Adherence to standard precautions by nursing professionals in Brazil during the COVID-19 pandemic: a cross-sectional study
DOI:
https://doi.org/10.26694/repis.v8i1.3815Palavras-chave:
Infection Control, Nursing team, Coronavirus infections, Occupational Hazards, Worker's healthResumo
Introduction: COVID-19 is an infectious disease caused by the SARS-CoV-2, which has a very high degree of contamination and confers patients and health professionals at risk. Thus, one wonders about the rate of adherence to standard precautions by nursing professionals from different contexts in the country. Aim: To identify adherence to Standard Precautions (SP) by nursing professionals who provided care during the COVID-19 pandemic and to verify the association between adherence to SP and sociodemographic and work characteristics. Outlining: Cross-sectional observational study, carried out with 493 nursing professionals working in nursing care in the five regions of Brazil. Data collection was carried out through Google Forms®, using social networks, the recruitment of participants took place between November 2020 and December 2021. Descriptive analysis was performed and the results presented by absolute and relative frequency. Pearson's chi-square test (X²) was used to verify the association between adherence to SP (≥ 75 points) and sociodemographic and work variables. Results: In the total sample, 353 (71.6%) professionals adhered and 140 (28.3%) did not. There was an association between age group (40 to 49 years) with adherence to SP in the total sample. Implications: Nursing professionals showed a deficit in adherence to SP, with younger people less likely to adhere, bringing great impacts to the health of professionals.
Referências
Teixeira CFS, Soares CM, Souza EA, Lisboa ES, Pinto IC de M, Andrade LR, et al. The health of healthcare professionals coping with the COVID-19 pandemic. Cienc e Saude Coletiva [Internet] 2020. [cited 2022 Dec 02]; 25(9):3465–74. Available from: https://doi.org/10.1590/1413-81232020259.19562020
Delgado D, Quintana FW, Perez G, Liprandi AS, Ponte-Negretti C, Mendoza I, et al. Personal safety during the COVID-19 pandemic: Realities and perspectives of healthcare workers in Latin America. Int J Environ Res Public Health. [Internet] 2020. [cited 2023 Jan 07];2020; 17(8):1–8. Available from: https://doi.org/10.3390/ijerph17082798
Jayaweera M, Perera H, Gunawardana B, & Manatunge J. Transmission of COVID-19 virus by droplets and aerosols: A critical review on the unresolved dichotomy. Environmental research [Internet] 2020. [cited 2022 Dec 02]; 188:109819. Available from: https://doi.org/10.1016/j.envres.2020.109819
Brazil. National Contingency Plan for Human Infection by the new Coronavirus COVID-19 National Contingency Plan for Human Infection by the new Coronavirus COVID-19 Emergency Operations Center. Ministry of Health [Internet]. 2020;1:22. Available from: https://bvsms.saude.gov.br/php/level.php?lang=pt&component=51&item=38
Centers for Disease Control and Prevention (CDC). National Center for Emerging and Zoonotic Infectious Diseases. Infection prevention checklist for outpatient settings: minimum expectations for safe care. [Internet]. 2011. Available from: http://www.cdc.gov/HAI/settings/outpatient/checklist/outpatient-care-checklist.html
Centers for Disease Control and Prevention (CDC). Workbook for designing, implementing and evaluating a sharp injury prevention program. [Internet]. 2008. Available from: https://www.cdc.gov/sharpssafety/pdf/sharpsworkbook_2008.pdf
