Sociocognitive determinants of self-reported compliance with standard precautions: Development and preliminary testing of a questionnaire with French health care workers

被引:14
|
作者
Michinov, Estelle [1 ]
Buffet-Bataillon, Sylvie [2 ]
Chudy, Cindy [1 ]
Constant, Aymery [3 ]
Merle, Veronique [4 ]
Astagneau, Pascal [5 ,6 ]
机构
[1] Univ Rennes 2, Dept Psychol, Ctr Rech Psychol Cognit & Commun CRPCC, EA 1285, F-35043 Rennes, France
[2] Rennes Univ Hosp, Hosp Hyg Unit, Rennes, France
[3] EHESP Sch Publ Hlth, Sorbonne Paris Cite, Dept Social & Behav Sci, Paris, France
[4] Rouen Univ Hosp, Dept Epidemiol & Publ Hlth, Rouen, France
[5] Ctr Coordinat Lutte Infect Associees Soins C CLIN, Paris, France
[6] EHESP Sch Publ Hlth, Sorbonne Paris Cite, Paris, France
关键词
Infection control; Standard precautions; Theory of planned behavior; Scale development; HAND HYGIENE GUIDELINES; PREVENTION; INTENTIONS; ADHERENCE;
D O I
10.1016/j.ajic.2015.07.041
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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. Copyright (C) 2016 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:14 / 19
页数:6
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