Predictors of hospital nursing staff’s adherence to safe injection guidelines: application of the protection motivation theory in Fars province, Iran
Abstract Background Needle stick injuries (NSI) can lead to dangerous infectious diseases for health care workers. This study aimed to determine the predictors of observance of safe injection guidelines in hospital nursing staff, based on protection motivation theory. Methods This cross-sectional st...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-023-01687-x |
| _version_ | 1797355849454190592 |
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| author | Masoud Karimi Zakieh Khoramaki Maryam Rabiey faradonbeh Maryam Ghaedi Fatemeh Ashoori Abdolrahim Asadollahi |
| author_facet | Masoud Karimi Zakieh Khoramaki Maryam Rabiey faradonbeh Maryam Ghaedi Fatemeh Ashoori Abdolrahim Asadollahi |
| author_sort | Masoud Karimi |
| collection | DOAJ |
| description | Abstract Background Needle stick injuries (NSI) can lead to dangerous infectious diseases for health care workers. This study aimed to determine the predictors of observance of safe injection guidelines in hospital nursing staff, based on protection motivation theory. Methods This cross-sectional study was conducted on the nursing staff of five randomly selected teaching and general hospitals of Shiraz University of Medical Sciences, Fars province, Iran, in 2021. Data were collected using a researcher-made questionnaire which was developed based on protection motivation theory. Data were processed and analyzed using SPSS 22 and Amos 24 at a significance level of < 0.05. Pearson’s correlation coefficient, Multiple linear regression, and Structural Equation Modeling were used. Results The mean age of the participants (No = 280) was 32.5 ± 8.09 years. Most of the participants [80%] had encountered NSI, patients’ blood, or body fluids at least once. Protection motivation was the only predictor of protective behaviors (β = 0.573), while perceived efficacy (β = 0.142) and perceived rewards (β = -0.229) were the strongest predictors of motivation. The structural equation modeling analysis showed that standardized total effects of protection motivation, perceived response costs, rewards, and efficacy on the protective behaviors were 0.573, -0.159, -.104, and 0.81, respectively. While standardized total effects of perceived rewards, efficacy, and response cost on protection motivation were -0.229, 0.142, and -0.033, respectively. The model fit indices indicated the acceptable final model fit. Conclusion The results suggest that perceived efficacy, perceived effectiveness, and perceived rewards were the most important predictors of adherence to Safe Injection Guidelines in nursing staff. |
| first_indexed | 2024-03-08T14:18:03Z |
| format | Article |
| id | doaj.art-4a4c46e99a2a4c3daec4d1f9dee63450 |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-03-08T14:18:03Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-4a4c46e99a2a4c3daec4d1f9dee634502024-01-14T12:17:49ZengBMCBMC Nursing1472-69552024-01-012311810.1186/s12912-023-01687-xPredictors of hospital nursing staff’s adherence to safe injection guidelines: application of the protection motivation theory in Fars province, IranMasoud Karimi0Zakieh Khoramaki1Maryam Rabiey faradonbeh2Maryam Ghaedi3Fatemeh Ashoori4Abdolrahim Asadollahi5Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical SciencesDepartment of Health Promotion, School of Health, Shiraz University of Medical SciencesDepartment of Health Promotion, School of Health, Shiraz University of Medical SciencesDepartment of Health Promotion, School of Health, Shiraz University of Medical SciencesDepartment of Health Promotion, School of Health, Shiraz University of Medical SciencesResearch Center for Health Sciences, Institute of Health, Department of Gerontology, School of Health, Shiraz University of Medical SciencesAbstract Background Needle stick injuries (NSI) can lead to dangerous infectious diseases for health care workers. This study aimed to determine the predictors of observance of safe injection guidelines in hospital nursing staff, based on protection motivation theory. Methods This cross-sectional study was conducted on the nursing staff of five randomly selected teaching and general hospitals of Shiraz University of Medical Sciences, Fars province, Iran, in 2021. Data were collected using a researcher-made questionnaire which was developed based on protection motivation theory. Data were processed and analyzed using SPSS 22 and Amos 24 at a significance level of < 0.05. Pearson’s correlation coefficient, Multiple linear regression, and Structural Equation Modeling were used. Results The mean age of the participants (No = 280) was 32.5 ± 8.09 years. Most of the participants [80%] had encountered NSI, patients’ blood, or body fluids at least once. Protection motivation was the only predictor of protective behaviors (β = 0.573), while perceived efficacy (β = 0.142) and perceived rewards (β = -0.229) were the strongest predictors of motivation. The structural equation modeling analysis showed that standardized total effects of protection motivation, perceived response costs, rewards, and efficacy on the protective behaviors were 0.573, -0.159, -.104, and 0.81, respectively. While standardized total effects of perceived rewards, efficacy, and response cost on protection motivation were -0.229, 0.142, and -0.033, respectively. The model fit indices indicated the acceptable final model fit. Conclusion The results suggest that perceived efficacy, perceived effectiveness, and perceived rewards were the most important predictors of adherence to Safe Injection Guidelines in nursing staff.https://doi.org/10.1186/s12912-023-01687-xNeedle-Stick InjuriesMotivationNursing staffGuideline Adherence |
| spellingShingle | Masoud Karimi Zakieh Khoramaki Maryam Rabiey faradonbeh Maryam Ghaedi Fatemeh Ashoori Abdolrahim Asadollahi Predictors of hospital nursing staff’s adherence to safe injection guidelines: application of the protection motivation theory in Fars province, Iran BMC Nursing Needle-Stick Injuries Motivation Nursing staff Guideline Adherence |
| title | Predictors of hospital nursing staff’s adherence to safe injection guidelines: application of the protection motivation theory in Fars province, Iran |
| title_full | Predictors of hospital nursing staff’s adherence to safe injection guidelines: application of the protection motivation theory in Fars province, Iran |
| title_fullStr | Predictors of hospital nursing staff’s adherence to safe injection guidelines: application of the protection motivation theory in Fars province, Iran |
| title_full_unstemmed | Predictors of hospital nursing staff’s adherence to safe injection guidelines: application of the protection motivation theory in Fars province, Iran |
| title_short | Predictors of hospital nursing staff’s adherence to safe injection guidelines: application of the protection motivation theory in Fars province, Iran |
| title_sort | predictors of hospital nursing staff s adherence to safe injection guidelines application of the protection motivation theory in fars province iran |
| topic | Needle-Stick Injuries Motivation Nursing staff Guideline Adherence |
| url | https://doi.org/10.1186/s12912-023-01687-x |
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