Knowledge, Attitude, and Compliance to Standard Precautions Among UNIMAS Nursing Students
DOI:
https://doi.org/10.33736/tur.4536.2022Keywords:
Knowledge, Attitude, Compliance, Standard Precaution, Nursing StudentsAbstract
Standard precautions pertain to the minimum standards of infection prevention practices that apply to patient care, regardless of confirmed or suspected infection status among patients in any setting where medical care is given. These practice guidelines not only help to minimize the spread of infection among patients but also help to avoid healthcare workers from contracting infections when caring for patients. Nursing students are equally at risk to exposure to infections during their clinical attachments in the healthcare setting. Hence, this study aims to assess the level of knowledge, attitude, and compliance toward standard precautions among undergraduate nursing students in Universiti Malaysia Sarawak (UNIMAS). It also aims to identify the associations between knowledge, attitude, and compliance toward standard precautions among UNIMAS nursing students. Data was collected from a total of 167 participants using a self-administered questionnaire which was disseminated online via Google Forms. The data collection tool consisted of a 46-item structured questionnaire in 4-parts investigating participant’s sociodemographic profile, knowledge, attitude and compliance towards standard precautions. Study participants consisted of students from the Bachelor of Science in Nursing (with honours) Programme in UNIMAS. Data collected were entered into a Microsoft Excel spreadsheet and was further analyzed using IBM SPSS version 26. Majority of participants in the study demonstrated very good (46.7%, n=78) and good knowledge (50.9%, n=85) levels while only a minority demonstrated fair knowledge (2.4%, n=4) with none exhibiting low knowledge levels toward standard precautions. Most nursing students (97.6%, n=163) investigated in this study showed positive attitudes toward standard precautions practices. Most study participants self-reported their compliance toward standard precaution practices as high (89.8%, n=150) with a minority reporting average (7.8%, n=13), low (0.6%, n=1) and very low (1.8%, n=3) compliance respectively. Further analyses revealed significant correlations between knowledge and attitude (r= .165, p=.033, p< .05); and attitude and compliance (r= -.505, p=.000, p< .05) with no significant correlations between knowledge and compliance (r= -.036, p=.645, p> .05). Undergraduate nursing students of UNIMAS in this study demonstrated desirably good knowledge levels and positive attitudes with a high level of compliance toward standard precautions practices. Despite the overall desirable findings, there is still room for targeted improvements in the undergraduate programme delivery specifically aimed at misconceptions regarding the use of personal protection equipment (PPE) to maintain and further enhance student’s knowledge, attitudes and compliance toward standard precautions.
References
Almoghrabi, R., Aldosari, N., Bakhsh, A., Al Garni, F., Alseragi, E., & Omer, T. (2018). Standard precaution among nurses in primary health care centers: Knowledge and compliance. IOSR Journal of Nursing and Health Science, 7(4), 57-63.
Amin, T. T., Al Noaim, K. I., Saad, M. A. B., Al Malhm, T. A., Al Mulhim, A. A., & Al Awas, M. A. (2013). Standard precautions and infection control, medical students' knowledge and behavior at a Saudi university: the need for change. Global Journal of Health Science, 5(4), 114.
https://doi.org/10.5539/gjhs.v5n4p114
Angaw, D. A., Gezie, L. D., & Dachew, B. A. (2019). Standard precaution practice and associated factors among health professionals working in Addis Ababa government hospitals, Ethiopia: a cross-sectional study using multilevel analysis. BMJ Open, 9(10), e030784.
https://doi.org/10.1136/bmjopen-2019-030784
Balami, L. G., Ismail, S., Saliluddin, S. M., & Garba, S. H. (2017). Role of knowledge and attitude in determining standard precaution practices among nursing students. International Journal of Community Medicine and Public Health, 4(2), 560-564.
https://doi.org/10.18203/2394-6040.ijcmph20170291
Beyamo, A., Dodicho, T., & Facha, W. (2019). Compliance with standard precaution practices and associated factors among health care workers in Dawuro Zone, South West Ethiopia, cross sectional study. BMC Health Services Research, 19, 381.
