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Compliance with standard precautions and associated factors among undergraduate nursing students at governmental universities of Amhara region, Northwest Ethiopia

BMC Nursing volume 21, Article number: 375 (2022) Cite this article

A Correction to this article was published on 13 March 2023

This article has been updated

Abstract

Background

Standard precautions are minimum infection control practices used to prevent the transmission of diseases and applied to all patient care. Nursing students are at high risk of exposure to occupational biologic hazards because they are obligated to provide care to patients admitted with unknown infection statuses. Compliance with standard precautions is an effective and efficient means of infection prevention. However, their compliance with standard precautions among nursing students is not known in Ethiopia. Therefore, this study aimed to assess compliance with standard precautions and associated factors among undergraduate BSc nursing students at governmental universities located in the Amhara Region, northwest Ethiopia.

Methods

An institutional-based cross-sectional study was conducted among undergraduate BSc nursing students at the governmental universities located in Amhara Region, northwest Ethiopia, from April 15 to May 15, 2021. A simple random sampling technique was used to select 423 samples. Descriptive statistics were presented in text, tables, and charts. Multicollinearity and model fitness were checked. All variables were entered into multivariable logistic regression and a P-value of < 0.05 was considered to identify statistically significant factors.

Result

Around 221 (53.4%) of the study participants were males. Good compliance of nursing students towards standard precautions was 56.3% (95% CI = 51.4–60.9), which is significantly associated with good knowledge (AOR = 2.52, 95% CI = 1.61–3.94), a perceived safe workplace climate (AOR = 2.15, 95% CI = 1.24–3.71), and training or seminars related to standard precautions in the last six months (AOR = 1.52, 95% CI = 1.01–2.29).

Conclusion

The overall compliance of nursing students with standard precautions was low, with nearly half of the nursing students failing to comply with standard precautions. The major factors associated with good compliance were good knowledge, a perceived safe workplace, and having seminars or training in the last six months. Training, enhancing knowledge, and creating a safe hospital environment are recommended to improve nursing students’ compliance with standard precautions.

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Background

Standard Precautions represent the minimum infection prevention measures that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where healthcare is delivered [1,2,3]. It is designed to protect healthcare professionals and patients from exposure to potentially infected blood and body fluids except for sweat [4].

Nowadays, the most common adverse effects in health care worldwide are Health Care-Associated Infections (HCAIs), which endanger the health of both patients and health care staff [5]. Each year,100 million patients and 3 million HCWs are affected with HCAIs [6,7,8].

Compliance is defined as the extent to which certain health care practices are implemented following known recommendations [9]. Being compliant with standard precautions (SPs) among health care providers reduces the risk of HCAIs by one-third [10]. However, globally, a review revealed that compliance of HCWs with SPs is suboptimal, with a compliance rate of less than 50% [11]. Even if limited studies are found in the world other than Ethiopia among nursing students' compliance with SP, some studies in Croatia, South Korea, and Saudi Arabia revealed that their compliance level is not good [12,13,14,15].

Nursing students (NSs) are at high risk of workplace exposure to biological hazards since they are expected to provide treatment for patients of uncertain infection status and due to their underdeveloped abilities and lack of knowledge in the clinical setting [12, 16,17,18,19].In particular, they are at high risk of acquiring blood-borne infections, such as HIV infection [20], viral hepatitis [21], and other infectious diseases, like tuberculosis [22]. One study in Ethiopia revealed that more than half and one-third of nursing and midwifery students had needle stick injuries and exposure to blood and other body fluids, respectively [23].

Furthermore, nursing students had prolonged contact with patients and caring than other health science students. Nursing students may have exposed or transmit diseases when they are taking samples, performing wound care, injection, feeding, bathing etc. As a result of their increased activities and contact with patients, we believed that nursing students may have high risk of exposure to blood and other body fluids borne diseases. Due to this reasons we are interested on this groups.

Age, gender, marital status, knowledge, attitude, practicum department, previous sharp and needle stick injuries, blood and other body fluid exposure, work place safety climate, having family working in health teams, and year of study and training on SPs all influence nursing students' compliance with SPs [12,13,14,15, 24, 25].

