Bouchoucha Stéphane L, Moore Kathleen A
Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australia.
School of Health and Life Sciences, Federation University, Churchill, Victoria, Australia.
Nurs Health Sci. 2019 Jun;21(2):178-185. doi: 10.1111/nhs.12578. Epub 2018 Oct 26.
Despite the mandated use of standard precaution guidelines to limit infection transmission in health-care settings, adherence by health-care professionals is suboptimal. There is currently no psychometrically-validated scale to assess influences on workers' adherence. After the data collection was conducted, Michinov et al. (2016) published a questionnaire to determine sociocognitive determinants of adherence to Standard Precautions. The aim of the present study was to develop and test the psychometric properties of such a scale. Forty nine items were derived from interviews with 29 nurses and tested across two studies. Study 1 was a repeated-measures survey using principal components analysis with data from 363 participants; a 29 item, five factor solution was extracted with good to acceptable internal reliabilities (α = .61-.85). Data from 122 of the original participants retested at 4 weeks showed intraclass correlations of .69-.84. Study 2, which was 6 months later, used confirmatory factor analysis with data from a second sample of 384 participants, and supported the five factor structure of leadership, justification, culture/practice, contextual cues, and judgement. The Factors Influencing Adherence to Standard Precautions Scale has good psychometric properties and stability across time and samples. The scale is suitable for use with nurses, and its validation with other health-care professionals and trainees is important in order to tailor effective interventions to promote adherence.
尽管已强制要求使用标准预防措施指南以限制医疗环境中的感染传播，但医护人员的遵守情况仍不尽人意。目前尚无经过心理测量学验证的量表来评估对工作人员遵守情况的影响。在进行数据收集之后，米希诺夫等人（2016年）发表了一份问卷，以确定遵守标准预防措施的社会认知决定因素。本研究的目的是开发并测试这样一个量表的心理测量特性。通过对29名护士的访谈得出了49个项目，并在两项研究中进行了测试。研究1是一项重复测量调查，使用主成分分析对363名参与者的数据进行分析；提取了一个包含29个项目的五因素解决方案，其内部信度良好至可接受（α = 0.61 - 0.85）。对122名原始参与者在4周后重新测试的数据显示，组内相关系数为0.69 - 0.84。6个月后的研究2使用验证性因素分析对来自384名参与者的第二个样本的数据进行分析，并支持了领导、理由、文化/实践、情境线索和判断的五因素结构。影响遵守标准预防措施量表具有良好的心理测量特性以及跨时间和样本的稳定性。该量表适用于护士，对其在其他医护人员和实习生中的验证很重要，以便制定有效的干预措施来促进遵守。
