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Hamed AM, Moralejo D, Pike A, Curran V. Impact of and strategies to address negative role models and adherence of nursing students to standard precautions: An integrative review. J Prof Nurs 2024; 54:92-99. [PMID: 39266114 DOI: 10.1016/j.profnurs.2024.06.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 06/13/2024] [Accepted: 06/25/2024] [Indexed: 09/14/2024]
Abstract
BACKGROUND Negative role models can significantly impact nursing students' adherence to standard infection control precautions (SP) but there has been limited research on impacts and relevant strategies. PURPOSE This review examined the impact of negative role models on nursing students' adherence to SP and explored strategies that nursing instructors could use to help students effectively manage the influence of negative role models. METHODS An integrative review was conducted, guided by Whittemore and Knafl's methodology (2005). PubMed, CINAHL, and Scopus were searched for articles from 2008-2023. Research studies were critically appraised using appropriate tools. RESULTS Fourteen articles met the inclusion criteria and were included in this review. The literature indicates that nursing students frequently encounter negative role models during their clinical placements and that such negative encounters detrimentally impact their adherence to SP. Five strategies to potentially mitigate the impact of negative role models were identified. CONCLUSION To address the issue of negative role models, nursing instructors can help students learn specific strategies to manage encounters with negative role models, promote discussion of role modeling with students and clinical staff, and act as role models themselves. Further research is needed to inform specific strategies.
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Affiliation(s)
- Abubaker M Hamed
- Faculty of Nursing, Memorial University of Newfoundland, Canada.
| | - Donna Moralejo
- Faculty of Nursing, Memorial University of Newfoundland, Canada
| | - April Pike
- Faculty of Nursing, Memorial University of Newfoundland, Canada
| | - Vernon Curran
- Faculty of Medicine, Memorial University of Newfoundland, Canada
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Linnik L, Turan N, Polat Dünya C, Lahtinen K, Franck T, Valta M, Ayoğlu T, Akyüz N, Coutinho V, Paiva L, Brito I, Colomer-Pérez N, Giménez-Espert MDC, Buigues C, Cauli O. Association between Hand Hygiene Knowledge and Self-Efficacy in Nursing Students: A Multicenter Cross-Sectional Study within the Framework of the Erasmus Project. NURSING REPORTS 2024; 14:1973-1986. [PMID: 39189277 PMCID: PMC11348245 DOI: 10.3390/nursrep14030147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2024] [Revised: 08/05/2024] [Accepted: 08/08/2024] [Indexed: 08/28/2024] Open
Abstract
Adherence to hand hygiene procedures is crucial for all populations, and the World Health Organization (WHO) has implemented specific guidelines for infection control. Frequent and correct hand hygiene can prevent infections, but non-compliance with hand hygiene is pervasive. Nursing students address this issue from the beginning of their training. In nursing training, self-efficacy is crucial in enhancing students' competence, motivation, and clinical performance. We performed a cross-sectional multicenter study in five European countries, with a cross-sectional design with an online application of an instrument measuring hand hygiene knowledge based on WHO guidelines and general self-efficacy and specific self-efficacy for infection control. A total of 638 first-year nursing students participated in this study. The mean percentage of correct answers was 67.9%, with a considerable difference depending on the items. The worst results were obtained for questions related to sources of infection and types of hand hygiene methods in different situations. Finnish students displayed significantly (p < 0.001) higher scores in HH knowledge, whereas Estonian students had significantly (p < 0.001) higher levels of self-efficacy. There were significant correlations between the hand hygiene knowledge score and the self-efficacy score (p < 0.001). A multivariate analysis by linear regression analysis showed significant associations between the hand hygiene knowledge survey score and the students' age (p < 0.001, OR = 0.18, 95% CI 0.04-0.10), as well as their country of origin (p = 0.01, OR = 0.09, 95% CI 0.03-0.34). HH knowledge is quite low among nursing students, and is correlated with self-efficacy, although the strongest predictors are age and country of origin. Different nursing curricula must favor HH knowledge, with varying degrees of emphasis depending on the country.
