Lommi Marzia, De Benedictis Anna, Porcelli Barbara, Raffaele Barbara, Latina Roberto, Montini Graziella, Tolentino Diaz Maria Ymelda, Guarente Luca, De Maria Maddalena, Ricci Simona, Giovanniello Dominique, Rocco Gennaro, Stievano Alessandro, Sabatino Laura, Notarnicola Ippolito, Gualandi Raffaella, Tartaglini Daniela, Ivziku Dhurata
UOC Care to the Person, Local Health Authority Roma 2, 00159 Rome, Italy.
Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Healthcare (Basel). 2023 May 12;11(10):1408. doi: 10.3390/healthcare11101408.
Standard precautions (SPs) are first-line strategies with a dual goal: to protect health care workers from occupational contamination while providing care to infected patients and to prevent/reduce health care-associated infections (HAIs). This study aimed at (1) identifying the instruments currently available for measuring healthcare professionals' compliance with standard precautions; (2) evaluating their measurement properties; and (3) providing sound evidence for instrument selection for use by researchers, teachers, staff trainers, and clinical tutors.
We carried out a systematic review to examine the psychometric properties of standard precautions self-assessment instruments in conformity with the COSMIN guidelines. The search was conducted on the databases PubMed, CINAHL, and APA PsycInfo.
Thirteen instruments were identified. These were classified into four categories of tools assessing: compliance with universal precautions, adherence to standard precautions, compliance with hand hygiene, and adherence to transmission-based guidelines and precautions. The psychometric properties of instruments and methodological approaches of the included studies were often not satisfactory. Only four instruments were classified as high-quality measurements.
The available instruments that measure healthcare professionals' compliance with standard precautions are of low-moderate quality. It is necessary that future research completes the validation processes undertaken for long-established and newly developed instruments, using higher-quality methods and estimating all psychometric properties.
标准预防措施（SPs）是一线策略，具有双重目标：在为感染患者提供护理时保护医护人员免受职业污染，并预防/减少医疗保健相关感染（HAIs）。本研究旨在：（1）确定目前可用于衡量医护人员对标准预防措施依从性的工具；（2）评估其测量特性；（3）为研究人员、教师、员工培训师和临床导师选择使用的工具提供可靠证据。
我们进行了一项系统评价，以根据COSMIN指南检查标准预防措施自我评估工具的心理测量特性。在PubMed、CINAHL和APA PsycInfo数据库上进行了检索。
识别出13种工具。这些工具分为四类，分别评估：对普遍预防措施的依从性、对标准预防措施的遵守情况、对手卫生的依从性以及对基于传播的指南和预防措施的遵守情况。所纳入研究的工具的心理测量特性和方法学方法往往不尽人意。只有四种工具被归类为高质量测量。
现有的衡量医护人员对标准预防措施依从性的工具质量中等偏低。未来的研究有必要使用更高质量的方法并估计所有心理测量特性，完成对既定工具和新开发工具的验证过程。
