Published: 2021-10-27

Knowledge and practice of nurses regarding standard precautions in a tertiary care public hospital, North India

Rakesh Sharma, Rajesh Kumar, Priya Sharma, Divya Verma, Mahesh Kumar Sharma, Anita Sharma, Maneesh Sharma, Prasuna Jelly


Background: Hospital-acquired infections could occur as a result of lapses in accepted standards of practice on the part of health care personnel (HCP). All individuals, particularly HCPs, are potentially at high risk of infection due to their frequent exposure. This study aimed to assess the knowledge and practices of nurses regarding standard precautions at a tertiary care hospital, North India.

Methods: A cross-sectional study was conducted in a tertiary care hospital, Uttarakhand enrolling 134 nurses purposively from different units of the institute. Data was collected using a pre-structured self-administered questionnaire to seek information on participants’ knowledge and practices regarding standard precautions. SPSS version-23 was used to analyse the findings. Descriptive statistics were applied for the analysis of the results.

Results: The mean age of the participants was 27.52±2.93 years, with more than half of the respondents were males (58.21%), and (41.79%) were females. Almost 60.45% had three or fewer years of work experience. Most respondents preferred hand hygiene (97.01%) and the use of PPE (88.06%). Almost 94.03% of participants favored disinfection of frequently touched surfaces. Regarding the practices, 95.52% answered that the right hand-washing is before wearing gloves, after removing the gloves, and after leaving the patient’s care area. About 98.51% of them answered that bio-medical waste should be discarded in the right type of color-coded bins.

Conclusions: Findings suggested adequate knowledge and compliance among nurses regarding standard precautions. However, specific training programs may be conducted to attain full adherence to standard precautions. These programs can enhance their awareness and can work as a vital tool to achieve the desired improvement in knowledge and practices of standard precautions.


Hand hygiene, Infection control, Knowledge, Nurse, Practice, Standard precaution

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Kaur A, Singh T, Kukreja S. A study to assess knowledge regarding universal safe precautions among nurses in a tertiary care hospital. Int J Clin Biochem Res. 2019;6(3):263-9.

Hesse A, Adu-Aryee N, Entsua-Mensah K, Wu L. Knowledge, Attitude and practice universal basic precautions by medical personnel in a teaching hospital. Ghana Med J. 2006;40(2):64.

Kumar R, Singh V, Mohanty A, Bahurupi Y, Gupta PK. Corona health care warriors in India: knowledge, attitude, and practices during COVID-19 outbreak. J Edcv Health Promot. 2021;10:44.

Nugmanova Z, Patel N, Nurbakhyt A, Akhmetova G, Kovtunenko N, Trumova Z, et al. Universal precautions in Central Asia: the need for multiple strategies in this window of opportunity. J Hosp Infect. 2015;89(3):197-201.

Arinze-Onyia S, Ndu A, Aguwa E, Modebe I, Nwamoh U. Knowledge and practice of standard precautions by health-care workers in a tertiary health institution in Enugu, Nigeria. Niger J Clin Pract. 2018;21(2):149-55.

Efstathiou G, Papastavrou E, Raftopoulos V, Merkouris A. Factors influencing nurses’ compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study. BMC Nurs. 2011;10:1.

Wu CJ, Gardner G, Chang AM. Nursing students’ knowledge and practice of infection control precautions: an educational intervention. J Adv Nurs. 2009;65(10):2142-9.

McCauley L, Kirwan M, Matthews A. The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: a scoping review. Int J Nurs Stud Adv. 2021;100039.

Porto JS, Marziale MHP. Reasons and consequences of low adherence to standard precautions by the nursing team. Rev Gauch Enferm. 2016;37(2):e57395.

Jelly P, Sharma R, Bhatt A, Arazoo, Painuly D, Butola H, et al. Occurrence and knowledge about needle stick injury in nursing students. J Ayub Med Coll Abbottabad. 2015;27(2):430-3.

Sharma R, Mohanty A, Singh V, AS V, Gupta PK, Jelly P, et al. Effectiveness of video-based online training for health care workers to prevent COVID-19 infection: an experience at a tertiary care level institute, Uttarakhand, India. Cureus. 2021;13(5):e14785.

Ogoina D, Pondei K, Adetunji B, Chima G, Isichei C, Gidado S. Knowledge, attitude and practice of standard precautions of infection control by hospital workers in two tertiary hospitals in Nigeria. J Infect Prev. 2015;16(1):22.

Haile TG, Engeda EH, Abdo AA. Compliance with standard precautions and associated factors among healthcare workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia. J Environ Public Health. 2017;2017:2050635.

