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SP adherence (Me1=4.30) INTERMEDIATE |
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[...] gloves people use, and in isolation we use masks... garbage disposal is, I believe, if not 100%, close to that, appropriate. We haven’t had accident with sharps for a long time, we dispose of it properly. It is a matter of biological material, of secretion exposure, it is a difficult thing for you to see people wearing goggles and a mask, it is a habit that workers in this sector do not have (N11). In general, we take care of ourselves, the girls [referring to their co-workers] wear gloves; everyone wears gloves, but what I use here the most is the apron when I am going to treat injuries, the apron and the goggles [...] I see that the girls [referring to the nursing team] try to use a lot PPE, and another thing, the environment’s cleanliness. Care with material disposal is very serious, we always try to do it strictly [...] (N02). Very little. Almost nobody uses it, almost nobody cares about it, because they think it happened to the colleague because it had to happen, understand? So, there is very little precaution (T10). [...] there are all kinds of patients here. So, we don’t know about the diseases they have and it can be transmitted to us. But we try to be cautious when we see that there is a suspect of something (A05). |
Individual factors |
Risk personality (Me=4.24) INTERMEDIATE |
Prevention efficacy (Me=4.53) HIGH |
Risk perception (Me=3.99) INTERMEDIATE |
Knowledge about occupational HIV transmission (Me=4.29) INTERMEDIATE |
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[...] but is the person himself who is resistant to using PPE [...]. I think it goes from person to person. There are people who are aware, have training and, even so, they don’t wear anything, unfortunately, nor do they wear gloves (T01). I usually follow the rules, with the exception of some precautions, such as wearing gloves. I don’t always use gloves for venipuncture ... I don’t see the neglect of not using it as a negligence, it’s a risk I’m taking ... I know that [...] (N02). |
[...] I feel safe, because I have some control over the risks. We prevent ourselves, wear a glove, wear an apron and, even so, there is a risk that, even if taking care, an accident may still happen (N16). [...] following the protocol [...] you can prevent yourself from getting hurt, from contracting anything. So, this is it, I try, particularly to always follow (T04). |
It seems that it is that feeling that it will not happen to me, perhaps, because it does not give real importance to prevention. I don’t know if we deny this risk, [...] so, I can work less anxiously [...] (N11). Nurses, very stubborn beings, think that nothing will happen to them, that the aura of the profession protects [...] because people have a lot of difficulty: “Ah, nothing will happen to me’... until it happens (N07) |
[...] I feel calm about it because I have the information, we have the POPS, we have the biosafety manual [...] (N16). [...] there is a service that is the infectious disease service, which assists AIDS patients [...] we work a lot with injuries that can provide us with some infections, depending on whether we have a fissure or some skin lesion that we don’t notice and we get in touch with these secretions, even if we take care (N02). |
Work-related factors |
Obstacles to following SP (Me=3.77) INTERMEDIATE |
Work load (Me=4.07) INTERMEDIATE |
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[...] I lose a little dexterity to do venipuncture with gloves, so, depending on it, I end up puncturing without the glove, but, consciously, it is an option, but I am aware that I should (N02). [...] safety goggles, we report that they are heavy, uncomfortable, but, as they are a protective measure, they will not be comfortable, they were not made to be comfortable, they were made to protect you to protect you, they have to have that heavy lens [...] (T18). |
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[...] there’s a lot to do […] in the end, you overload you and you become even more susceptible, because you have less time to be dressing up, to be washing yourself properly [...] (T21). [...]a greater number of patients ... if you have one, two, there is no reason for you not to use it and you will have time to do things well. But in the emergency room, you have 30, 40 patients [...] (T12). |
Organizational factors |
Safety climate (Me=3.33) LOW |
Training in exposure prevention (Me=3.26) LOW |
PPE availability (Me=3.82) INTERMEDIATE |
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[...] I think the institution goes to great lengths to give us the information it needs, too, in relation to providing everything that is necessary, but I think that suddenly it needs to charge more. I think you need to charge more, I don’t know how, but there would have to be something more rigorous about that [use of SP] [...] (T22). There is an alcohol dispensation, but you can see that people don’t use it, much less wash their hands when they should, the right thing would be between one patient and another, always hand hygiene... so, I realize that they even do it, but not in the way that it should be, and that, certainly, should be charged much more (T22). |
[...] there is training, but not everyone participates [...] but I don’t know if they can accommodate the large number of professionals, to sit and explain, or if it is the lack of interest of each one (T10). I think that what could help more is risk awareness work [...] but it has to be a kind of continuous work, there is no use someone came to give a lecture about it and disappear, that normally people come, speak, it is given a lecture, a work, in short, it is presented and then that is not continued [...] it has to be remembered, it has to be worked on, it has to be given importance [...] (N03). |
Because the material has, we have the PPE, it’s not a lack of it, we have (N07). [...] everything is close, we can be less contaminated ... because there on the floor [referring to the inpatient unit] there is no nearby, so you had to run and get it, or you would go to see the patient and you would not leave without answering for because of the material, or even vomiting, if there was no glove there, I had to get it and find a way (A05). |