![]() ![]() Needle stick injuries which are defined as “a puncture wound, cut, of scratches inflicted by medical instruments intended for cutting or puncturing ” account for about 70% of these cases. These injuries may transmit dangerous infectious diseases including hepatitis B, hepatitis C, and HIV/AIDSF. Healthcare workers are exposed to blood and other body fluids daily at work due to needle stick injuries or splashing patient discharges into their eyes, nose, or mouth. The results suggest that perceived efficacy, perceived effectiveness, and perceived rewards were the most important predictors of adherence to Safe Injection Guidelines in nursing staff. The model fit indices indicated the acceptable final model fit. While standardized total effects of perceived rewards, efficacy, and response cost on protection motivation were -0.229, 0.142, and -0.033, respectively. The structural equation modeling analysis showed that standardized total effects of protection motivation, perceived response costs, rewards, and efficacy on the protective behaviors were 0.573, -0.159, -.104, and 0.81, respectively. Protection motivation was the only predictor of protective behaviors (β = 0.573), while perceived efficacy (β = 0.142) and perceived rewards (β = -0.229) were the strongest predictors of motivation. ![]() Most of the participants had encountered NSI, patients’ blood, or body fluids at least once. The mean age of the participants (No = 280) was 32.5 ± 8.09 years. Pearson’s correlation coefficient, Multiple linear regression, and Structural Equation Modeling were used. ![]() Data were processed and analyzed using SPSS 22 and Amos 24 at a significance level of < 0.05. Data were collected using a researcher-made questionnaire which was developed based on protection motivation theory. This cross-sectional study was conducted on the nursing staff of five randomly selected teaching and general hospitals of Shiraz University of Medical Sciences, Fars province, Iran, in 2021. This study aimed to determine the predictors of observance of safe injection guidelines in hospital nursing staff, based on protection motivation theory. Needle stick injuries (NSI) can lead to dangerous infectious diseases for health care workers. ![]()
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