Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, Ghana

Abstract Background Implementing standard precautions (SP) has been a major challenge for health care workers (HCWs) especially those in developing countries thereby compromising their safety and increasing their exposure to blood-related pathogens. Compliance with safety precautions and occupationa...

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Main Authors: Sandra Enyonam Akagbo, Priscillia Nortey, Mercy M. Ackumey
Format: Article
Language:English
Published: BMC 2017-08-01
Series:BMC Research Notes
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13104-017-2748-9
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author Sandra Enyonam Akagbo
Priscillia Nortey
Mercy M. Ackumey
author_facet Sandra Enyonam Akagbo
Priscillia Nortey
Mercy M. Ackumey
author_sort Sandra Enyonam Akagbo
collection DOAJ
description Abstract Background Implementing standard precautions (SP) has been a major challenge for health care workers (HCWs) especially those in developing countries thereby compromising their safety and increasing their exposure to blood-related pathogens. Compliance with safety precautions and occupational accidents among health workers are often unreported. The literature on knowledge and compliance to SP in Ghana is scanty. We report findings of a study that examined knowledge of SP, compliance and barriers to compliance with SP among HCWs in two health facilities in Ghana. Methods This is a facility-based cross-sectional study involving 100 HCWs from two health facilities in the Lower Manya Krobo District of the Eastern region. Statistical analysis summarised data on socio-demographic characteristics of respondents, knowledge of SP and compliance and barriers to SP in frequencies and percentages. Results Most respondents had been working as health staff for 0–5 years (65.0%). Generally, knowledge of the basic concepts of SP was low; only 37.0% of HCWs knew that SP includes hand washing before and after any direct contact with the patient, 39.0% knew about cough etiquettes and 40.0% knew about aseptic techniques which involve infection prevention strategies to minimise the risks of infection. Fifty percent of respondents always protect themselves against BBFs of patients. About a quarter of the respondents do not recap needles after use and 28.0% of respondents sometimes promptly wipe all blood spills. HCWs were of the opinion that wearing PPEs—such as gloves, aprons, gowns and goggles—might cause patients to panic sometimes (63.0%) and complying with SP sometimes interferes with the ability to provide care (38.0%). Sometimes, because of the demands of patient care, HCWs do not have enough time to comply with the rigours of SP (44.0%) and sometimes PPEs are not available. Conclusion Education programmes on the benefits of SP should be organised frequently. The OHS national policy together with the application of the IPC training manual in all health care facilities must be enforced. Communities of practice should be established and sanctions and rewards should be introduced to limit negative behavior and reinforce positive attitudes as regards SP.
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spelling doaj.art-a27011a7d7b64e8996112d945ff6cc8c2022-12-22T00:20:12ZengBMCBMC Research Notes1756-05002017-08-011011910.1186/s13104-017-2748-9Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, GhanaSandra Enyonam Akagbo0Priscillia Nortey1Mercy M. Ackumey2Wisconsin International University College, GhanaSchool of Public Health, College of Health Sciences, University of GhanaSchool of Public Health, College of Health Sciences, University of GhanaAbstract Background Implementing standard precautions (SP) has been a major challenge for health care workers (HCWs) especially those in developing countries thereby compromising their safety and increasing their exposure to blood-related pathogens. Compliance with safety precautions and occupational accidents among health workers are often unreported. The literature on knowledge and compliance to SP in Ghana is scanty. We report findings of a study that examined knowledge of SP, compliance and barriers to compliance with SP among HCWs in two health facilities in Ghana. Methods This is a facility-based cross-sectional study involving 100 HCWs from two health facilities in the Lower Manya Krobo District of the Eastern region. Statistical analysis summarised data on socio-demographic characteristics of respondents, knowledge of SP and compliance and barriers to SP in frequencies and percentages. Results Most respondents had been working as health staff for 0–5 years (65.0%). Generally, knowledge of the basic concepts of SP was low; only 37.0% of HCWs knew that SP includes hand washing before and after any direct contact with the patient, 39.0% knew about cough etiquettes and 40.0% knew about aseptic techniques which involve infection prevention strategies to minimise the risks of infection. Fifty percent of respondents always protect themselves against BBFs of patients. About a quarter of the respondents do not recap needles after use and 28.0% of respondents sometimes promptly wipe all blood spills. HCWs were of the opinion that wearing PPEs—such as gloves, aprons, gowns and goggles—might cause patients to panic sometimes (63.0%) and complying with SP sometimes interferes with the ability to provide care (38.0%). Sometimes, because of the demands of patient care, HCWs do not have enough time to comply with the rigours of SP (44.0%) and sometimes PPEs are not available. Conclusion Education programmes on the benefits of SP should be organised frequently. The OHS national policy together with the application of the IPC training manual in all health care facilities must be enforced. Communities of practice should be established and sanctions and rewards should be introduced to limit negative behavior and reinforce positive attitudes as regards SP.http://link.springer.com/article/10.1186/s13104-017-2748-9KnowledgeHealthcare workersComplianceStandard precautionsNeedle stick injuriesBarriers
spellingShingle Sandra Enyonam Akagbo
Priscillia Nortey
Mercy M. Ackumey
Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, Ghana
BMC Research Notes
Knowledge
Healthcare workers
Compliance
Standard precautions
Needle stick injuries
Barriers
title Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, Ghana
title_full Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, Ghana
title_fullStr Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, Ghana
title_full_unstemmed Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, Ghana
title_short Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, Ghana
title_sort knowledge of standard precautions and barriers to compliance among healthcare workers in the lower manya krobo district ghana
topic Knowledge
Healthcare workers
Compliance
Standard precautions
Needle stick injuries
Barriers
url http://link.springer.com/article/10.1186/s13104-017-2748-9
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AT mercymackumey knowledgeofstandardprecautionsandbarrierstocomplianceamonghealthcareworkersinthelowermanyakrobodistrictghana