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Affiliation(s)
| | - Nuray Turan
- Department of Fundamentals of Nursing, Faculty of Nursing, Istanbul University, 34116 Istanbul, Turkey;
| | - Cansu Polat Dünya
- Department of Internal Medicine Nursing, Faculty of Nursing, Istanbul University, 34116 Istanbul, Turkey;
| | - Kati Lahtinen
- Faculty of Health and Well-Being, Turku University of Applied Science, 20520 Turku, Finland; (K.L.); (T.F.); (M.V.)
| | - Teija Franck
- Faculty of Health and Well-Being, Turku University of Applied Science, 20520 Turku, Finland; (K.L.); (T.F.); (M.V.)
| | - Maija Valta
- Faculty of Health and Well-Being, Turku University of Applied Science, 20520 Turku, Finland; (K.L.); (T.F.); (M.V.)
| | - Tuluha Ayoğlu
- Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, 34381 Istanbul, Turkey; (T.A.); (N.A.)
| | - Nuray Akyüz
- Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, 34381 Istanbul, Turkey; (T.A.); (N.A.)
| | - Verónica Coutinho
- Escola Superior de Enfermagem de Coimbra & UICISA:E, 3046-851 Coimbra, Portugal; (V.C.); (L.P.); (I.B.)
| | - Luis Paiva
- Escola Superior de Enfermagem de Coimbra & UICISA:E, 3046-851 Coimbra, Portugal; (V.C.); (L.P.); (I.B.)
| | - Irma Brito
- Escola Superior de Enfermagem de Coimbra & UICISA:E, 3046-851 Coimbra, Portugal; (V.C.); (L.P.); (I.B.)
| | - Natura Colomer-Pérez
- Department of Nursing, University of Valencia, 46010 Valencia, Spain; (N.C.-P.); (M.d.C.G.-E.); (C.B.)
| | | | - Cristina Buigues
- Department of Nursing, University of Valencia, 46010 Valencia, Spain; (N.C.-P.); (M.d.C.G.-E.); (C.B.)
| | - Omar Cauli
- Department of Nursing, University of Valencia, 46010 Valencia, Spain; (N.C.-P.); (M.d.C.G.-E.); (C.B.)
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Acun A. The effect of flipped learning on nursing students' Asepsis knowledge and learning skills: A randomized controlled study. Nurse Educ Pract 2024; 77:103946. [PMID: 38593564 DOI: 10.1016/j.nepr.2024.103946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 02/26/2024] [Accepted: 03/15/2024] [Indexed: 04/11/2024]
Abstract
AIM This study was conducted to evaluate the effect of the flipped learning model on nursing students' asepsis knowledge and learning skills. BACKGROUND The flipped learning model enables students to pursue their learning with online support whenever and wherever they want. Students have the responsibility for their learning activities. The flipped learning model is an effective method to improve nursing students' knowledge and skills related to the principles of asepsis with online innovative approaches. DESIGN This study has a pre-test post-test open-label, randomized controlled design. METHOD The study sample consisted of 107 first-year nursing students randomized into experimental (n = 53) and control (n = 54) groups. The experimental group students were trained utilizing the flipped learning model. The data were collected through the "Descriptive Characteristics Form of Nursing Students ", the "Principles of Asepsis Knowledge Test" and the " Self-directed Learning Skills Scale". RESULTS It was determined that the post-test knowledge score of the experimental group was statistically significantly higher (p=0.000) than the control group and the median of the retention test knowledge score was statistically significantly higher (p=0.000) than the control group. There was a statistically significant increase (p<0.05) in the median score of the self-directed learning skills scale "self-control" sub-dimension of the experimental group. CONCLUSION Flipped learning increased nursing students' knowledge related to the principles of asepsis and enabled them to take responsibility for learning. This model had a positive effect on students' higher order thinking skills such as critical organization and decision making. It is recommended to use the flipped learning within the scope of nursing education and especially in gaining basic skills. TWEETABLE ABSTRACT A success in today's education; flipped learning.