Kasa AS, Temesgen WA, Workineh Y, Tesfaye TD, Kerie S, Amsalu E, et al. Knowledge towards standard precautions among healthcare providers of hospitals in Amhara region, Ethiopia, 2017: a cross sectional study. Arch Public Health. 2020;78(1):1-8.

Asmr Y, Beza L, Engida H, Bekelcho T, Tsegaye N, Aschale Y. Assessment of knowledge and practices of standard precaution against blood borne pathogens among doctors and nurses at adult emergency room in Addis Ababa, Ethiopia. Emerg Med Int. 2019;2019:2926415.

Henderson J, Willis E, Roderick A, Bail K, Brideson G. Why do nurses miss infection control activities? A qualitative study. Collegian. 2020;27(1):11-7.

Afolaranmi TO, Hassan ZI, Bello DA, Oyebode T, Chingle MP. Assessment of knowledge and practice of standard safety precautions among Primary Health Care Workers in Plateau State North Central Nigeria. Int J Biomed Res. 2017;8(4):187-93.

Rochwani R, Sharma M. Assessment of the knowledge and practices regarding standard precaution among nursing staff at a tertiary care hospital of Raipur city, Chhattisgarh. Int J Community Med Public Health. 2019;6(4):1516-21.

Sharma R, Gupta P, Jelly P. Pattern and serological profile of healthcare workers with needle-stick and sharp injuries: a retrospective analysis. J Fam Med Prim Care. 2020;9(3):1391.

Hammoud S, Khatatbeh H, Zand A, Kocsis B. A survey of nurses’ awareness of infection control measures in Baranya County, Hungary. Nurs Open. 2021;00:1-7.

Valim MD. Instruments and impacting factors on standard precautions knowledge among health workers. Enfermería Glob. 2016;15(1):305-21.

Jahangiri M, Rostamabadi A, Hoboubi N, Tadayon N, Soleimani A. Needle stick injuries and their related safety measures among nurses in a university hospital, Shiraz, Iran. Saf Health Work. 2016;7(1):72-7.

Shah R, Mehta H, Fancy M, Nayak S, Donga B. Knowledge and awareness regarding needle stick injuries among health care workers in tertiary care hospital in Ahmedabad, Gujarat. Nat J Community Med. 2010;1:93-6.

Ilhan MN, Durukan E, Aras E, Türkçüoǧlu S, Aygün R. Long working hours increase the risk of sharp and needlestick injury in nurses: the need for new policy implication. J Adv Nurs. 2006;56(5):563-8.

Sarani H, Balouchi A, Masinaeinezhad N, Ebrahimitabas E. Knowledge, attitude and practice of nurses about standard precautions for hospital-acquired infection in teaching hospitals affiliated to Zabol University of Medical Sciences (2014). Glob J Health Sci. 2015 J;8(3):193-8.

Rutala WA, Weber DJ. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. 2019. Available at: cdc/47378. Accessed on 4 July 2021.

Alrubaiee G, Baharom A, Shahar HK, Daud SM, Basaleem HO. Knowledge and practices of nurses regarding nosocomial infection control measures in private hospitals in Sana’a City, Yemen. Saf Health. 2017;3(1):1-6.

Olaniyi FC, Ogola JS, Tshitangano TG. Challenges of effective management of medical waste in low-resource settings: perception of healthcare workers in Vhembe district healthcare facilities, South Africa. Trans R Soc South Africa. 2021;76(1):81-8.

Girgis Eskander H, Youssef W, Morsy M, Ali H, Elfeky A. Intensive care nurses’ knowledge and practices regarding infection control standard precautions at a selected Egyptian Cancer Hospital. J Educ Pract. 2013;4(19):160-74.

Bischoff WE, Reynolds TM, Sessler CN, Edmond MB, Wenzel RP. Hand-washing compliance by health care workers: The impact of introducing an accessible, alcohol-based hand antiseptic. Arch Intern Med. 2000;160(7):1017-21.

Akyol AD. Hand hygiene among nurses in Turkey: Opinions and practices. J Clin Nurs. 2007;16(3):431-7.

Kumar R, Gupta PK, Sharma P, Kaur R, Verma R, Saini R. Hand hygiene, attitude and barriers among health care workers at a tertiary care teaching hospital, Uttarakhand. Int J Heal Sci Res. 2017;7(9):159.

Sharma R, Rohilla KK, Chadha L, Malhotra P, Sharmila S, Jelly P. Strategy to prevent infection from Covid-19 among security officers of tertiary care centre: A preexperimental study. J Family Med Prim Care 2021;10:3257-61.