After reading the abstract, the initial reaction to the article was to make note if the age or years of experience of the health professionals effected the compliance with universal precautions. The question relates to personal practice experience. In 1989, at the first nursing experience I learned to start IV’s on patients by putting on gloves after palpating the vein, inserting the needle into the vein, verifying the blood return, but before uncapping to insert the IV line. I hope none of the class reading the discussion practices for the Joint Commission or OSHA; however, we are well pass the statute of limitations.
The study conducted in 2001 concluded that years of experience or age did not influence whether the health professionals chose to comply with the universal precautions edict for the United Kingdom Health Departments. The professional doctors and nurses who espouse to evidence based practices chose to use subjective predictors to determine adherence to personal safety guidelines. The researchers discuss reasons for the physician non-compliance as their rejection of the bureaucratic model of uniform practice (Cutter & Jordan, 2003). Anecdotal information supports that the compliance issues occur in many facilities. Recently, in one of the hospitals of my professional practice, the anesthesiologists (doctors and nurses) were eating inside the surgical suite. Questions that remain unanswered from the study are what interventions will solidify compliance with universal precautions.
Quantitative Design versus Research Question
Cutter and Jordan (2003) utilized a cross sectional survey design to clarify reasons for non-compliance with infection control guidelines. A cross-sectional survey collects data to make inferences about cause and effect on a population during a specific time-period. The design is non-experimental and is descriptive in focus (Burns & Grove, 2009). This type of design is not as robust as a
References: Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis and generation of evidence. St Louis, MO: Saunders Elsevier. Cutter, J., & Jordan, S. (2003). Uptake of guideline to avoid and report exposure to blood and body fluids. Journal of Advanced Nursing , 46 (4), 441-452. Hall, J. (2012). Cross-sectional survey design. In P. J. Lavrakas, Encyclopedia of survey research methods. Sage Publishing. Laureate Education. (2010). Research Design. Baltimore, MD: Laureate Education. Williamson, G. R. (2005). Illustrating Triangulation in mixed methods nursing research. Nurse Researcher , 12 (4), 7-18.