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Affiliation(s)
- Aysun Acun
- Bilecik Şeyh Edebali University, Faculty of Health Sciences, Department of Nursing, Department of Nursing Principles, Bilecik 11100, Turkey.
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Amavasi B, Zimmerman PA. Infection prevention and control continuous education and training in pre-registration nursing programmes. NURSE EDUCATION TODAY 2024; 133:106051. [PMID: 38035497 DOI: 10.1016/j.nedt.2023.106051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 09/28/2023] [Accepted: 11/18/2023] [Indexed: 12/02/2023]
Abstract
BACKGROUND Infection prevention and control (IPC) education and training in pre-registration nursing programmes are imperative in developing student nurses' clinical aptitudes. The IPC core competencies must be consistent amongst student nurses across different settings, asserting the need for education and training providers to respond. Continuous education and training can improve IPC core competencies through enhanced knowledge, compliance, and attitude in the academic and clinical contexts, impacting future nursing practice and patient safety. OBJECTIVE This integrative review critically examines the reported IPC core competencies in pre-registration nursing programmes to contribute to future continuous IPC education and training. REVIEW METHODS An integrative literature review methodology was utilised to conduct a structured literature search within the last five years using CINAHL Plus, EMBASE, ERIC, MEDLINE, and PubMed databases. The following keywords were used: infection prevention and control; pre-registration nursing; higher education; core competencies in the databases. A total of 15 articles were identified under the inclusion criteria of peer-reviewed primary research in English on the pre-registration nurse population and their nursing programmes. RESULTS The final review of the 15 reports yielded continuous IPC education and training, knowledge, skills, and attitudes, and clinical placements as key components to develop and elevate student nurses' IPC core competencies. CONCLUSION All reports acknowledged the challenges of maintaining IPC core competencies and seeking diversified strategies to support continuous education and training utilising interactive tools embedded with simulated scenarios and quizzes, translating knowledge and skills to exemplary professional behaviours, and consistent academic and clinical support as the IPC demand intensifies.
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Affiliation(s)
| | - Peta-Anne Zimmerman
- Collaborative for the Advancement of Infection Prevention and Control, Queensland, Australia; Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia; Department of Infection Control, Gold Coast Health, Gold Coast, Queensland, Australia
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Houben F, Heijer CDD, Dukers-Muijrers NH, Smeets-Peels C, Hoebe CJ. Psychosocial determinants associated with healthcare workers' self-reported compliance with infection prevention and control during the COVID-19 pandemic: a cross-sectional study in Dutch residential care facilities for people with intellectual and developmental disabilities. BMC Public Health 2023; 23:2052. [PMID: 37858182 PMCID: PMC10588203 DOI: 10.1186/s12889-023-16912-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 10/05/2023] [Indexed: 10/21/2023] Open
Abstract
BACKGROUND Healthcare workers' (HCWs) compliance with infection prevention and control (IPC) is crucial to reduce the infection transmission risk. However, HCWs' compliance with IPC in residential care facilities (RCFs) for people with intellectual and developmental disabilities (IDDs) is known to be suboptimal. Therefore, this study examined sociodemographic and psychosocial determinants associated with IPC non-compliance in this setting, to inform IPC policy and promotion programmes for adequate IPC behaviour. METHODS An online questionnaire was administered to 285 HCWs from 16 RCFs between March 2021 and March 2022. Determinants associated with IPC non-compliance were assessed using logistic regression analyses. RESULTS Being a woman (OR: 3.57; 1.73-7.37), and being a non-medical professional were associated with increased odds of non-compliance (social workers, OR: 2.83; 1.65-4.85; behavioural specialists, OR: 6.09; 1.98-18.72). Perceived inadequate education/training (aOR: 1.62; 1.15-2.27) and perceived time constraints/competing priorities (aOR: 1.43; 1.03-1.98) were also associated with increased odds of non-compliance, independent of sociodemographic variables. In contrast, the belief that the supervisor complies with IPC (descriptive norm supervisor) was associated with decreased odds of non-compliance (aOR: 0.60; 0.41-0.88). CONCLUSIONS To improve IPC in disability care settings, the implementation of tailored and structural IPC education and training programmes (e.g., on-the-job training) is recommended to increase HCWs' capabilities and bridge the IPC compliance gap between medical and non-medical professionals. In addition, role models, particularly supervisors, are crucial for promoting IPC behaviour. Facilities should create a culture of IPC compliance by norm setting, acting on, and modelling IPC behaviours at all levels of the organisation (management, medical, and non-medical staff).