https://doi.org/10.1186/s12913-019-4172-4
Cambridge University Press (2021). Attitude. In Cambridge Advanced Learner's Dictionary & Thesaurus. https://dictionary.cambridge.org/dictionary/english/attitude
Cambridge University Press (2021). Knowledge. In Cambridge Advanced Learner's Dictionary & Thesaurus. https://dictionary.cambridge.org/dictionary/english/knowledge
Cambridge University Press (2021). Compliance. In Cambridge Advanced Learner's Dictionary & Thesaurus. https://dictionary.cambridge.org/dictionary/english/compliance
Centers for Diseases Control and Prevention. (2018). Standard Precautions. Retrieved from https://www.cdc.gov/oralhealth/infectioncontrol/summary-infection-prevention-practices/standard-precautions.html
Cherry, K., (2019). How Does the Cross-Sectional Research Method Work? Verywell mind. https://www.verywellmind.com/what-is-a-cross-sectional-study-2794978#:~:text=A%20cross%2Dsectional%20study%20involves,on%20particular%20variables%20of%20interest
Cheung, K., Chan, C. K., Chang, M. Y., Chu, P. H., Fung, W. F., Kwan, K. C., Lau, M.Y., Li, W.K. & Mak, H. M. (2015). Predictors for compliance of standard precautions among nursing students. American Journal of Infection Control, 43(7), 729-734.
https://doi.org/10.1016/j.ajic.2015.03.007
Darawad, M. W., & Al-Hussami, M. (2013). Jordanian nursing students' knowledge of, attitudes towards, and compliance with infection control precautions. Nurse Education Today, 33(6), 580-583.
https://doi.org/10.1016/j.nedt.2012.06.009
Donati, D., Biagioli, V., Cianfrocca, C., De Marinis, M. G., & Tartaglini, D. (2019). Compliance with standard precautions among clinical nurses: Validity and reliability of the Italian version of the Compliance with Standard Precautions Scale (CSPS-It). International Journal of Environmental Research and Public Health, 16(1), 121.
https://doi.org/10.3390/ijerph16010121
García-Zapata, M. R. C., e Souza, A. C. S., Guimarães, J. V., Tipple, A. F. V., Prado, M. A., & García-Zapata, M. T. A. (2010). Standard precautions: knowledge and practice among nursing and medical students in a teaching hospital in Brazil. International Journal of Infection Control, 6(1).
https://doi.org/10.3396/ijic.v6i1.005.10
Glenn, S. (2018). Total Population Sampling. Statistics How To. https://www.verywellmind.com/what-is-a-cross-sectional-study-2794978#:~:textA%20cros%2Dsectional%20study%20involves,on%20particular%20of%20interest
Hamid, M. Z. A., Aziz, N. A., Anita, A. R., & Norlijah, O. (2010). Knowledge of blood-borne infectious diseases and the practice of universal precautions amongst health-care workers in a tertiary hospital in Malaysia. Southeast Asian Journal of Tropical Medicine and Public Health, 41(5), 1192.
Kim, K. M., Kim, M. A., Chung, Y. S., & Kim, N. C. (2001). Knowledge and performance of the universal precautions by nursing and medical students in Korea. American Journal of Infection Control, 29(5), 295-300.
https://doi.org/10.1067/mic.2001.114837
Labrague, L. J., Rosales, R. A., & Tizon, M. M. (2012). Knowledge of and compliance with standard precautions among student nurses. International Journal of Advanced Nursing Studies, 1(2), 84-97.
https://doi.org/10.14419/ijans.v1i2.132
Laerd Statistics (2018). Spearman's Rank Order Correlation using SPSS Statistics. https://statistics.laerd.com/spss-tutorials/spearmans-rank-order-correlation-using-spss-statistics.php
Lam, S. C., Fung, E. S. S., Hon, L. K. Y., Ip, M. P. Y., & Chan, J. H. T. (2010). Nursing students' compliance with universal precautions in Hong Kong. Journal of Clinical Nursing, 19(21‐22), 3247-3250.
https://doi.org/10.1111/j.1365-2702.2010.03419.x
Lam, S. C. (2014). Validation and cross-cultural pilot testing of compliance with standard precautions scale: self-administered instrument for clinical nurses. Infect Control Hosp Epidemiol, 35(5), 547-55.
https://doi.org/10.1086/675835
Luo, Y., He, G. P., Zhou, J. W., & Luo, Y. (2010). Factors impacting compliance with standard precautions in nursing, China. International Journal of Infectious Diseases, 14(12), e1106-e1114.
https://doi.org/10.1016/j.ijid.2009.03.037
Mohd-Nor, N., & Bit-Lian, Y. (2019). Knowledge, Attitude and Practices of Standard Precaution among Nurses in Middle-East Hospital. SciMedicine Journal, 1(4), 189-198.