Nursing interventions often require touching the patients, which can facilitate cross-contamination if they fail to comply with proper infection prevention guidelines [26]. Having good compliance with standard precautions protects nursing students from occupational exposure to blood and other body fluid, and lowers the risk of infection transmission to them and patients [27, 28]. However, compliance and associated factors towards standard precautions among undergraduate nursing students in Ethiopia are not known. As a result, this study aims to assess compliance and associated factors towards standard precautions among nursing students in governmental universities of the Amhara region, northwest Ethiopia.

Methods and materials

Study design, area and period

An institutional-based cross-sectional study design was conducted from April 15 to May 15, 2021, at governmental universities located in Amhara region, northwest Ethiopia,2021. Amhara region is one of the ten regions in Ethiopia and is located in the Northwest part of the country Ethiopia. Its Capital city is Bahir Dar, which is located 565 km from Addis Ababa, the capital city of Ethiopia. There are 10 governmental universities in the region. Among these universities, Bahir Dar (BDU), Debretabor (DTU), Debre Markos (DMU), and the University of Gondar (UOG), which have a college of health science and teach nursing students, and were included in the study. There were a total of 738 third- and fourth-year nursing students at selected universities. However, first-year and second-year nursing students were not yet joining the universities and the nursing schools because of the COVID-19 interruption of the learning-teaching process in Ethiopia.

Source population and study population

Source population

All third-year and fourth-year undergraduate nursing students who were learning at the four Governmental Universities located in Amhara Region, northwest Ethiopia.

Study population

All third-year and fourth-year undergraduate nursing students who were learning at the four Governmental Universities located in Amhara Region, northwest Ethiopia and available during the data collection period.

Inclusion and exclusion criteria

All third-year and fourth-year undergraduate nursing students who were available during data collection time.

Sample size determination and sampling technique

Sample size determination

The sample size was determined by using single population proportion formula using 95% confidence level (Z = 1.96), degree of precision (marginal error) = 5%, and proportion (p = 50% since there was no previous study in Ethiopia).

The calculated final sample size was 423 including 10% none response.

Sampling technique

The list of nursing students was taken from the four universities’ nursing departments. For each university, proportionate allocation was used, with UoG = 171, DTU = 72, BDU = 119, and DMU = 61. For each academic year and program at each university, a proportional allocation was used. Then, from each academic year and program, each class was given a proportionate allocation. Finally, participants from each class were chosen using a simple random sampling technique (Fig. 1).

Fig. 1
figure 1

Schematic presentation of the sampling procedure on compliance with standard precautions and associated factors among nursing students at Amhara region, northwest Ethiopia, 2021 (n = 414)

Full size image

Study variables

Dependent variables

Compliance with standard precaution.

Independent variable

Socio-demographic characteristics such as

  • ➢ Age, marital status, gender, year of study, previously working as a nurse, family working in the healthcare team, learning department (specialty), and program.

Personal and Institutional factors

Knowledge, Attitude, previous needle stick injury, and blood and other body exposure, Workplace Safety climate, practicum department, training or seminar.

Operational definitions

Compliant (Good compliance); if the participant scores greater than or equal to the median (11) score of compliance questions [28].

Noncompliant (Poor compliance): if the participant scores less than the median (11) score of compliance questions [28].

Good knowledge: if the participant scores greater than or equal to the median (7) score of knowledge questions [29].

Poor knowledge: if the participant scores less than the median (7) score of knowledge questions [29].

Positive attitude: if the participant scores greater than or equal to the median (22) score of attitude questions [29].

Negative attitude: if the participant scores less than the median (22) score of attitude questions [29].

Safe workplace climate: if the participant scores greater than or equal to the median (5) score of safety questions.

Unsafe workplace climate: if the participant scores less than the median (5) score of safety questions.

