7. https://doi.org/10.37762/jgmds.10-4.449