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Affiliation(s)
- Famke Houben
- Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.
- Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, P.O. Box 33, Heerlen, 6400 AA, The Netherlands.
| | - Casper Dj den Heijer
- Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands
- Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, P.O. Box 33, Heerlen, 6400 AA, The Netherlands
- Department of Medical Microbiology, Infectious Diseases and Infection Prevention, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre (MUMC+), P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands
| | - Nicole Htm Dukers-Muijrers
- Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, P.O. Box 33, Heerlen, 6400 AA, The Netherlands
- Department of Health Promotion, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands
| | | | - Christian Jpa Hoebe
- Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands
- Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, P.O. Box 33, Heerlen, 6400 AA, The Netherlands
- Department of Medical Microbiology, Infectious Diseases and Infection Prevention, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre (MUMC+), P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands
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Jeong D, Park C, Eun Y. Effects of Infection Control Education Program Using Flipped Learning Based on the ARCS Model for Nursing Students: A Mixed Method. Healthcare (Basel) 2023; 11:2731. [PMID: 37893805 PMCID: PMC10606155 DOI: 10.3390/healthcare11202731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 10/02/2023] [Accepted: 10/11/2023] [Indexed: 10/29/2023] Open
Abstract
This study was conducted to verify the effect of an infection control education program, using flipped learning based on the ARCS model, for nursing students. The study was a mixed-method study, composed of a nonequivalent control group, a pretest-posttest design, and focus group interviews. The total number of participants was 37, with 18 in the experimental group and 19 in the control group. The mean age of the participants was 24.32 ± 5.60 years, consisting of three males (8.1%) and thirty-four females (91.9%). The collected data were analyzed using a linear mixed-effects method. The data regarding experiences of participation were analyzed using conventional content analysis. The experimental group had a higher degree of learning motivation, self-directed learning ability, and confidence in infection control practice than the control group. In the results of the focus group interviews, the themes were derived from 'Engaging learning experience, although difficult, in new ways of learning'. It was confirmed that the infection control education program, using flipped learning based on the ARCS model, was an effective intervention for improving nursing students' self-directed learning ability. Therefore, it is strongly recommended to use the educational program developed in this study for infection control education for nursing students and new nurses.
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Affiliation(s)
- Dain Jeong
- College of Nursing, Gyeongsang National University, Jinju 52727, Republic of Korea;
| | - Chang Park
- College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA;
| | - Young Eun
- College of Nursing, Institute of Medical Sciences, Gyeongsang National University, Jinju 52727, Republic of Korea
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Mudenda S, Chizimu J, Chabalenge B, Kasanga M, Matafwali SK, Daka V, Yamba K, Mulomba M, Mufwambi W, Katowa-Mukwato P, Godman B. Knowledge, attitude, and practices toward infection prevention and control among undergraduate pharmacy students in Zambia: findings and implications. ANTIMICROBIAL STEWARDSHIP & HEALTHCARE EPIDEMIOLOGY : ASHE 2023; 3:e154. [PMID: 37771733 PMCID: PMC10523556 DOI: 10.1017/ash.2023.428] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 07/19/2023] [Accepted: 07/25/2023] [Indexed: 09/30/2023]
Abstract
