Tool to Assess Knowledge of Precautions Against Transmission of Microorganisms in Brazil's Primary Health Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/616362
Category:
Full-text
Type:
Poster
Title:
Tool to Assess Knowledge of Precautions Against Transmission of Microorganisms in Brazil's Primary Health Care
Author(s):
Figueiredo, Rosely Moralez; Timmons, Stephen; Sako, Michelli Pacheco; Maroldi, Michely Aparecida Cardoso; Padoveze, Maria Clara; Felix, Adriana Maria da Silva; Kawagoe, Julia Yaeko; Zem-Mascarenhas, Silvia Helena; Ferreira, Silvia Alice
Lead Author STTI Affiliation:
Non-member
Author Details:
Rosely Moralez Figueiredo, RN, rosely@ufscar.br; Stephen Timmons; Michelli Pacheco Sako, RN; Michely Aparecida Cardoso Maroldi, RN; Maria Clara Padoveze, RN; Adriana Maria da Silva Felix, RN; Julia Yaeko Kawagoe, RN; Silvia Helena Zem-Mascarenhas, RN; Silvia Alice Ferreira, RN
Abstract:
Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016: Purpose: Health care workers? adherence to Standard Precautions and Specific Precautions is essential to preventing transmission of microorganisms in both hospitals and primary health care (PHC). Little is known about the risk of infection transmission and practice of precautions in non-hospital settings, particularly in PHC. In addition, comparing the information available is problematic due to lack of standard and specific tools for PHC.'This study aimed to develop and validate a tool for assessing health care workers? knowledge of specific precautions in PHC. Methods: Multimethod research carried out in S?o Carlos, Brazil, in three consecutive phases. Firstly, PHC workers participated in focal groups in order to identify relevant issues regarding the matter at hand. The second phase comprised the development of a tool to assess their knowledge and behavior. Finally, this tool was validated by thirteen expert judges by means of a 4-point Likert scale with Content Validity Index (CVI) ? 0.80 for approval of items. The study was approved by the Ethics Committee for Research on Human Subjects at Federal University of S?o Carlos. Results: In Phase 1, analysis of the data exposed the participating professionals? knowledge gaps as well as factors interfering with their adherence to precautions. Low awareness of risk of infection transmission, problems with hand hygiene and use of gloves, obstacles relating to pulmonary tuberculosis, and exposure to biohazards when handling sharp objects at home were identified as priority issues. The tool developed consists of two modules. Module A is aimed at assessing the participants? knowledge of the matter in question; it has five dimensions, one for each priority issue, a total of 40 dichotomous questions. Module B contains 12 questions with five Likert-type response options, ranging from ?never? to ?always,? to assess the said professionals? behavior in everyday work situations. During validation, every tool question was evaluated for clarity, relevance, and pertinence; only two of them ? pertaining to the dimensions ?hand hygiene? and ?glove use? ? obtained IVC < 0.80 and were, thus, left out. The judges suggested small changes in the phrasing of 11 items of the dichotomous questions, which was promptly done. The judges also validated the tool as a whole as regards relevance, breadth, and representativeness within the scope of the matter under investigation. Conclusion: The tool developed was validated by the judges and is now available for use. The material was developed from lived experiences of professionals who are knowledgeable of the matter at hand and, hence, can be used in similar cultural and socioeconomic contexts. Further studies should employ this assessment tool for pre and post educational action with health care workers about precautions against microorganism transmission in PHC, already ongoing in Brazil.
Keywords:
Universal precaution; Primary Health Care; Validation studies
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16PST40; INRC16PST40
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePosteren
dc.titleTool to Assess Knowledge of Precautions Against Transmission of Microorganisms in Brazil's Primary Health Careen
dc.contributor.authorFigueiredo, Rosely Moralezen
dc.contributor.authorTimmons, Stephenen
dc.contributor.authorSako, Michelli Pachecoen
dc.contributor.authorMaroldi, Michely Aparecida Cardosoen
dc.contributor.authorPadoveze, Maria Claraen
dc.contributor.authorFelix, Adriana Maria da Silvaen
dc.contributor.authorKawagoe, Julia Yaekoen
dc.contributor.authorZem-Mascarenhas, Silvia Helenaen
dc.contributor.authorFerreira, Silvia Aliceen
dc.contributor.departmentNon-memberen
dc.author.detailsRosely Moralez Figueiredo, RN, rosely@ufscar.br; Stephen Timmons; Michelli Pacheco Sako, RN; Michely Aparecida Cardoso Maroldi, RN; Maria Clara Padoveze, RN; Adriana Maria da Silva Felix, RN; Julia Yaeko Kawagoe, RN; Silvia Helena Zem-Mascarenhas, RN; Silvia Alice Ferreira, RNen
dc.identifier.urihttp://hdl.handle.net/10755/616362-
dc.description.abstractSession presented on Thursday, July 21, 2016 and Friday, July 22, 2016: Purpose: Health care workers? adherence to Standard Precautions and Specific Precautions is essential to preventing transmission of microorganisms in both hospitals and primary health care (PHC). Little is known about the risk of infection transmission and practice of precautions in non-hospital settings, particularly in PHC. In addition, comparing the information available is problematic due to lack of standard and specific tools for PHC.'This study aimed to develop and validate a tool for assessing health care workers? knowledge of specific precautions in PHC. Methods: Multimethod research carried out in S?o Carlos, Brazil, in three consecutive phases. Firstly, PHC workers participated in focal groups in order to identify relevant issues regarding the matter at hand. The second phase comprised the development of a tool to assess their knowledge and behavior. Finally, this tool was validated by thirteen expert judges by means of a 4-point Likert scale with Content Validity Index (CVI) ? 0.80 for approval of items. The study was approved by the Ethics Committee for Research on Human Subjects at Federal University of S?o Carlos. Results: In Phase 1, analysis of the data exposed the participating professionals? knowledge gaps as well as factors interfering with their adherence to precautions. Low awareness of risk of infection transmission, problems with hand hygiene and use of gloves, obstacles relating to pulmonary tuberculosis, and exposure to biohazards when handling sharp objects at home were identified as priority issues. The tool developed consists of two modules. Module A is aimed at assessing the participants? knowledge of the matter in question; it has five dimensions, one for each priority issue, a total of 40 dichotomous questions. Module B contains 12 questions with five Likert-type response options, ranging from ?never? to ?always,? to assess the said professionals? behavior in everyday work situations. During validation, every tool question was evaluated for clarity, relevance, and pertinence; only two of them ? pertaining to the dimensions ?hand hygiene? and ?glove use? ? obtained IVC < 0.80 and were, thus, left out. The judges suggested small changes in the phrasing of 11 items of the dichotomous questions, which was promptly done. The judges also validated the tool as a whole as regards relevance, breadth, and representativeness within the scope of the matter under investigation. Conclusion: The tool developed was validated by the judges and is now available for use. The material was developed from lived experiences of professionals who are knowledgeable of the matter at hand and, hence, can be used in similar cultural and socioeconomic contexts. Further studies should employ this assessment tool for pre and post educational action with health care workers about precautions against microorganism transmission in PHC, already ongoing in Brazil.en
dc.subjectUniversal precautionen
dc.subjectPrimary Health Careen
dc.subjectValidation studiesen
dc.date.available2016-07-13T11:10:49Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:10:49Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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