Factors Influencing Adherence to Standard Precautions Scale: A psychometric validation

Bouchoucha, Stéphane L.; Moore, Kathleen A.

likewise, staff awareness of a patient's status with respect to a If people see me use SP they will do the same .42 FIGURE 1 Confirmatory factor structure of the Factors Influencing Adherence to Standard Precautions Scale. BBV = blood-borne virus; PPE = personal protective equipment; R = reverse coded Item; SP = standard precaution guidelines blood-borne virus (BBV) might also be a determinant, as would knowing that the organizational culture supports SP use. Such cues seem to encourage individuals to adopt SP and might lead to the behaviors becoming habitual, that is, behavior repeated until it has become more or less automatic (Nilsen, Roback, Brostrom, & Ellstrom, 2012) . Certainly, Neal, Wood, Wu, and Kurlander (2011) showed that habits can be activated directly by contextual cues that are outside the individual's overt sense of awareness, although this factor was not highly endorsed by current participants (mean = 13.01, range 0-24). The presence of positive or negative cues, such as knowledge of a patient's BBV status or lack of available PPE, has been described previously as factors influencing adherence to SP (Cutter & Jordan, 2012; Madan, Raafat, Hunt et al., 2002; Tait et al., 2000; Wu et al., 2008) , although using one's knowledge of a patient's status to decide whether or not to use SP is against the basic premise of mandated SP use.