Background Infection prevention and control (IPC) measures are critical in preventing the risk of acquiring and transmitting nosocomial infections. In Zambia, there is little information concerning IPC practices among pharmacy students who are exposed to potentially infectious areas both in public and private healthcare settings. Therefore, this study assessed the knowledge, attitude, and practices of undergraduate pharmacy students toward infection prevention and control at the University of Zambia. Materials and methods This cross-sectional study was conducted among 290 undergraduate pharmacy students at the University of Zambia using a structured questionnaire from August 2022 to October 2022. Data analysis was performed using SPSS version 25.0, and statistical significance was set at a 95% confidence level. Results Of the 290 participants, 166(57.2%) were female and the majority were aged between 18 and 23 years. Overall, 252(86.9%) had good knowledge, 167(57.6%) had positive attitudes, and 248(85.5%) had good practices toward IPC measures. These results indicate lower attitude scores compared to knowledge and practices. Having good knowledge of IPC was associated with being a Christian by religion compared to other religions (OR = 5.314, 95% CI: 1.141-24.745). There was no association between sociodemographics and attitude and practice concerning IPC. Conclusion This study found that pharmacy students had good knowledge, positive attitudes, and good practices toward IPC measures. Consequently, more emphasis is needed to improve the student's knowledge, attitudes, and practices toward IPC, especially in areas where gaps were identified. Additionally, there is a need to improve curricula on IPC measures in the training of pharmacy programs.
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Affiliation(s)
- Steward Mudenda
- Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia
- Antimicrobial Resistance Coordinating Committee (AMRCC), Zambia National Public Health Institute, Lusaka, Zambia
| | - Joseph Chizimu
- Antimicrobial Resistance Coordinating Committee (AMRCC), Zambia National Public Health Institute, Lusaka, Zambia
| | - Billy Chabalenge
- Department of Medicines Control, Zambia Medicines Regulatory Authority, Lusaka, Zambia
| | - Maisa Kasanga
- Zhengzhou University, College of Public Health, Zhengzhou, Henan, China
| | - Scott Kaba Matafwali
- Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK
| | - Victor Daka
- Department of Public Health, Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia
| | - Kaunda Yamba
- Antimicrobial Resistance Coordinating Committee (AMRCC), Zambia National Public Health Institute, Lusaka, Zambia
| | - Margret Mulomba
- Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia
| | - Webrod Mufwambi
- Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia
| | - Patricia Katowa-Mukwato
- Department of Basic and Clinical Nursing, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
| | - Brian Godman
- Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University, Pretoria, South Africa
- Centre of Medical and Bio-allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates
- Department of Pharmacoepidemiology, Strathclyde Institute of Pharmacy and Biomedical Science (SIPBS), University of Strathclyde, Glasgow, UK
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Topçu S, Emlek Sert Z. Turkish nursing students' compliance to standard precautions during the COVID-19 pandemic. PeerJ 2023; 11:e15056. [PMID: 36945360 PMCID: PMC10024895 DOI: 10.7717/peerj.15056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 02/22/2023] [Indexed: 03/18/2023] Open
Abstract
Objectives The aim of this study was to assess nursing students' compliance to standard precautions during the COVID-19 pandemic. Methods A cross-sectional study was conducted from December 2021 to June 2022, 816 nursing students participated in the study. A socio-demographic questionnaire and Compliance with Standard Precautions Scale were used to collect data. Means and percentages were used to report socio-demographic characteristics multiple regression analysis used to identify the factors influencing compliance with standard precautions. Results The mean age of nursing students was 21.30 ± 1.31 years. The majority of nursing students were female, with 703 (86.2%) being female and 113 (13.8%) being male. Compliance among nursing students was 76.8% overall. Nursing students reported the highest compliance (97.7%) with putting used sharp articles into sharp boxes, with 97.1% compliance for covering mouth and nose when wearing a mask. Participants reported the lowest (38.6%) when it came to not recapping used needles after giving an injection. Regression analysis revealed that gender, year of study, and having needlestick injury or contact with blood/body fluids experience all influenced nursing students' compliance with standard precautions. Conclusions During the pandemic, nursing students compliance to standard precautions was optimal, according to this study. More research should be done to assess nursing students' compliance with standard precautions and the effect of infection control strategies used to prevent COVID-19 transmission.
