Improving Anesthesia Nurse Compliance with Universal Precautions Using Group Goals and Public Feedback

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Timothy D. Ludwig Ph.D, Professor (Creator)
Appalachian State University (ASU )
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Abstract: Universal Precautions (UPs), procedures to reduce the likelihood of accidental exposure to blood-borne pathogens, were observed among seven Certified Nurse Anesthetists and one anesthesia technician during intravenous line procedures. After six weeks of base-line measures, nurses participated in training, goal setting, and feedback targeting hand sanitizing practices. Three weeks later immediate needle disposal was targeted. Hand sanitizing behaviors increased from a group baseline percentage of 24% to 65% during the intervention, and 52% during withdrawal. No significant increases in immediate needle disposal were found. Participants disposed of needles immediately 53% of the time during baseline, 58% during the intervention phase, and 45% during withdrawal. Non-targeted UP behaviors also increased as a result of the intervention: Recapping needles with on-hand increased from 45% during baseline to 61% during the intervention phases; removing gloves from inside out increased from 61% to 93%; and wearing gloves when discarding waste increased from 31% to 52%. Auxiliary behaviors such as nurse and patient interactions remained consistently high throughout the study.

Additional Information

Stephens, S. D., & Ludwig, T. D. (2005). Improving Anesthesia Nurse Compliance with Universal Precautions Using Group Goals and Public Feedback. Journal of Organizational Behavior Management, 25(2), 37-71. doi:10.1300/J075v25n02_02 Version of record published by Taylor & Francis and is available online at: (ISSN: 0160-8061)
Language: English
Date: 2005
group feedback, hand washing, public feedback, Universal Precautions

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