Estelle Michinov1, Sylvie Buffet-Bataillon2, Cindy Chudy3, Aymery Constant4, Véronique Merle5, Pascal Astagneau6. 1. Department of Psychology, University of Rennes 2, Centre de Recherches en Psychologie Cognition et Communication (CRPCC, E.A. 1285), Rennes, France. Electronic address: estelle.michinov@univ-rennes2.fr. 2. Hospital Hygiene Unit, Rennes University Hospital, Rennes, France. 3. Department of Psychology, University of Rennes 2, Centre de Recherches en Psychologie Cognition et Communication (CRPCC, E.A. 1285), Rennes, France. 4. Department of Social and Behavioral Sciences, EHESP School of Public Health, Sorbonne Paris Cité, France. 5. Department of Epidemiology and Public Health, Rouen University Hospital, Rouen, France. 6. Centre de Coordination pour la Lutte contre les Infections associées aux soins (C-CLIN), Paris, France; EHESP School of Public Health, Sorbonne Paris Cité, France.
Abstract
BACKGROUND: Inconsistent compliance of health care workers with standard precautions has already been documented. The objective of this study was to develop a questionnaire to investigate the sociocognitive determinants of compliance with standard precautions based on the theory of planned behavior. METHODS: To construct the Standard Precautions Questionnaire (SPQ), items were selected using a systematic review of literature and semistructured interviews with 54 health care workers. Thirty-five items were selected for a draft questionnaire. These questionnaires were sent to 649 health care workers in 3 medical specialties (pediatrics, geriatrics, and intensive care) in a French University hospital. A total of 331 valid questionnaires were analyzed. RESULTS: Factor analysis yielded a final 7-factor solution with an explained variance of 66.51%, with 24 items. The 7 dimensions were the following: attitude toward standard precautions, social influence facilitating organization, exemplary behavior of colleagues, organizational constraints, individual constraints, and intention to perform standard precautions. Some differences were observed between medical specialties on attitude toward standard precautions, social influence, and individual constraints. CONCLUSION: The SPQ met the conditions of reliability and validity in accordance with psychometric demands and could be used to evaluate attitudes and intention to perform standard precautions among medical and nursing staff.
BACKGROUND: Inconsistent compliance of health care workers with standard precautions has already been documented. The objective of this study was to develop a questionnaire to investigate the sociocognitive determinants of compliance with standard precautions based on the theory of planned behavior. METHODS: To construct the Standard Precautions Questionnaire (SPQ), items were selected using a systematic review of literature and semistructured interviews with 54 health care workers. Thirty-five items were selected for a draft questionnaire. These questionnaires were sent to 649 health care workers in 3 medical specialties (pediatrics, geriatrics, and intensive care) in a French University hospital. A total of 331 valid questionnaires were analyzed. RESULTS: Factor analysis yielded a final 7-factor solution with an explained variance of 66.51%, with 24 items. The 7 dimensions were the following: attitude toward standard precautions, social influence facilitating organization, exemplary behavior of colleagues, organizational constraints, individual constraints, and intention to perform standard precautions. Some differences were observed between medical specialties on attitude toward standard precautions, social influence, and individual constraints. CONCLUSION: The SPQ met the conditions of reliability and validity in accordance with psychometric demands and could be used to evaluate attitudes and intention to perform standard precautions among medical and nursing staff.
Authors: Eliana D da Costa; Camila Pinelli; Elaine P da Silva Tagliaferro; José E Corrente; Glaucia M B Ambrosano Journal: Dentomaxillofac Radiol Date: 2017-02-17 Impact factor: 2.419