Data collection tool and procedure

Data were collected using a self-administered structured questionnaire to obtain information from participants. The questionnaire is divided into three parts. Part I asked for Socio-demographic variables and had 13 questions. Part II has the Compliance with Standard Precautions Scale (CSPs). The CSPS is a 20-item scale that assesses self-reported compliance with SPs. The scale’s items evaluate compliance with the use of PPE (6 questions), disposal of sharps (3 Questions) disposal of wastes (1 question), decontamination of spills and used articles (3 questions), and prevention of cross-infection (7 questions). The response set is a 4-point Likert scale that consists of responses such as (‘‘never’’, = 1 ‘‘seldom’ = 2’sometimes’’ = 3, and ‘‘always’’ = 4 during data collection.it was also recoded into 1 and 0. A score of 1 is interpreted as an ‘‘always’’ response, while 0 is applied for the other responses. A total range score of 0—20 is expected, with higher scores signifying better compliance with SPs. Items 202, 204, 206, and 215 are negatively stated; thus, scores were reversed before computations.as (‘‘never’’, = 4 ‘‘seldom’ = 3’sometimes’’ = 2, and ''always'' = 0. Then it was also recoded to 1 and 0. A score of 1 is interpreted as an ‘‘never’’ response, while 0 is applied for the other responses. The internal consistency of the original tool was checked and Cronbach’s α value was 0.73. The tool is adapted from Hong Kong [28]. Part III had questions of factors affecting compliance of nursing students, and it has three sections. Section I, Knowledge questions, had 10 multiple choice questions, Section II is attitude questions, had 7 questions with 5 points Likert scale (1 = strongly disagree,2 = disagree, 3 = Undecided4 = Agree and 5 = strongly agree. Section III is safety climate questions, had 7 yes or no responses. Knowledge, attitude, and safety climate questions were adapted from tools used for HCWs in Ethiopia and Korea [29, 30]. study participants were approached in each ward unit.

Eligible nursing students in specified classrooms were selected based on inclusion criteria, after getting informed consent the data collector was administered the questionnaire. Participants were provided with appropriate information about the study, then informed consent was being obtained to assure their willingness to participate in the study. Four trained BSc nurses collected the data and four trained MSc nurses closely followed the data collection process.

Data quality assurance

To ensure the quality of data one-day training was given to data collectors and supervisors regarding the structured tool (on the objective of the study and how to collect the data). A week before starting the actual period, the questionnaire was pretested in Woldia University on 10% of the total sample size of nursing students, and the necessary correction was done. Internal consistency was checked by computing Cronbach’s α for the dependent variable. It was 0.709 from the pretest data. Regular daily supervision was done to check, the consistency and completeness of the filled-out checklist format, by the principal investigator and supervisors.

Data processing and analysis

Data were coded and entered into Epi-info version 7 and then it was exported to SPSS version 25 for analysis. Data entry was made by the principal investigator with close supervision of coauthors. Descriptive statistics including, frequencies, proportions, mean, median and SD was computed and displayed by using tables, graphs, and texts. The model fitness was checked by Hosmer and Lemeshow’s goodness of fit test and its p-value was 0.716. Multicollinearity was checked.

All variables were entered in to multivariable logistic regression analysis examine the association between the dependent variable and independent variables. Those with p < 0.05 at multivariable logistic regression analysis were considered statistically significant.

Results

Among 414 study participants, 56.3% with 95%CI (51.4,60.9) of them were compliant with standard precautions and the rest were non-compliant.

Sociodemographic characteristics of the study participants

The data were collected from a total of 414 randomly selected participants with a response rate of 97.8%. Of the total respondents, 221 (53.4%) were males. The median age of the participants was 24 with an IQR = 6 years. Of the 414 nursing students, 287(69%) were single. More than two-thirds of nursing students, 283 (68.4%) were third year and 286 (69%) learned generic program. Around 211(50%) of the nursing students were from comprehensive nursing department followed by pediatrics nursing department. Majority of the nursing students’ parents 359 (86.7%) did not work in the health care team (Table 1).

Table 1 Frequency distribution for socio-demographic characteristics of nursing students at governmental universities in Amhara region, Northwest Ethiopia, 2021 (n = 414)
Full size table

Personal and Institutional characteristics

In this study, one–third (32.4%) of nursing students had good knowledge towards standard precautions, and 54.3% of them had a positive attitude. A total of 192(46.4%) nursing students were reported that they had training or seminar on standard precautions in the last six months, and 383 (82.9%) of the participants were attached to the pediatric ward. Majority 334 (80.7%) of study participants perceived their work place climate as unsafe. More than half of the nursing students 235 (56.8%) did not worked in a health care setting as a nurse before registering for this degree. Nearly two third of study participants had history of exposure to blood and other body splashes and nearly one fourth (25.1%) of the nursing students had ever exposed to needle stick injury during their clinical practice. Around 85% of the nursing students had clinical practicum(attachment) in pediatrics ward (Table 2).