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Kim HY, Shin SH, Lee EH. Effects of Health Belief, Knowledge, and Attitude toward COVID-19 on Prevention Behavior in Health College Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031898. [PMID: 35162919 PMCID: PMC8834839 DOI: 10.3390/ijerph19031898] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 02/04/2022] [Accepted: 02/05/2022] [Indexed: 12/23/2022]
Abstract
This study aimed to identify the factors affecting the practice of COVID-19 prevention behaviors among college students as future medical workers. A cross-sectional online survey was conducted in September 2021. A total of 526 health college students were included in this study. A hierarchical regression analysis was performed to examine the effect on the practice of COVID-19 prevention behavior. As a result of the analysis, experiences of education on infectious diseases had significant positive effects on the practice of prevention behavior (β = 0.22, p < 0.001). Additionally, a higher COVID-19 health belief had a significant positive effect on the practice of prevention behavior (β = 0.15, p = 0.004). Increased smoking and drinking among lifestyle changes after COVID-19 had significant negative effects on the practice of prevention behavior compared with decreased physical activity (β = -0.12, p = 0.007). Based on these findings, the study discussed the importance of education on the prevention of infectious diseases among health college students, promotion of health beliefs related to infectious diseases, and formation of healthy lifestyle habits in daily life.
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Affiliation(s)
- Hyeon-Young Kim
- Department, College of Nursing, Sahmyook University, Seoul 01795, Korea; (H.-Y.K.); (S.-H.S.)
- VR Healthcare Content Lab, Sahmyook University, Seoul 01795, Korea
| | - Sun-Hwa Shin
- Department, College of Nursing, Sahmyook University, Seoul 01795, Korea; (H.-Y.K.); (S.-H.S.)
| | - Eun-Hye Lee
- Department, College of Nursing, Sahmyook University, Seoul 01795, Korea; (H.-Y.K.); (S.-H.S.)
- Correspondence:
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Parreira P, Santos-Costa P, Pardal J, Neves T, Bernardes RA, Serambeque B, Sousa LB, Graveto J, Silén-Lipponen M, Korhonen U, Koponen L, Myllymäki M, Yurrebaso Macho A, Mayens ALW, Picado Valverde EM, Guzmán Ordaz R, Juanes Méndez JA, Iglesias JLP, Canelo JAM, Jankowiak-Bernaciak A, Patrzała A, Bączyk G, Basa A, do Sacramento Costa Reis AM, Simões JA, Torres AL, do Rosário Pinto M, Salgueiro-Oliveira A. Nursing Students’ Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience in Portugal. J Pers Med 2022; 12:jpm12020180. [PMID: 35207668 PMCID: PMC8880596 DOI: 10.3390/jpm12020180] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 01/21/2022] [Accepted: 01/24/2022] [Indexed: 02/04/2023] Open
Abstract
Healthcare-associated infections (HAI) are one of the major concerns worldwide, posing significant challenges to healthcare professionals’ education and training. This study intended to measure nursing students’ perceptions regarding their learning experiences on HAI prevention and control. In the first phase of the study, a cross-sectional and descriptive study with a convenience sample composed of undergraduate nursing students from Portugal, Spain, Poland, and Finland was conducted to develop the InovSafeCare questionnaire. In the second phase, we applied the InovSafeCare scale in a sample of nursing students from two Portuguese higher education institutions to explore which factors impact nursing students’ adherence to HAI prevention and control measures in clinical settings. In phase one, the InovSafeCare questionnaire was applied to 1326 students internationally, with the instrument presenting adequate psychometric qualities with reliability results in 14 dimensions. During phase two, the findings supported that Portuguese nursing students’ adherence to HAI prevention and control measures is influenced not only by the curricular offerings and resources available in academic settings, but also by the standards conveyed by nursing tutors during clinical placements. Our findings support the need for a dedicated curricular focus on HAI prevention and control learning, not only through specific classroom modules, innovative resources, and pedagogical approaches, but also through a complementary and coordinated liaison between teachers and tutors in academic and clinical settings.