Ozonam MAQ, Dalri RDCDMB, Suazo SV, Santos SVMD, Galdino MJQ, & Robazzi MLDCC. Association of accidents at work with occupational satisfaction of nursing professionals in the hospital area. Health and research [Internet] 2021. [cited 2022 Dec 02]; 14(4): e7836-e7836. Available from: https://doi.org/10.17765/2176-9206.2021v14n4e7836
Souza TPM, Rocha ILDS, da Cruz YA, Valim MD, Espinosa MM, & de Morais RB. Impacting factors on nursing staff adherence and knowledge of standard precautions. Enfermería Global [Internet] 2020. [cited 2022 Dec 02]; 19(1):445-458. Available from: https://doi.org/10.6018/eglobal.19.1.373851
Carvalho TS, Luz RA. Biological accidents with health professionals in Brazil: a literature review. Medical Archives of Hospitals and Faculty of Medical Sciences of Santa Casa de São Paulo [Internet] 2018. [cited 2022 Dec 02]; 63(1):31. Available from: https://doi.org/10.26432/1809-3019.2018.63.1.31
Galdino-Júnior H, de Lima BR, dos Santos SDLV, Neves HCC, & Tipple AFV. Adherence to standard precautions while performing dressings by the nursing team. Rev Enferm Atual In Derme [Internet] 2018. [cited 2022 Dec 02]; 84(22). Available from: https://doi.org/10.31011/reaid-2018-v.84-n.22-art.266
Houghton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, & Biesty LM. Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews [Internet] 2020. [cited 2022 Dec 02]; 2020:4. Available from: https://doi.org/10.1002/14651858.CD013582
Sandbøl SG, Glassou EN, Ellermann-Eriksen S, Haagerup A. Hand hygiene compliance among healthcare workers before and during the COVID-19 pandemic. Am J Infect Control [Internet] 2022. [cited 2022 Dec 02]; 30:0196-6553(22)00195-X. Available from: Available from: https://doi.org/10.1016/j.ajic.2022.03.014
Iwu CJ, Jordan P, Jaca A, Iwu CD, Schutte L, & Wiysonge CS. et al. Cochrane corner: personal protective equipment for preventing highly infectious diseases such as COVID-19 in healthcare staff. The Pan African Medical Journal. 2020;(37). Available from: https://doi.org/10.11604/pamj.2020.37.148.24934
Thomas JR, Nelson JK, Silverman SJ. Research methods in physical activity. Artmed Editora, 2009.
Von Elm E. The Strengthening Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Annals of Internal Medicine, 2007; 147(8): 573-577. Available from: https://repositorio.ufrn.br/handle/123456789/47137
Eysenbach G. Improving the Quality of Web Searches: The Checklist for Reporting Electronic Internet Search Results (CHERRIES). Journal of medical Internet research, 2004; 6(3):132. Available from: https://doi.org/10.2196/jmir.2042
Valim MD, Marziale MHP, Hayashida M, Rocha FLR, & Santos JLF. Validity and reliability of the questionnaire for adherence to standard precautions. Public Health Magazine, [Internet] 2015; [cited 2023 Feb 27]; 49(87). Available from: https://doi.org/10.1590/S0034-8910.2015049005975
Couto PLS, Gomes AC, Alves FF, Castelan E, Dib RV, Mercês MC, & Gomes AMT. Social representations about the risks of accidents at work. Brazilian Journal of Health Promotion. [Internet] 2018 [cited 2023 Feb 27]; 31(2). Available from: https://doi.org/10.5020/18061230.2018.7074
Brandão P, de Luna TDDC, Bazilio TR, Lam SC, Góes FGB, & Ávila FMVP. Adherence to standard precautions by health professionals: comparison between two hospitals. World Nursing. [Internet] 2022; [cited 2023 Feb 27]; 21(1):1-42. Available from: https://doi.org/10.6018/eglobal.484091
Andrade GB, da Silva Soares L, Siqueira HCH, Yasin JCM, Barlem JGT, Silva TL. Self-care of nurses facing the risk of accidents at work: difficulties and facilities. Research, Society and Development, [Internet] 2020; [cited 2023 Feb 27]; 9(4), Available from: https://doi.org/10.33448/rsd-v9i4.3048