https://doi.org/10.28991/SciMedJ-2019-0104-4
Permana, M. A. B., & Hidayah, N. (2017). The influence of health workers' knowledge, attitude and compliance on the implementation of standard precautions in preventions of hospital-acquired infections at PKU Muham-madiyah Bantul Hospital. Journal of Hospital & Medical Management, 3(2), 16-21.
https://doi.org/10.4172/2471-9781.100035
Pereira, F. M. V., Lam, S. C., Chan, J. H. M., Malaguti-Toffano, S. E., & Gir, E. (2015). Difference in compliance with Standard Precautions by nursing staff in Brazil versus Hong Kong. American Journal of Infection Control, 43(7), 769-772.
https://doi.org/10.1016/j.ajic.2015.03.021
Sax, H., Perneger, T., Hugonnet, S., Herrault, P., Chraïti, M. N., & Pittet, D. (2005). Knowledge of standard and isolation precautions in a large teaching hospital. Infection Control and Hospital Epidemiology, 26(3), 298-304.
https://doi.org/10.1086/502543
Talas, M. S. (2009). Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training: frequency of needlestick/sharp injuries and hepatitis B immunisation. Journal of Clinical Nursing, 18(10), 1394-1403.
https://doi.org/10.1111/j.1365-2702.2008.02523.x
Tavolacci, M. P., Ladner, J., Bailly, L., Merle, V., Pitrou, I., & Czernichow, P. (2008). Prevention of nosocomial infection and standard precautions: knowledge and source of information among healthcare students. Infection Control and Hospital Epidemiology, 29(7), 642-647.
https://doi.org/10.1086/588683
Zeb, A., Muhammad, D., & Khan, A. (2019). Factors Affecting Nurses' Compliance to Standard Precautions in Resource Scarce Settings. American Journal of Biomedical Science & Research, 4(5).
Downloads
Published
How to Cite
Issue
Section
License
Copyright Transfer Statement for Journal
1) In signing this statement, the author(s) grant UNIMAS Publisher an exclusive license to publish their original research papers. The author(s) also grant UNIMAS Publisher permission to reproduce, recreate, translate, extract or summarize, and to distribute and display in any forms, formats, and media. The author(s) can reuse their papers in their future printed work without first requiring permission from UNIMAS Publisher, provided that the author(s) acknowledge and reference publication in the Journal.
2) For open access articles, the author(s) agree that their articles published under UNIMAS Publisher are distributed under the terms of the CC-BY-NC-SA (Creative Commons Attribution-Non Commercial-Share Alike 4.0 International License) which permits unrestricted use, distribution, and reproduction in any medium, for non-commercial purposes, provided the original work of the author(s) is properly cited.
3) For subscription articles, the author(s) agree that UNIMAS Publisher holds copyright, or an exclusive license to publish. Readers or users may view, download, print, and copy the content, for academic purposes, subject to the following conditions of use: (a) any reuse of materials is subject to permission from UNIMAS Publisher; (b) archived materials may only be used for academic research; (c) archived materials may not be used for commercial purposes, which include but not limited to monetary compensation by means of sale, resale, license, transfer of copyright, loan, etc.; and (d) archived materials may not be re-published in any part, either in print or online.
4) The author(s) is/are responsible to ensure his or her or their submitted work is original and does not infringe any existing copyright, trademark, patent, statutory right, or propriety right of others. Corresponding author(s) has (have) obtained permission from all co-authors prior to submission to the journal. Upon submission of the manuscript, the author(s) agree that no similar work has been or will be submitted or published elsewhere in any language. If submitted manuscript includes materials from others, the authors have obtained the permission from the copyright owners.
5) In signing this statement, the author(s) declare(s) that the researches in which they have conducted are in compliance with the current laws of the respective country and UNIMAS Journal Publication Ethics Policy. Any experimentation or research involving human or the use of animal samples must obtain approval from Human or Animal Ethics Committee in their respective institutions. The author(s) agree and understand that UNIMAS Publisher is not responsible for any compensational claims or failure caused by the author(s) in fulfilling the above-mentioned requirements. The author(s) must accept the responsibility for releasing their materials upon request by Chief Editor or UNIMAS Publisher.
6) The author(s) should have participated sufficiently in the work and ensured the appropriateness of the content of the article. The author(s) should also agree that he or she has no commercial attachments (e.g. patent or license arrangement, equity interest, consultancies, etc.) that might pose any conflict of interest with the submitted manuscript. The author(s) also agree to make any relevant materials and data available upon request by the editor or UNIMAS Publisher.