Identifying factors associated with adherence to aseptic techniques in orthopedic dressing by nurses

Adherence to aseptic techniques in orthopedic dressing is crucial for preventing infections and ensuring patient safety. Understanding the factors influencing nurses' compliance with these practices is essential for improving patient outcomes and infection control. This study aims to identify the factors associated with adherence to aseptic techniques in orthopedic dressing by nurses. This cross-sectional observational study was conducted in 2023 with 82 nurses from orthopedic wards in hospitals affiliated with Shahid Beheshti University of Medical Sciences, selected through a census sampling method. The research utilized a researcher-made checklist, comprising two sections: demographic information and factors related to aseptic technique adherence. Data analysis was performed using SPSS software, version 26. The study revealed that adherence to aseptic techniques during orthopedic dressing was moderate, with a mean score of 24.98 ± 2.64. Items related to the correct warming of saline, the proper opening of dressing packages, and appropriate use of cleaning solutions had the highest adherence scores while checking equipment expiration dates and explaining procedures to patients had the lowest scores. Among the domains, dressing application had the highest adherence score (1.45/2), while dressing preparation had the lowest (1.13/2). Statistical analysis showed no significant relationships between adherence and gender (P = 0.36), marital status (P = 0.77), education level (P = 0.50), age (P = 0.33), and work experience of the nurses (P = 0.45). Given the importance of aseptic techniques in surgical dressing and the critical role of nurses, healthcare managers and ward supervisors should maintain current standards and implement effective interventions to enhance adherence.