Table 2 Frequency distribution for personal and institutional factors of nursing students compliance with standard precautions at governmental universities located in Amhara region, Northwest Ethiopia, 2021 (n = 414)
Full size table

Factors associated with compliance with standard precautions

Having good knowledge (AOR = 2.52, 95% CI = 1.61–3.94), Having training or seminar related to standard precautions in the last six months (AOR = 1.52, 95% CI = 1.01–2.29), and Participants perceived workplace climate as safe (AOR = 2.57, 95% CI = 1.24–3.71) were significantly associated with their compliance (Table 3).

Table 3 Shows the Bivariate and Multivariate analysis of factors associated with nursing student's compliance with standard precautions at governmental universities located in Amhara region, Northwest Ethiopia, 2021 (n = 414)
Full size table

Discussion

This cross-sectional study assessed the self-reported compliance with SPs and the factors associated with it among nursing students. Findings of the current study showed that 56.3% with 95%CI (51.4,60.9) of the study participants were compliant with standard precautions. Good Knowledge, perceived workplace safety, and having training or seminar in the last six months were identified factors significantly associated with being compliant with standard precautions.

The compliance of nursing students towards SPs in this study is in line with studies conducted in Hong Kong 53.5% [28],in Croatia 58.4% [15] and in Saudi Arabia 60.1%, and 56.8% [13, 25] and in Nigeria 57.3 [31]. Even though there is a difference in socioeconomic status and level of health sector development, the possible reason for the similarity might be the use of a similar tool, characteristics of study participants (inclusion of nursing students senior nursing students), and study design.

The finding was lower than studies conducted in South Korea 79.74% [32], 85% in Malaysia [33], Saudi Arabia 61%, and 84.8% [24, 34]. The possible reason might be the difference in a hospital setting, sampling techniques, study population characteristics, the availability and accessibility of safety materials (clinical environment), curriculum, and socioeconomic differences. For example, in South Korea sampling techniques were convenient and included only final year nursing students. Additionally, there might be differences in teachers' close monitoring and following up of students during their clinical practices.

However, The result of this study was higher than a study conducted in South Korea 50.5% [14] and in Egypt, 15% of them had good compliance [35]. This difference might be the study conducted in South Korea is in a single setting where the current study is a multicenter study and in Egypt sampling technique and sample size difference.

In this study the maximum compliance was on putting used sharp articles into sharps boxes. which is consistence with studies conducted in South Korea [19] and Whereas the lowest compliance in this study was disposing sharps box only when it is full, which is consistent with studies conducted in Croatia [20] and Saudi Arabia [30, 31].

Study participants with good knowledge were found to be 2.52 times more likely to comply with standard precautions as compared to nursing students with poor knowledge. This finding is consistent with the study done in Melanesia [36], China [19] and Iran [37], and Nigeria [38]. The possible explanation could be, knowledge is a pre-requisite to appropriate behavioral change and a very important element for behavior change [39]. This is also supported by literature that lack of knowledge is the major reason for non-compliance to standard precautions measures [40]. So having good knowledge helps to implement standard precautions measures properly as recommended. On the other hand, the finding of the current study Contradicts with the studies in the Philippines [41], Malaysia [33], and South Korea [32] showed that no association between knowledge and compliance.

In the current study participants who had training or seminar related to standard precautions were found to be 1.52 times more likely to be compliant with standard precautions than those who had not taken any training or seminar in the last six months. The current result is consistent with previous literatures in Hong Kong, Saudi Arabia, and Jordan showed that individuals with proper training and education seminar-workshop in infection control are more compliant [19, 24, 25, 42]. This might be justified as the fact that training and seminars can sensitize the knowledge of nursing students make them to comply with standard precaution measures. Which also supported by CDC recommendations that training is required for all health care providers to maintain competency and ensure that infection prevention policies and procedures are understood and followed [1].

Participants who perceived workplace climate as safe were found to be 2.15 times more likely to be compliant with standard precautions than those who perceived the workplace as unsafe. This finding is consistent with the studies conducted in South Korea revealed that the higher the perception of a safe environment for standard precautions results the higher compliance with IPC practices [30, 32]. The possible explanation could be well equipped and a safe environment is mandatory to accomplish tasks according to recommendations. Since Safe workplace climate is the shared perception of management for safety support and feedback regarding infection prevention and control in hospitals, including a supportive work environment as well as adequate infrastructure and resources [43]. So the health facilities' infection prevention climate needs to be improved to increase students’ compliance with standard precautions.

