Perceived Barriers to Adherence to Standard Precautions among Healthcare Personnel Working in a Teaching Hospital of Palpa District, Nepal

  • Chandra Kumari Garbuja Lumbini Medical College and Teaching Hospital
  • Samikshya K.C Lumbini Medical College and Teaching Hospital
  • Mohan Singh Rana United Mission Hospital, Tansen
Keywords: Adherence, Barrier, Healthcare personnel, Standard precaution


Introduction: The present study aimed to find out the perceived barriers to adherence to standard precautions among healthcare personnel working in a teaching hospital of Palpa district. Methods: A descriptive cross-sectional study was conducted among 191 healthcare personnel in April 2019. Barriers to standard precautions adherence were evaluated using ‘Factors Influencing Adherence to Standard Precautions Scale’. Mann Whitney U test and Kruskal Wallis H test were applied to examine the association of selected demographic variables: age, educational background, duration of employment, working areas and having attended trainings related to standard precautions with the perceived barriers to standard precautions adherence. Results: The mean age of participants was 24.87±6.05 years. Most (85.3%) of participants were nurses.  19.9% and 52.4% of participants always performed hand hygiene before and after using personal protective equipment respectively. The subscale scores in leadership and culture of the institute were 14.86±4.21 (possible range 0-24) and 14.59±2.60 (possible range 0-20) respectively. Subscale scores in judgement and contextual cues were 17.49±3.46 (possible range 0-20) and 18.02±5 (possible range 0-24) respectively. Score in justification was 7.52±5.12 (possible range 0-28). Age, educational background and duration of employment had a statistically significant association with subscale scores on justification and perceived culture of the institution. Conclusion: The present study revealed that only 19.9% of the participants would perform hand hygiene before using gloves and 52.4% of participants would do it afterwards. Personal judgement, dependence on contextual cues and inadequate leadership skills were found to be the major barriers to adherence to standard precautions.


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Author Biographies

Chandra Kumari Garbuja, Lumbini Medical College and Teaching Hospital


College of Nursing.

Samikshya K.C, Lumbini Medical College and Teaching Hospital

Nursing Officer,

Department of Internal Medicine.

Mohan Singh Rana, United Mission Hospital, Tansen

Program Co-ordinator,

Community Health Department.


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How to Cite
Garbuja C, K.C S, Rana M. Perceived Barriers to Adherence to Standard Precautions among Healthcare Personnel Working in a Teaching Hospital of Palpa District, Nepal. J Lumbini Med Coll [Internet]. 11Jan.2020 [cited 24Oct.2020];7(2):100-6. Available from:
Original Research Article