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Quan M.,the Affiliated Hospital of Zunyi Medical College | Wang X.,The Zunyi Medical College | Wu H.,the Affiliated Hospital of Zunyi Medical College | Yuan X.,the Affiliated Hospital of Zunyi Medical College | And 3 more authors.
International Journal of Clinical and Experimental Medicine | Year: 2015

Aims: To investigate how specific factors, including knowledge, attitude, use of protective devices, safety climate, workload, and nurses’ behaviors can influence standard precautions in China through structural equation modeling techniques. Background: Although a number of empirical studies have been conducted, an investigation of how multiple variables influence behaviors of standard precautions among the nurses is still needed. Methods: The study was conducted by selecting registered nurses from 25 public hospitals that operate approximately 500 beds located in different areas of Guizhou Province in China. An anonymous, self-administered questionnaire was distributed to 1000 nurses, and 964 (96.4%) completed questionnaires were returned. exploratory factor analysis was employed to examine associations of attitudes, protective devices, safety climate, workload, and nurses’ behaviors with standard precautions. The identified factors were integrated in the proposed structural equation model. Findings: Protective devices had a positive and major influence on nurses’ use of standard precautions. Knowledge had a positive impact on the use of standard precautions through attitude mediation, and the safety climate had a positive impact on the use of standard precautions. In contrast, increasing workload had a negative effect on the use of standard precautions. The factors affecting the use of standard precautions among nurses in order of decreasing effect size were: protective devices, knowledge, attitude, safety climate, and workload. Conclusions: This study offer valuable information for healthcare management regarding the use of standard precautions to reduce occupational exposure among nurses. © 2015, International Journal of Clinical and Experimental Medicine. All rights reserved. Source

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