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Clinical Experiences as Related to Standard Precautions Compliance among Nursing Students: A Focus Group Interview Based on the Theory of Planned Behavior

机译:与护理学生标准预防措施依从性相关的临床经验:基于计划行为理论的焦点小组访谈

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Summary Purpose During clinical placements, nursing students who come into close contact with patients and provide nursing interventions may be exposed to harmful pathogens. However, little is known about nursing students' experiences with standard precautions (SP) in clinical settings. Methods We conducted interviews with six focus groups of nursing students ( n ?=?38) from two universities in South Korea. The focus group interviews each took 90–120 minutes and included 6–7 participants from two different universities. The meetings used semi-structured interview protocols. Qualitative content analysis was employed. Results Four themes and 9 subthemes were identified: (a) attitudes (knowledge deficit, sensitivity), (b) subjective norms (negative role models, classroom and in-field gaps, blind spots), (c) perceived behavioral control (psychological barriers, physical barriers, lack of information), and (d) intention (changes in compliance awareness). Conclusions These focus groups revealed that many nursing students worked in vulnerable environments and risked pathogen exposure. Nursing students expressed the importance of SP but reported witnessing many instances of failure to comply with established measures. Several barriers were explored as reasons of SP noncompliance. By removing the barriers presented in this study, nursing students would be able to perform their duties in a safe clinical environment.
机译:摘要目的在临床实习期间,与患者密切接触并提供护理干预措施的护生可能会接触到有害病原体。但是,对于护理学生在临床环境中使用标准预防措施(SP)的经验知之甚少。方法我们对来自韩国两所大学的六个护理专业学生(n = 38)进行了访谈。焦点小组访谈每次花费90-120分钟,包括来自两所不同大学的6-7名参与者。会议使用了半结构化访谈协议。使用定性内容分析。结果确定了四个主题和9个子主题:(a)态度(知识缺陷,敏感性),(b)主观规范(负面榜样,课堂和实地差距,盲点),(c)感知的行为控制(心理障碍) ,物理障碍,缺乏信息)和(d)意图(合规意识的变化)。结论这些焦点小组表明,许多护理专业的学生在脆弱的环境中工作,并有暴露于病原体的风险。护理学生表达了SP的重要性,但报告说目睹了许多不遵守既定措施的情况。探索了几个障碍,作为SP不合规的原因。通过消除本研究中提出的障碍,护理学生将能够在安全的临床环境中履行职责。

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