Conclusion

Generally, nursing students’ compliance with standard precautions was low as compared with CDC and WHO recommendations. Good Knowledge, perceived workplace safety, and having training or seminar in the last six months were significantly associated with being compliant with standard precautions. Great emphasis is required from universities, hospitals as well as policy makers.

Strength and limitation

The use of a self-administered questionnaire may overestimate or underestimate the result of this study. On the other hand, Since It is the first study in Ethiopia among nursing students and it tried to show their compliance clearly.

Change history

Abbreviations

AOR:

Adjusted Odds Ratio

BSc:

Bachelor of Science

CI:

Confidence Interval

COR:

Crude Odds Ratio

CSPs:

Compliance with Standard Precautions Scale

Epi- Info:

Epidemiological Information

HAIs:

Hospital-Acquired Infections

HBV:

Hepatitis B Virus

HCAIs:

Health Care-Associated Infections

HCWs:

Health Care Workers

IPC:

Infection Prevention and Control

NSs:

Nursing Students

PPE:

Personal Protective Equipment

SPs:

Standard precautions

SPSS:

Statistical Package software for Social Sciences

SPSS:

Statistical Package for Social Science

WHO:

World Health Organization

References

  1. Centers for Disease Control and Prevention. Basic infection control and prevention plan for outpatient oncology settings. Atlanta, GA: CDC; 2011.

    Google Scholar 

  2. WHO. WHO guidelines on tularaemia: epidemic and pandemic alert and response. 1st ed. Geneva: World Health Organization; 2007.

    Google Scholar 

  3. Kenyon M, Babic A. The European blood and marrow transplantation textbook for nurses: Under the auspices of EBMT. 2018.

    Book  Google Scholar 

  4. Okechukwu E, Motshedisi C. Knowledge and practice of standard precautions in public health facilities in Abuja, Nigeria. Int J Infect Control. 2012;8(3). https://doi.org/10.3396/ijic.v8i3.10003.

  5. Rothe C, Schlaich C, Thompson S. Healthcare-associated infections in sub-Saharan Africa. J Hosp Infect. 2013;85(4):257–67.

    Article  CAS  PubMed  Google Scholar 

  6. Mannocci A, De Carli G, Di Bari V, Saulle R, Unim B, Nicolotti N, et al. How much do needlestick injuries cost? A systematic review of the economic evaluations of needlestick and sharps injuries among healthcare personnel. Infect Control Hosp Epidemiol. 2016;37(6):635–46.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Reis LA, La-Rotta EIG, Diniz PB, Aoki FH, Jorge J. Occupational exposure to potentially infectious biological material among physicians, dentists, and nurses at a university. Saf Health Work. 2019;10(4):445–51.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Health care-associated infections FACT SHEET. [cited 05 Feb 2021]. Available from: https://u.osu.edu/korzen.1/2016/09/23/health-care-associated-infections-fact-s.

  9. Morgan PP. Compliance in health care. Can Med Assoc J. 1979;121(11):1495.

    PubMed Central  Google Scholar 

  10. Luo Y, He G-P, Zhou J-W, Luo Y. Factors impacting compliance with standard precautions in nursing. Chin Int J Infect Dis. 2010;14(12):e1106–14.

    Article  Google Scholar 

  11. Hessels A, Larson E. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp Infect. 2016;92(4):349–62.

    Article  CAS  PubMed  Google Scholar 

  12. Fatahi A, Khalili Z, Seyedtabib M. Attitude, adherence, and nursing students’ knowledge, about preventive standard precautions of blood borne diseases. Pajouhan Scientific J. 2019;18(1):49–56.

  13. Mubaraki MA, et al. Infection control practices of saudi baccalaureate nursing students during clinical training. EC Microbiology. 2017;13:55–64.

    Google Scholar 

  14. Moon K, Hyeon YH, Lim KH. Factors associated with nursing students’ compliance with standard precautions: a self-reported survey. Int J Infect Control. 2019;15(3):1–9.

    Article  Google Scholar 

  15. Mestrovic T, Neuberg M, Kozina G. Compliance with standard precautions among University Nursing Students from Croatia: a cross-sectional study. Infect Control Hospital Epidemiol. 2020;41(1):s180-s.

    Article  Google Scholar 

  16. Berman A, et al. Kozier & Erb’s fundamentals of Nursing Australian edition, vol. 3. Australia: Pearson Higher Education AU; 2014.