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Affiliation(s)
- Pedro Parreira
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Paulo Santos-Costa
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
- Correspondence:
| | - João Pardal
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Teresa Neves
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Rafael A. Bernardes
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Beatriz Serambeque
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
- Coimbra Institute for Clinical and Biomedical Research (iCBR) Area of Environment Genetics and Oncobiology (CIMAGO), University of Coimbra, 3000-548 Coimbra, Portugal
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
| | - Liliana B. Sousa
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - João Graveto
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Marja Silén-Lipponen
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Ulla Korhonen
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Leena Koponen
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Mikko Myllymäki
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Amaia Yurrebaso Macho
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Alexander L. Ward Mayens
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Eva Maria Picado Valverde
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Raquel Guzmán Ordaz
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Juan Antonio Juanes Méndez
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Jose Luis Pérez Iglesias
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - José Antonio Mirón Canelo
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Aleksandra Jankowiak-Bernaciak
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
| | - Amelia Patrzała
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
| | - Grażyna Bączyk
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
- Department of Practice Nursing, Poznan University of Medical Sciences, 61-701 Poznan, Poland
| | - Anna Basa
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
| | | | - Joaquim Augusto Simões
- Escola Superior de Saúde, IP Santarem, 2040-413 Santarém, Portugal; (A.M.d.S.C.R.); (J.A.S.); (A.L.T.); (M.d.R.P.)
| | - Ana Luísa Torres
- Escola Superior de Saúde, IP Santarem, 2040-413 Santarém, Portugal; (A.M.d.S.C.R.); (J.A.S.); (A.L.T.); (M.d.R.P.)
| | - Maria do Rosário Pinto
- Escola Superior de Saúde, IP Santarem, 2040-413 Santarém, Portugal; (A.M.d.S.C.R.); (J.A.S.); (A.L.T.); (M.d.R.P.)
| | - Anabela Salgueiro-Oliveira
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
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Appiah EO, Appiah S, Menlah A, Baidoo M, Awuah DB, Isaac NB. Experiences of infection prevention and control in clinical practice of nursing students in the Greater Accra Region, Ghana: An exploratory qualitative study. SAGE Open Med 2021; 9:20503121211054588. [PMID: 34721873 PMCID: PMC8552381 DOI: 10.1177/20503121211054588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 10/02/2021] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Globally, infections acquired from hospitals pose a major obstacle to patients' safety. Health care workers, especially, nursing students are at high risk for Hospital Acquired Infections (HAIs) as they are always in contact with clients. Therefore, this study aims to explore experiences of infection prevention and control in the clinical practice of nursing students in the Greater Accra Region, Ghana. METHODS The study utilized a qualitative exploratory design to interview 42 participants (7 focus groups, comprising of 6 members each). A purposive sampling technique was employed to select the participants, who were engaged in 50-90 min' focus group discussions. Data collection lasted for 3 months and was analyzed using content analysis. NVivo version 12 Software was used to identify recurrent themes from the transcribed data. RESULTS The results revealed two main themes: preventive practices against hospital-acquired infections and barriers toward infection prevention practices. The subthemes under the preventive practices were as follows: views on HAIs preventive practices, barrier nursing, hand washing and use of sanitizers, aseptic techniques, and sterilization. Increased workload, lack of superior support, and inadequate resources emerged under the barriers toward infection prevention practices. CONCLUSION It was concluded from the study that most of the student nurses had adequate information about HAIs and wish to adhere to the Infection prevention protocols. However, the participants observed poor infection prevention practices among the staff they were learning from. It is therefore recommended that more attention is focused on infection prevention and control in clinical practice among nurses.
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Affiliation(s)
- Evans Osei Appiah
- Department of Midwifery, School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | - Stella Appiah
- Department of Nursing, School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | - Awube Menlah
- Department of Nursing, School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | | | - Dorothy Baffour Awuah
- Department of Nursing, School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
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