Murad Adnan Sawalha
Hashemite University, Jordan
Posters & Accepted Abstracts: J Nurs Care
Introduction: Compliance with
Standard Precautions Guidelines
(SPG) is effective in preventing
the transmission of Healthcare
Associated Infections (HCAI),
paediatric nurses do not always
compliant. Most studies into
this problem used quantitative
methods, but have failed to
explain noncompliant behavior
or address the issues that are
specific to paediatric clinical
areas.
Aim: To investigate how the
experience of nursing children,
affected nursesâ?? decision-making
regarding SPG compliance.
Methods: Qualitative study
with an adapted form of
constructivist grounded theory. It
was conducted in five Jordanian
Hospitals with a sample of 31
qualified paediatric nurses.
Results: This study identified
causes of enduring failure by
nurses to comply fully with SPG.
Four themes emerged (Children
are different; Nurses are human
first; Limited professional status;
The challenges of the working
environment). Paediatric nursing
practice was seen as different
from adult practice and nurses
construed the need for SPG
differently.
Discussion: Paediatric nurses
were reluctant to be proactive
and initiate change to improve
practice. Problems with SPG were
understood but not acted on.
Nurseâ??s prioritized compliance
with the nursing culture in their
clinical area, over more general
SPG principles. Nurses did
appreciate that compliance with
SPG was suboptimal and criticized
this. However, most nurses had
a value system, which militated
against, and diminished the
influence of SPG compliance.
Implication: Unless nurses
become empowered to challenge
practices and organizational
barriers, infection prevention and
control is unlikely to improve.
Nursing, in this area of the world,
needs to professionalize so
nurses take responsibility for their
actions.
E-mail: murad_80@yahoo.com
Journal of Nursing & Care received 4230 citations as per Google Scholar report
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