The intention of healthcare professionals to apply personal protective equipment during cardiopulmonary resuscitation

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The intention of healthcare professionals to apply personal protective equipment during cardiopulmonary resuscitation


Author: Lo, Sui Yee
Title: The intention of healthcare professionals to apply personal protective equipment during cardiopulmonary resuscitation
Degree: M.Sc.
Year: 2012
Subject: Protective clothing.
Medical personnel -- China -- Hong Kong -- Attitudes.
CPR (First aid)
Cardiac resuscitation.
Hong Kong Polytechnic University -- Dissertations
Department: Faculty of Health and Social Sciences
Pages: xii, 113 leaves : ill. (some col.) ; 30 cm.
Language: English
InnoPac Record:
Abstract: Background: Since the Severe Acute Respiratory Syndrome (SARS) outbreak in 2003, much attention has been focused on the risks of infection faced by healthcare professionals while performing high risk procedures, such as cardiopulmonary resuscitation (CPR) procedure. Appropriate usage of personal protective equipment (PPE) is effective in protecting healthcare professionals from infection. However, limited studies was published on PPE usage during in-hospital CPR and those studies on universal precaution in general showed that PPE usage of healthcare professionals were suboptimal. Thus, the factors affecting healthcare adherence to this infection control practice was highlighted. In this study, we employed a social cognitive model to increase our understanding on the intention of healthcare professionals regarding PPE usage during CPR. Aim: The aim of this study is to assess the healthcare professionals' intention to use PPE during CPR and the factors affecting this in a hospital setting, with application of the Theory of Planned Behavior (TPB). The findings can act as a basis for future studies and interventions that may contribute to increasing the application of PPE during CPR.
Methods: It was a cross-sectional survey study using a theory-based (the Theory of Planned Behavior), self-developed 12-item questionnaire. Data collection lasted for two months commencing 1 July 2011 in a local hospital. A total of 243 healthcare professionals were recruited using the convenience sampling method. The data collected included demographics and the Theory of Planned Behavior-related variables (intention, attitude, subjective norm and perceived behavioral control), which were used to explain the healthcare professionals' intention to use PPE during CPR. Results: Temporal stability and internal consistency of the questionnaire were established by test retest method and Cronbach's alpha respectively. Construct validity was established by means of confirmatory factor analysis. Structural Equation Modeling analysis revealed that attitudes and perceived behavioral control were significant predictors of healthcare professionals' intention regarding PPE usage during CPR. Subjective norm did not have significant direct effect on the intention, but it significantly correlated with attitude and perceived control. Furthermore, the findings did not show any significant effects from gender, occupation, age, working experience, education level and PPE training on the intention to use PPE, except that of healthcare professionals of different departments. The healthcare professionals in different units appeared to display significant differences in the subjective norm, the perceived behavioral control and the intention. Conclusion: The theory-based questionnaire is a reliable and valid measure. The results of this study increase our understanding of healthcare professionals' intention to use PPE during resuscitation. Further researches are needed in this area for designing effective intervention to increase the use of PPE during CPR.

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