title: Behavioral-diagnostic analysis of compliance with universal precautions among nurses.
abstract: This study used the PRECEDE model (L.W. Green, M.W. Kreuter, S.G. Deeds, & K.B. Partridge, 1980) to examine individual, job-task, and environmental-organizational factors related to compliance with universal precautions (UP) among nurses. Structural equation modeling showed that the hypothesized model did a better job predicting general compliance (R2 = .41) than compliance with personal protective equipment (PPE; R2 = .18). All 3 categories of diagnostic factors (predisposing, enabling, and reinforcing) influenced general compliance, but predisposing factors were relatively unimportant for compliance with PPE. With a set of nested models, the greatest improvement in model fit occurred when the indirect effects of reinforcing factors were added. A positive safety climate may increase the likelihood that the work environment will contain features that enable workers to comply with safe work practices.
authors.affiliation: Department of Health Promotion and Behavior, University of Georgia, Athens 30602-6522, USA. ddejoy@coe.uga.edu
authors.forename: D M
authors.initials: DM
authors.lastname: DeJoy
authors.forename: C A
authors.initials: CA
authors.lastname: Searcy
authors.forename: L R
authors.initials: LR
authors.lastname: Murphy
authors.forename: R R
authors.initials: RR
authors.lastname: Gershon
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control; D017848:Blood-Borne Pathogens; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D009741:Nursing Staff, Hospital / Q000523:psychology*; D009784:Occupational Diseases / Q000517:prevention & control; D016134:Organizational Policy; D012931:Social Environment; D014481:United States; D016635:Universal Precautions