Compliance with universal precautions in correctional health care facilities

Robyn Gershon, Christine D. Karkashian, David Vlahov, Leslie Kummer, Christine Kasting, Judith Green-McKenzie, Jose A. Escamilla-Cejudo, Newton Kendig, Anthony Swetz, Linda Martin

Research output: Contribution to journalArticle

Abstract

There were three main objectives of this cross-sectional study of Maryland State correctional health care workers. The first was to evaluate compliance with work practices designed to minimize exposure to blood and body fluids; the second, to identify correlates of compliance with universal precautions (UPs); and the third was to determine the relationship, if any, between compliance and exposures. Of 216 responding health care workers, 34% reported overall compliance across all 15 items on a compliance scale. Rates for specific items were particularly low for use of certain types of personal protective equipment, such as protective eyewear (53.5%), face mask (47.2%) and protective clothing (33.9%). Compliance rates were highest for glove use (93.2%) waste disposal (89.8%), and sharps disposal (80.8%). Compliance rates were generally not associated with demographic factors, except for age; younger workers were more likely to be compliant with safe work practices than were older workers (P < 0.05). Compliance was positively associated with several work-related variables, including perceived safety climate (ie, management's commitment to infection control and the overall safety program) and job satisfaction, and was found to be inversely associated with security- related work constraints, job/task factors, adverse working conditions, workplace discrimination, and perceived work stress. Bloodborne exposures were not uncommon; 13.8% of all respondents had at least one bloodborne exposure within the previous 6 months, and compliance was inversely related to blood and body fluid exposures. This study identified several potentially modifiable correlates of compliance, including factors unique to the correctional setting. Infection-control interventional strategies specifically tailored to these health care workers may therefore be most effective in reducing the risk of bloodborne exposures.

Original languageEnglish (US)
Pages (from-to)181-189
Number of pages9
JournalJournal of Occupational and Environmental Medicine
Volume41
Issue number3
DOIs
StatePublished - Jan 1 1999

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Universal Precautions
Health Facilities
Compliance
Delivery of Health Care
Body Fluids
Infection Control
Protective Clothing
Safety
Job Satisfaction
Masks
Climate
Workplace
Cross-Sectional Studies
Demography

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Compliance with universal precautions in correctional health care facilities. / Gershon, Robyn; Karkashian, Christine D.; Vlahov, David; Kummer, Leslie; Kasting, Christine; Green-McKenzie, Judith; Escamilla-Cejudo, Jose A.; Kendig, Newton; Swetz, Anthony; Martin, Linda.

In: Journal of Occupational and Environmental Medicine, Vol. 41, No. 3, 01.01.1999, p. 181-189.

Research output: Contribution to journalArticle

Gershon, R, Karkashian, CD, Vlahov, D, Kummer, L, Kasting, C, Green-McKenzie, J, Escamilla-Cejudo, JA, Kendig, N, Swetz, A & Martin, L 1999, 'Compliance with universal precautions in correctional health care facilities', Journal of Occupational and Environmental Medicine, vol. 41, no. 3, pp. 181-189. https://doi.org/10.1097/00043764-199903000-00007
Gershon, Robyn ; Karkashian, Christine D. ; Vlahov, David ; Kummer, Leslie ; Kasting, Christine ; Green-McKenzie, Judith ; Escamilla-Cejudo, Jose A. ; Kendig, Newton ; Swetz, Anthony ; Martin, Linda. / Compliance with universal precautions in correctional health care facilities. In: Journal of Occupational and Environmental Medicine. 1999 ; Vol. 41, No. 3. pp. 181-189.
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