{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T06:27:56Z","timestamp":1786343276224,"version":"build-2736575974"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Healthcare-associated infections (HAIs) remain a major threat to patient safety and healthcare workforce protection, particularly after the COVID-19 pandemic. Standard precautions (SPs) are the most fundamental infection prevention measures used to reduce pathogen transmission and occupational exposure in clinical settings. Although awareness of SPs has increased, adherence among nurses continues to vary across practice domains. Factors such as familiarity with SP-related knowledge, years of nursing experience, and perceived barriers in daily practice may influence compliance; however, related evidence among hospital nurses in Taiwan is still limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>This cross-sectional study recruited nurses who were directly involved in patient care at a teaching hospital in southern Taiwan using convenience sampling. Nurse managers without direct patient care responsibilities were excluded. Adherence to standard precautions (SPs) was assessed using the Chinese version of the Compliance with Standard Precautions Scale (CSPS). Data regarding perceived barriers, self-rated familiarity with SP-related knowledge, and personal characteristics were also collected. Multiple linear regression analysis was performed to identify factors associated with adherence to SPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants had a mean age of 37.7\u202fyears; most were female (96.2%) and held a bachelor\u2019s degree or above (71.2%). The mean self-rated familiarity score with SP-related knowledge was 7.8\u202f\u00b1\u202f1.5 on a 10-point scale. The average adherence rate across the five CSPS domains was 78.6%, and the overall item-level adherence rate was 78.9%. Familiarity with SP-related knowledge showed the strongest positive association with SP adherence, while years of nursing experience and perceived barriers were negatively associated with compliance (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). Among the five domains, sharps disposal showed the lowest adherence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although nurses demonstrated generally moderate to high adherence to SPs, deficiencies remained in high-risk practices, especially sharps disposal. Strengthening familiarity with SP-related knowledge and reducing workplace barriers may improve occupational safety, lower the risk of HAIs, and support more sustainable infection prevention strategies at both institutional and public health levels.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1896298","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T05:30:38Z","timestamp":1786339838000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with nurses\u2019 adherence to standard precautions: implications for healthcare-associated infection prevention and occupational safety in Taiwan"],"prefix":"10.3389","volume":"14","author":[{"given":"Aih-Fung","family":"Chiu","sequence":"first","affiliation":[{"name":"Department of Nursing, Cheng Shiu University","place":["Kaohsiung, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Fung","family":"Chiu","sequence":"additional","affiliation":[{"name":"Kaohsiung Veterans General Hospital","place":["Kaohsiung, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Man","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Nursing, Tajen University","place":["Yanpu Township, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"ref1","volume-title":"Global Report on Infection Prevention and Control 2024","year":"2024"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1186\/s13756-021-00957-0","article-title":"Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review","volume":"10","author":"Alhumaid","year":"2021","journal-title":"Antimicrob Resist Infect 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Sci"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1007\/s44231-025-00077-y","article-title":"Strategies for improving healthcare workers' compliance with infection control measures in intensive care units: a systematic review and meta-analysis","volume":"4","author":"Alshehari","year":"2024","journal-title":"Intensive Care Res"},{"key":"ref10","doi-asserted-by":"crossref","DOI":"10.4324\/9780203180990","volume-title":"Quantitative data Analysis with IBM SPSS 17, 18 & 19: A guide for social Scientists","author":"Bryman","year":"2012"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1016\/j.ajic.2015.03.007","article-title":"Predictors for compliance of standard precautions among nursing students","volume":"43","author":"Cheung","year":"2015","journal-title":"Am J Infect Control"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1186\/s12912-022-01165-w","article-title":"Compliance with standard precautions 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