Oncology nurses’ compliance with standard precautions: a multi-method study


Tarakçıoğlu Çelik G. H., Özdemir E.

BMC Nursing, cilt.24, sa.1, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1186/s12912-025-03788-1
  • Dergi Adı: BMC Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, CINAHL, Directory of Open Access Journals
  • Anahtar Kelimeler: Compliance factors, Infection prevention and control, Oncology nursing, Standard precautions
  • Ankara Üniversitesi Adresli: Evet

Özet

Aim: To assess oncology nurses’ compliance with standard precautions (SPs) and explore factors influencing adherence to inform targeted interventions in infection prevention. Design: A multi-method methodology was used. Methods: In the quantitative phase, 232 nurses from two oncology hospitals completed the Compliance with Standard Precautions Scale (CSPS) and a demographic questionnaire. In the qualitative phase, structured observations and semi-structured interviews were conducted with 14 purposively selected nurses. Results: The average SP compliance score was moderate (73.9%). Higher compliance was observed in waste disposal (86.2%), while lower rates were noted for hand hygiene (67.2%) and sharps disposal (63.2%). Age, professional experience, and recent infection control training positively correlated with compliance. A higher patient load was associated with lower adherence. Multiple regression analysis showed that both nurse age and daily patient load were significant predictors of compliance scores (F = 6.714, p < 0.01). Older age was associated with higher compliance, while a heavier patient load predicted lower adherence. Qualitative findings revealed key barriers, including time constraints, limited resources, and staffing shortages. Nurses emphasized that consistent training, managerial support, and supervision by infection control personnel facilitated better compliance. Conclusions: Oncology nurses moderately adhere to SPs, with critical gaps in high-risk areas. Addressing institutional and workload-related barriers is essential for improving SP practices. Clinical trial number: Not applicable.