Psychological characteristics are associated with healthcare worker adherence to infection control practices
| Autor: | Antonio Carlos Pedroso de Lima, Robert Plant dos Santos, Glaucia Rosana Guerra Benuti, Julio M. Singer, Anna S. Levin, Renata D. Lobo, Maria Lívia Tourinho Moretto, Gracilene Ramos de Assis, Cláudia G. Vidigal, Maria Clara Padoveze |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Epidemiology medicine.medical_treatment media_common.quotation_subject Health Personnel Psychological intervention 03 medical and health sciences 0302 clinical medicine Hygiene Intensive care Health care medicine Infection control Humans Hand Hygiene 030212 general & internal medicine media_common 0303 health sciences Cross Infection Infection Control 030306 microbiology business.industry Health Policy Public Health Environmental and Occupational Health Intensive Care Units Infectious Diseases ANÁLISE ESTATÍSTICA DE DADOS Emergency medicine Observational study Guideline Adherence business Psychosocial Central venous catheter |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| Popis: | Background Most bloodstream infections related to vascular catheters can be avoided if evidence-based practices are applied during insertion and maintenance. In practice, adherence by health care workers (HCWs) is unsatisfactory and is the main current challenge. The objective of this study is to investigate associations between adherence to infection control practices and performance in psychological tests. Methods We conducted a prospective observational study in 4 intensive care units involving HCWs. Physicians were observed for adherence to hand hygiene (HH). Nurses were observed during central venous catheter dressing and handling. HCWs were then evaluated psychologically. Results There were 7,572 observations of 248 HCWs. Adherence to different steps of central venous catheter manipulation ranged widely: from 13% for HH before procedure to 95% regarding the use of gloves. Adherence to HH ranged from 14% before to 99% after dressing. For physicians, HH ranged from 10% before touching patients to 98% after touching body fluids, and adherence was associated with age, self-esteem, and aggression. For nurses, adherence was positively associated with deference, and negatively associated with nurturance. Conclusions Psychosocial variables affect the quality of care that HCWs provide. The next step would be to define what type of psychological interventions could be effective. |
| Databáze: | OpenAIRE |
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