Soares SSS, Souza NVDDO, Carvalho EC, Andrade KBSD, Pereira SRM, & Costa CCPD. From caregiver to patient: in the COVID-19 pandemic, who defends and takes care of Brazilian nursing? Anna Nery School, [Internet] 2020; [cited 2023 Feb 27]; 24. Available from: https://doi.org/10.1590/2177-9465-EAN-2020-0161
Cunha QBD, Freitas EDO, Pinno C, Petry KE, Silva RMD, & Camponogara S. Adherence to standard precautions by nursing workers: a mixed methods study. Text & Context-Nursing. [Internet] 2021; [cited 2023 Feb 27]; 30. Available from: https://doi.org/10.1590/1980-265X-TCE-2020-0240c
Mendes AMV, de Sousa Lima MM, de Araújo DV, Albuquerque IMAN, Santiago LMM, & Barros LM. Adherence to standard precautionary measures among pre- and in-hospital emergency nursing professionals in a northeastern municipality. Brazilian Journal of Occupational Medicine, [Internet] 2019; [cited 2023 Feb 27]; 17(4): 573. Available from: https://doi.org/10.5327/Z1679443520190390
Bastos APS, Brito MAR, Ferreira JDLR, Ferreira JGDOR, Araujo VSC, Val HM, Beltrão RPL. Personal protective equipment and adherence to knowledge by professionals and academics: an integrative review. Health Collection Electronic Magazine. [Internet] 2020; [cited 2023 Feb 27]; (53), Available from: https://doi.org/10.25248/reas.e3764.2020
Soares RZ, Schoen AS, Benelli KDRG, Araújo MS, & Neves M. Analysis of occupational accidents with exposure to biological material notified by health professionals. Brazilian Journal of Occupational Medicine. [Internet] 2019; [cited 2023 Feb 27]; 17(2):201-208. Available from: https://doi.org/10.5327/Z1679443520190341
Rothan HA, & Byrareddy SN. The epidemiology and pathogenesis of the coronavirus disease (COVID-19) outbreak. Autoimmunity Magazine. [Internet]2020; [cited 2023 Feb 27]; 109: 102-433. Available from: https://doi.org/10.1016/j.jaut.2020.102433
Feitoza TMO, Chaves AM, Muniz GTS, da Cruz MCC, & Junior IDFC. Comorbidities and COVID-19. Interfaces Magazine: health, humanities and technology, [Internet] 2020; [cited 2023 Feb 27]; 8(3), 711-723. Available from: DOI: http://dx.doi.org/10.16891/2317-434X.v8.e3.a2020.pp711-723
Santos LP, & Antônio CRSS. Adherence of health professionals to hand hygiene during the pandemic period. Interdisciplinary Electronic Journal, [Internet]2022; [cited 2023 Feb 27]; 12(09):98-102. Available from: http://revista.sear.com.br/rei/article/view/116
Souza RA, by Farias Leal AA, & Mascena GV. Use of personal protective equipment in primary care during the COVID-19 pandemic: an integrative review. Medical Archive of Santa Catarina, [Internet] 2021; [cited 2023 Feb 27]; 50(2): 351-362. Available from: https://revista.acm.org.br/index.php/arquivos/article/view/985
Brazil. Public Technical Note CSIPS/GGTES/ANVISA nº 01/2020: guidelines for the prevention and control of infections by the new coronavirus (SARS-CoV-2) in host institutions. [Internet] 2020. Available from: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/notas-tecnicas/2020/nota-tecnica-publica-csips-ggtes-anvisa-n-01-2020-atualizada-em-25-06-20.pdf/view
Castro AF, & Rodrigues MCS. Infrastructure and hand hygiene adherence indicators in an intensive care unit. Revista Bahiana de Enfermagem, [Internet] 2018; [cited 2023 Feb 27]; 32. Available from: DOI: https://doi.org/10.18471/rbe.v32.26099
Meenakshi K, Vinteshwari N, Minaxi J, & Vartika S. Efficacy of Ayurvedic treatment in Urdhwaga Amlapitta: A clinical review. Journal of Ayurveda and Integrative Medicine. 2021; [cited 2023 Feb 27]; 12(1):87-92. Available from: https://doi.org/10.18471/rbe.v32.26099
