The Factors Influencing Adherence to Standard Precautions Scale - Student version (FIASP- SV): A psychometric validation.

Infect Dis Health

School of Nursing and Midwifery, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Geelong, Vic., Australia; Deakin University Geelong, Centre for Quality and Patient Safety Research. Epworth Healthcare Partnership, Australia.

Published: May 2021

AI Article Synopsis

  • Standard Precautions are important in preventing infections in healthcare, but nursing students often don't follow them effectively, highlighting the need for better training in their curriculum.
  • This study aimed to validate a tool that assesses what influences nursing students' adherence to these precautions, testing it on 321 students at an Australian university.
  • The results indicated that while the original five-factor model was not fitting, a four-factor model emerged with acceptable reliability, underlining that student behaviors differ from those of registered nurses and emphasizing the necessity for tailored assessments.

Article Abstract

Background: Standard Precautions have been demonstrated to limit infection transmission in the healthcare setting. Despite their mandated use, adherence by healthcare professionals remains suboptimal. A nursing curriculum embedding infection prevention and control is essential in equipping future healthcare professionals with the skills and knowledge to improve patient safety. There are no psychometrically-validated tools that specifically assess influences on nursing students' adherence to standard precautions.

Methods: The aim in this study was to determine the reliability and validity of the five-factor Factors Influencing Adherence to Standard Precautions within a sample of undergraduate nursing students studying at one Australian University.

Results: Data from 321 participants were used to test the 5 factors structure, using Confirmatory Factor Analysis. The goodness of fit indices did not support adequate fit of the data and the data were submitted to a random split-half sample factor analysis process. A four-factor solution was extracted with good to acceptable internal reliabilities (α = .66 -.80).

Conclusion: There are distinctive differences in the factors that influence student versus registered nurses' behaviour and clinical decision-making in relation to use of SP. The Factors Influencing Adherence to Standard Precautions (Student Version) has good psychometric properties and is suitable for use with nursing students. Having measures specific to students is essential as measures developed for healthcare professionals might not be applicable to a nursing student population.

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Source
http://dx.doi.org/10.1016/j.idh.2020.10.001DOI Listing

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