Rev Esc Enferm USP. 2026 Mar 23;60:e20250335. doi: 10.1590/1980-220X-REEUSP-2025-0335en. eCollection 2026.
ABSTRACT
OBJECTIVE: To analyze the sociocognitive determinants of adherence to standard precautions by the nursing staff in a Brazilian regional hospital.
METHOD: Mixed methodology study, explanatory sequential design, conducted between January 2023 and March 2024, with 230 professionals. The Brazilian version of Standard Precautions Questionnaire and semi-structured interviews were used. The quantitative analysis employed the Mann-Whitney test, and the qualitative analysis, content analysis.
RESULTS: The overall mean sociocognitive adherence score was 3.90 (SD = 0.48), with the highest score in the “Attitude” factor (4.60; SD = 0.48) and the lowest in “Organizational Constraints” (2.95; SD = 1.17). Significant differences were identified between professional categories in “Social Influence” (nurses: 4.72; technicians: 4.79; p = 0.001) and “Organization” (nurses: 4.60; technicians: 4.49; p = 0.033). The integration of the findings demonstrated convergence between quantitative and qualitative data, showing that adherence, although satisfactory, is influenced by work-related factors.
CONCLUSIONS: Technicians demonstrated greater social influence, while nurses identified more organizational barriers. Peer example encourages adherence, despite the persistent fear of reprimands for non-compliance with best practices.
PMID:41915861 | DOI:10.1590/1980-220X-REEUSP-2025-0335en
