Behavioral-diagnostic analysis of compliance with universal precautions among nurses

J Occup Health Psychol. 2000 Jan;5(1):127-41. doi: 10.1037//1076-8998.5.1.127.


This study used the PRECEDE model (L.W. Green, M.W. Kreuter, S.G. Deeds, & K.B. Partridge, 1980) to examine individual, job-task, and environmental-organizational factors related to compliance with universal precautions (UP) among nurses. Structural equation modeling showed that the hypothesized model did a better job predicting general compliance (R2 = .41) than compliance with personal protective equipment (PPE; R2 = .18). All 3 categories of diagnostic factors (predisposing, enabling, and reinforcing) influenced general compliance, but predisposing factors were relatively unimportant for compliance with PPE. With a set of nested models, the greatest improvement in model fit occurred when the indirect effects of reinforcing factors were added. A positive safety climate may increase the likelihood that the work environment will contain features that enable workers to comply with safe work practices.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acquired Immunodeficiency Syndrome / prevention & control
  • Blood-Borne Pathogens
  • Health Knowledge, Attitudes, Practice*
  • Health Surveys
  • Humans
  • Nursing Staff, Hospital / psychology*
  • Occupational Diseases / prevention & control
  • Organizational Policy
  • Social Environment
  • United States
  • Universal Precautions*