Validation of an instrument to assess factors associated with adherence to standard precautions among dentists in primary healthcare.

Accidents with biological material are a reality in dental practice. The use of preventive measures such as the adoption of Standard Precautions (SP) is essential, thus this study aims to validate an instrument to check factors associated with adherence to SP among dentists. The scales of psychosocial and organizational factors that influence adherence to SP were the starting point. These scales have already been nationally validated for doctors and nurses. The instrument consisted of 49 items divided into five dimensions. The process of instrument validation involved the following steps: its adaptation for situations that pose risks to dentists; content and semantic analysis by a committee of judges, and application to dentists. The adapted instrument was applied to 224 dentists who provided primary healthcare in the north region of Paraná State. After the application of scales, the psychometric properties were analyzed using the factor analysis technique and a reliability test. The factor analysis confirmed three domains: Obstacles to following standard precautions; Knowledge of occupational transmission of HIV and Safety climate. The reliability of the domains was considered adequate (Cronbach's alpha between 0.73 and 0.88.). The instrument demonstrated adequate psychometric properties to assess factors that influence adherence to SP among dentists.

Validation of an instrument to assess factors associated with adherence to standard precautions among dentists in primary healthcare

Accidents with biological material are a reality in dental practice.The use of preventive measures such as the adoption ofStandard Precautions (SP) is essential, thus this study aims tovalidate an instrument to check factors associated with adherenceto SP among dentists. The scales of psychosocial andorganizational factors that influence adherence to SP were thestarting point. These scales have already been nationally validatedfor doctors and nurses. The instrument consisted of 49items divided into five dimensions. The process of instrumentvalidation involved the following steps: its adaptation for situationsthat pose risks to dentists; content and semantic analysisby a committee of judges, and application to dentists. Theadapted instrument was applied to 224 dentists who providedprimary healthcare in the north region of Paraná State. Afterthe application of scales, the psychometric properties wereanalyzed using the factor analysis technique and a reliabilitytest. The factor analysis confirmed three domains: Obstaclesto following standard precautions; Knowledge of occupationaltransmission of HIV and Safety climate. The reliability of thedomains was considered adequate (Cronbach’s alpha between0.73 and 0.88.). The instrument demonstrated adequate psychometricproperties to assess factors that influence adherenceto SP among dentists...

Os acidentes com presença de material biológico são umarealidade na prática odontológica. A utilização de medidaspreventivas como a adoção das Precauções Padrão (PP) éessencial, desta maneira este estudo tem como objetivo validarum instrumento para verificação de fatores associadosà adesão às PP, entre dentistas. Partiram-se das Escalas deFatores Psicossociais e Organizacionais que Influenciam aAdesão às Precauções-Padrão, já validadas nacionalmentepara enfermeiros e médicos. O instrumento compôs-se de49 itens distribuídos em 5 dimensões. O processo de validaçãodo instrumento seguiu as seguintes etapas: adaptaçãodo instrumento para as situações que envolvem riscos aosdentistas por meio da análise semântica e análise de conteúdo,as quais foram realizadas por um comitê de juízes. Oinstrumento adaptado foi para 224 dentistas que atuavamna Rede Básica de Saúde na região Norte do Estado doParaná. Após aplicação das escalas foram analisadas aspropriedades psicométricas através das técnicas de análisefatorial e teste de confiabilidade. A análise fatorial confirmoutrês domínios: Obstáculo para seguir às PrecauçõesPadrão; Conhecimento da transmissão ocupacional do HIVe Clima de segurança. A confiabilidade dos domínios foiconsiderada adequada (alfa de Cronbach entre 0,73 e 0,88).O instrumento demonstrou propriedades psicométricas adequadaspara avaliar fatores de influência na adesão as PP,entre dentistas...

Validation of an instrument to assess factors associated with adherence to standard precautions among dentists in primary healthcare. / Validation of an instrument to assess factors associated with adherence to standard precautions among dentists in primary healthcare.

Accidents with biological material are a reality in dental practice. The use of preventive measures such as the adoption of Standard Precautions (SP) is essential, thus this study aims to validate an instrument to check factors associated with adherence to SP among dentists. The scales of psychosocial and organizational factors that influence adherence to SP were the starting point. These scales have already been nationally validated for doctors and nurses. The instrument consisted of 49 items divided into five dimensions. The process of instrument validation involved the following steps: its adaptation for situations that pose risks to dentists; content and semantic analysis by a committee of judges, and application to dentists. The adapted instrument was applied to 224 dentists who provided primary healthcare in the north region of Paraná State. After the application of scales, the psychometric properties were analyzed using the factor analysis technique and a reliability test. The factor analysis confirmed three domains: Obstacles to following standard precautions; Knowledge of occupational transmission of HIV and Safety climate. The reliability of the domains was considered adequate (Cronbachs alpha between 0.73 and 0.88.). The instrument demonstrated adequate psychometric properties to assess factors that influence adherence to SP among dentists.