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Missed Opportunities

The Development and Testing of Standard Precaution Case Vignettes

Hessels, Amanda J., PhD, MPH, RN, CIC®, CPHQ, FAPIC; Weaver, Susan H., PhD, RN, CRNI®, NEA-BC

doi: 10.1097/NAN.0000000000000314
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Standard precautions are a recommended set of actions health care workers should take to prevent health care-associated infections and potentially infectious exposures. However, they are not reliably practiced, many opportunities are missed, and a substantial discrepancy between workers' stated performance and actual performance exists. This article presents findings from developing and testing standard precaution case scenarios to enhance nursing knowledge. Infusion nursing is high risk and entails highly complex care in dynamic settings. Challenges may exist when integrating this advanced care with fundamental standard precaution requirements. For this reason, findings from this study have implications for infusion nursing practice.

Columbia University School of Nursing, New York, New York (Dr Hessels); and Hackensack-Meridian Health, Ann May Center for Nursing, Neptune, New Jersey (Drs Hessels and Weaver).

Amanda J. Hessels, PhD, MPH, RN, CIC®, CPHQ, FAPIC, is an assistant professor at Columbia University School of Nursing in New York City. She has a joint appointment as a nurse scientist at the Hackensack-Meridian Health, Ann May Center for Nursing, in Neptune, New Jersey. Dr Hessels' research endeavors center on advancing the science of infection prevention practices, in particular standard precautions.

Susan H. Weaver, PhD, RN, CRNI®, NEA-BC, is a nurse scientist at the Hackensack-Meridian Health, Ann May Center for Nursing, in Neptune, New Jersey. Dr Weaver's research focuses on evening and night administrative supervisors and the impact they have on nurse and patient safety.

Corresponding Author: Amanda J. Hessels, PhD, MPH, RN, CIC®, CPHQ, FAPIC, Columbia University, School of Nursing, 630 West 168th Street, Mail Code 6, New York, NY 10032 (ah3269@cumc.columbia.edu; amanda.hessels@hackensackmeridian.org).

Funding/Acknowledgments: Dr Hessels is supported by funding from the National Institute for Occupational Safety and Health of the Centers for Disease Control and Prevention (CDC) (grant 1K01OH011186). The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of the CDC. The corresponding author of this article presented this topic at an educational session at INS 2018, the Infusion Nurses Society's Annual Meeting, held in Cleveland, Ohio, May 19-22, 2018.

The authors have no conflicts of interest to disclose.

© Copyright 2019 by Infusion Nurses Society