  17. Audrey T, et al. Student workbook and resource guide for Kozier & Erb’s fundamentals of nursing. London: Pearson; 2016.

  18. Boucaut R, Cusack L. ‘Sometimes your safety goes a bit by the wayside’… exploring occupational health and safety (OHS) with student nurses. Nurse Educ Pract. 2016;20:93–8.

    Article  PubMed  Google Scholar 

  19. Cheung K, Chan CK, Chang MY, Chu PH, Fung WF, Kwan KC, et al. Predictors for compliance of standard precautions among nursing students. Am J Infect Control. 2015;43(7):729–34.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Connelly D, Veriava Y, Roberts S, Tsotetsi J, Jordan A, DeSilva E, et al. Prevalence of HIV infection and median CD4 counts among health care workers in South Africa. S Afr Med J. 2007;97(2):115–20.

    PubMed  Google Scholar 

  21. Irmak Z, Ekinci B, Akgul A. Hepatitis B and C seropositivity among nursing students at a Turkish university. Int Nurs Rev. 2010;57(3):365–9.

    Article  CAS  PubMed  Google Scholar 

  22. Christopher DJ, James P, Daley P, Armstrong L, Isaac BT, Thangakunam B, et al. High annual risk of tuberculosis infection among nursing students in South India: a cohort study. PLoS ONE. 2011;6(10):e26199.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Yeshitila M, Mengistie B, Demessie A, Godana W. Prevalence and associated factors of needle stick injury among nursing and midwifery students an Haramaya and Jigjiga University, Eastern Ethiopia. Primary Health Care: Open Access. 2015;5(1):1–6.

    Google Scholar 

  24. Tumala RB. Predictors of nursing interns’ standard precautions compliance during internship training in four teaching hospitals in Saudi Arabia. Int J Nurs Pract. 2021;27(3):e12897.

    Article  PubMed  Google Scholar 

  25. Alshammari F, Cruz JP, Alquwez N, Almazan J, Alsolami F, Tork H, et al. Compliance with standard precautions during clinical training of nursing students in Saudi Arabia: a multi-university study. J Infect Dev Ctries. 2018;12(11):937–45.

    Article  PubMed  Google Scholar 

  26. Cruz JP, Bashtawi MA. Predictors of hand hygiene practice among Saudi nursing students: a cross-sectional self-reported study. J Infect Public Health. 2016;9(4):485–93.

    Article  PubMed  Google Scholar 

  27. Zeb A, Muhammad D, Khan A. Factors affecting nurses’ compliance to standard precautions in resource scarce settings. Am J Biomed Sci Res. 2019;4(5):384–9.

    Article  Google Scholar 

  28. Lam SC. Validation and cross-cultural pilot testing of compliance with standard precautions scale: self-administered instrument for clinical nurses. Infect Control Hosp Epidemiol. 2014;35(5):547–55.

    Article  PubMed  Google Scholar 

  29. Haile TG, Engeda EH, Abdo AA. Compliance with standard precautions and associated factors among healthcare workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia. J Environ Public Health. 2017;2017:2050635.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Choi J-R, Ko I-S, Yim Y-Y. Factors influencing nursing students’ performance of infection control. J Korean Acad Fundamentals Nurs. 2016;23(2):136–48.

  31. Akinwaare M, Bello K, Ani O. Perceived barriers, knowledge and reported practices of infection prevention and control among clinical nursing and medical students of a Nigerian University. IJIC. 2020;16(4). [cited 28 Dec 2022]. Available from: https://ijic.info/article/view/19141.

  32. Kim H, Park H. Compliance with infection prevention and control practice among Prospective Graduates of Nursing School in South Korea. Int J Environ Res Public Health. 2021;18(5):2373.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Anuar TNATSN, Rasudin NS, Zain NM. Knowledge and compliance regarding standard precautions among Nursing Students at Universiti Sains Malaysia. International journal of care scholars. 2021;4(1):10–7.

    Article  Google Scholar 

  34. Colet PC, Cruz JP, Alotaibi KA, Colet MKA, Islam SMS. Compliance with standard precautions among baccalaureate nursing students in a Saudi university: a self-report study. J Infect Public Health. 2017;10(4):421–30.

    Article  PubMed  Google Scholar 

  35. Lawend JA, El-Shahat W, Salama HAM, Samra OMA. Compliance with recommended universal precautions for control infection by Needlestick Injury among Nursing Students. Am J Nurs. 2019;7(6):1020–7.

