Correlates of nursing standard infectious control for AIDS precautions through nursing intervention among professional nurses in Suratthani province

Abstract

Nurses comprise one of the highest risk groups exposed to HIV/AIDS for which the prevalence rate is increasing. The nursing standard infectious control for AIDS precautions (NSICAP) is the key strategy to prevent the transmission of the disease. This research aimed at studying the practice of NSICAP among professional nurses in Surattani Province as well as examining the correlates among socio-demographic, predisposing, enabling and reinforcing factors and the practice of NSICAP. The samples were 129 professional nurses in Emergency Rooms (E.R.) of government hospitals in Surattani Province. Questionnaires were comprised of 5 parts: 1) socio-demographic, 2) predisposing,3) enabling, 4) reinforcing factors and 5) the practice of NSICAP. It was validated by 5 experts and piloted with 30 professional nurses. The reliabilities of parts 2, 3, and 5 were 0.71, 0.67, and 0.75, respectively. The study found that nearly half of the E.R. professional nurses practiced NSICAP at a poor level (48.1%) and about one-third (31.7%) at a good level. The nurses practiced NSICAP well in the items concerning blood and its handling and body fluid discharge during wound dressing. The items in which nurses practiced poorly (<80%) were protecting themselves from contamination with specimens. Perceived benefit (r= -0248, p = < 0.005) and the perception of policy (r= -0.371, p= < 0.001) were positively and significantly correlated to the practice of NSICAP. Age, marital status, educational level, experience in E.R., perceived susceptibility, perceived severity, perception of policy, working experience with AIDS patients, and working experience with other communicable disease patients and training of AIDS precautions were not associated with the practice of NSICAP. Therefore, it is suggested that the training program for AIDS precautions for professional nurses should emphasize awareness of the practice of NSICAP for prevention and transmission of HIV, and the outcomes of AIDS precautions training programs among nurses especially for those;"พยาบาลเป็นบุคลากรที่เสี่ยงต่อการติดเชื้อ เอช ไอ วี / เอดส์ ซึ่งมีอัตราเพิ่มขึ้นอย่างต่อเนื่อง การปฏิบัติพยาบาลตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์จึงมีความสำคัญ การวิจัยนี้มีวัตถุประสงค์ เพื่อศึกษาการปฏิบัติพยาบาลตามมาตรฐานการระวังและควบคุมการติดเชื้อเอดส์ (NSICAP) ของพยาบาล วิชาชีพในโรงพยาบาลของรัฐ จัง"