Effects of Self-Justification on and Nurses Commitment to Reducing the Risk of Disease Transmission in Hospitals
Abstract:
The inconsistencies in nurses behaviors when they are applying standard precautions is a problem that has great potential to expose them to infectious diseases. Accordingly, nurses must be determined to consistently implement standard precautions; however, nurses tend to believe that their previous actions provide an advantage because of reasons associated with self-justification. This study aimed to investigate the effects of self-justification and the commitment of nurses to reducing the risk of disease transmission in hospitals. This observational analysis applied a stratified random sampling technique that was used to enroll 123 participants. The data were analyzed by simple linear regression. The results showed that 72.1% of the nurses used external strategies of self-justification and had a weak commitment, while 52.7% of the nurses used a strategy of internal self-justification and showed a strong commitment. The simple linear regression results indicated that self-justification significantly influenced nurses commitments to display contagion risk reduction behaviors (p = 0.000). This finding implies that nurses should enhance their internal self-justification strategies when experiencing gaps in commitment or when performing unsafe behaviors, which could strengthen their commitment to change high-risk behaviors.
How to cite this article
Suarnianti , Tri Martiana and Nyoman Anita Damayanti, 2016. Effects of Self-Justification on and Nurses Commitment to Reducing the Risk of Disease Transmission in Hospitals. Pakistan Journal of Nutrition, 15: 324-327.
REFERENCES
Boyer, M.J., 2009. Brunner and Suddarth's Textbook of Medical-Surgical Nursing. Williams and Wilkins Inc., Lippincott, USA
Brecht, M.L., J. Stein, E. Evans, D.A. Murphy and D. Longshore, 2009. Predictors of intention to change HIV sexual and injection risk behaviors among heterosexual methamphetamine-using offenders in drug treatment: A test of the AIDS risk reduction model. J. Behav. Health Serv. Res., 36: 247-266.
CrossRef Direct Link
Catania, J., S. Kegeles and T. Coates, 1990. Psychosocial measures for studies of AIDS risk behavior. Center for AIDS Prevention Studies, San Francisco, California.
MHRI., 2009. Indonesia health profile. Ministry of Health Republic of Indonesia, Jakarta, Indonesia.
Gillis, J.R., H.F. Meyer-Bahlburg, F.L. Heino, T.M. Exner and A.A. Ehrhardt, 1998. The predictive utility of an expanded AIDS Risk Reduction Model (ARRM) among adult gay and bisexual men. Can. J. Hum. Sexuality, 7: 31-49.
Direct Link
Harris, S.A. and L.A. Nicolai, 2010. Occupational exposures in emergency medical service providers and knowledge of and compliance with universal precautions. Am. J. Infect. Control, 38: 86-94.
CrossRef Direct Link
Holland, R.W., R.M. Meertens and M. van Vugt, 2002. Dissonance on the road: Self-esteem as a moderator of internal and external self-justification strategies. Personality Social Psychol. Bull., 28: 1713-1724.
CrossRef Direct Link
ICN., 2005. Nursing matter: Infection control. Fact Sheet, International Council of Nurses, Geneva, Switzerland.
Karavanov, A., 2006. Factors affecting entrapment bias: Justification needs, face concerns and personal networks. Ph.D. Thesis, University of Maryland, Maryland, Washington, DC.
Mahardini, R., 2010. Factors influencing adherence nurse applying universal precautions when performing chemotherapy cancer patients on the ward dr. Moewardi Surakarta. Muhammadiyah University of Surakarta, Indonesia.
Neff, M., 2012. Relationships among acculturation, self-positivity bias, stigma and condom use in a sample of urban college students. Ph.D. Thesis, Virginia Commonwealth University Richmond, Virginia.
Sahara, A., 2011. Factors associated with compliance of nurses and midwives in the application of universal precautions/standard precautions at the Indonesian red cross hospital in Bogor in 2011. University of Indonesia, Depok, Indonesia.
Sjamsuhidajat, R. and W. de Jong, 2005. Textbooks Surgery. EGC Medical Book Store, Jakarta, Indonesia
Staw, B.M., 1976. Knee-deep in the big muddy: A study of escalating commitment to a chosen course of action. Organiz. Behav. Hum. Perform., 16: 27-44.
CrossRef Direct Link
Staw, B.M. and F.V. Fox, 1975. Escalation: The determinants of commitment to a previously chosen course of action. Faculty Working Papers No. 249. https://archive.org/details/escalationdeterm249staw.
Staw, B.M. and J. Ross, 1978. Commitment to a policy decision: A multi-theoretical perspective. Admin. Sci. Quart., 23: 40-64.
CrossRef Direct Link
WHO., 2004. Practical Guidelines for Infection Control in Health Care Facilities. World Health Organization, Manila, ISBN: 92-9022-238-7, Pages: 103
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