    Google Scholar 

  36. Balami LG, Ismail S, Saliluddin SM, Garba SH. Role of knowledge and attitude in determining standard precaution practices among nursing students. Int J Commun Med Public Health. 2017;4(2):560–4.

    Article  Google Scholar 

  37. Majidipour P, Aryan A, Janatolmakan M, Khatony A. Knowledge and performance of nursing students of Kermanshah-Iran regarding the standards of nosocomial infections control: a cross-sectional study. BMC Res Notes. 2019;12(1):485.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Olorunfemi O, Oyewole OM, Oduyemi RO. Nursing students’ knowledge and practice of infection control in burns and medical-surgical units at the University of Benin teaching hospital, Nigeria, 2019. J Nurs Midwifery Sci. 2020;7(1):42.

  39. Gbefwi N. The nature of health education and communication strategy: a practical approach for community-based health practitioners and rural health workers. Lagos: Academic Press; 2004.

    Google Scholar 

  40. Sax H, Perneger T, Hugonnet S, Herrault P, Chraïti M-N, Pittet D. Knowledge of standard and isolation precautions in a large teaching hospital. Infect Control Hosp Epidemiol. 2005;26(3):298–304.

    Article  PubMed  Google Scholar 

  41. Labrague LJ, Rosales RA, Tizon MM. Knowledge of and compliance with standard precautions among student nurses. Int J Adv Nurs Stud. 2012;1(2):84–97.

    Google Scholar 

  42. Darawad MW, Al-Hussami M. Jordanian nursing students’ knowledge of, attitudes towards, and compliance with infection control precautions. Nurse Educ Today. 2013;33(6):580–3.

  43. Valim MD, Marziale MHP, Richart-Martínez M, Sanjuan-Quiles Á. Instruments for evaluating compliance with infection control practices and factors that affect it: an integrative review. J Clin Nurs. 2014;23(11–12):1502–19.

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors are grateful to all university administrative staff, data collectors, and study participants.

Data sharing statements

All data are available upon reasonable request and the readers could contact the corresponding author.

Disclosure

The authors report no conflict of interest.

Funding

No funding has been received for the conduct of this study and/or the preparation of this manuscript.

Author information

Authors and Affiliations

  1. Department of Surgical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia

    Desalegn Getachew Ayele & Ashenafi Worku Woretaw

  2. Department of Comprehensive Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia

    Zewdu Baye Tezera

  3. Department Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia

    Negesu Gizaw Demissie

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  1. Desalegn Getachew Ayele
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Contributions

Desalegn Getachew Ayele carried out the study starting from conception, analysis, and interpretation of data and reviewing the manuscript. Zewdu Baye Tezera participated in proposal writing, data analysis, interpretation, and critical review of the manuscript. Negesu Gizaw Demessie participated in reviewing, data analysis, and commenting on the manuscript. Ashenafi Worku Woretaw participated in manuscript preparation and reviewing. All authors are involved in writing, reviewing, and approving the final draft of the manuscript. All authors have taken part in drafting the article or revising it critically for important intellectual content; agreed to submit to the current journal; gave final approval of the version to be published; and agree to be accountable for all aspects of the work.

Corresponding author

Correspondence to Desalegn Getachew Ayele.

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This study was conducted in accordance with the principles of the Helsinki Declaration. Ethical clearance was obtained from the Research and Ethical Review Committee of the University Gondar College of Medicine and Health Science before the recruitment of study participants with reference no: S/N/164/7/2013. Following approval, a written official letter of cooperation was submitted to each university administration office before the commencement of data collection. After permission had been obtained from each university concerned body, written informed consent was gained from each study participant. Each participating student was informed about the purpose of the study and also informed that about 15- 20 min was required to fill a self-administered questionnaire. No personal identification of participants was recorded to ensure confidentiality.

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Ayele, D.G., Baye Tezera, Z., Demissie, N.G. et al. Compliance with standard precautions and associated factors among undergraduate nursing students at governmental universities of Amhara region, Northwest Ethiopia. BMC Nurs 21, 375 (2022). https://doi.org/10.1186/s12912-022-01165-w

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  • DOI: https://doi.org/10.1186/s12912-022-01165-w

Keywords

BMC Nursing

ISSN: 1472-6955

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