Abstract
Objective: to identify and assess the available evidences in the literature about factors that interfere with the adherence of the health workers to standard precautions. Methods: this is an integrative literature review, conducted through electronic search of articles in the following databases: PubMed, digital archive produced by the National Library of Medicine (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Center on Health Sciences Information (LILACS), EMBASE and COCHRANE Library, published between 1999 and 2008. In total, 14 articles were analyzed. Results: the analysis of articles identified a variety of factors that can interfere positively or negatively with the adherence of health workers to standard precautions. Most (13/14) were classified as evidence level 6, since they were descriptive articles. Reasons were grouped in three categories: factors related to individuals, to institutions and to the process of work. Conclusion: although the present study does not provide strong scientific evidences, it permitted the identification of a group of variables that should be better researched in analytical and experimental studies, which can support in a more concrete way the improvement of the levels of adherence of health workers to standard precautions. Descriptors: health personnel; guideline adherence; universal precautions.
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