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Hambridge K. Sharps injuries within the healthcare student population: a narrative review. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2023; 32:1098-1102. [PMID: 38060396 DOI: 10.12968/bjon.2023.32.22.1098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
BACKGROUND Studies have reported evidence on sharps injuries among nursing, medical and dental students but little is known about the amount, type and causes of sharps injuries affecting other healthcare students. AIM The aim of the narrative review was to identify the extent, type and causes of sharps injuries sustained by healthcare students, especially those not in those fields. METHOD Eight databases were searched using keywords to identify studies published between 1980 and March 2023. FINDINGS This narrative review highlights that some groups of healthcare students, including those studying pharmacy, physiotherapy and radiography, sustain sharps injuries from similar devices as reported in research on such injuries in nursing, medical and nursing students. Sharps injuries happen in a range of healthcare environments, and many were not reported by students. The main cause of a sharps injury identified was a lack of knowledge. CONCLUSION More research is needed on the extent of sharps injuries in healthcare students in European countries and the UK as well as on their physical and psychological effects. Education and training in sharps use and disposal are essential.
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Affiliation(s)
- Kevin Hambridge
- Lecturer in Adult Nursing, School of Nursing and Midwifery, University of Plymouth
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Cunha MF, Pellino G. Environmental effects of surgical procedures and strategies for sustainable surgery. Nat Rev Gastroenterol Hepatol 2023; 20:399-410. [PMID: 36481812 PMCID: PMC9735025 DOI: 10.1038/s41575-022-00716-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/17/2022] [Indexed: 12/13/2022]
Abstract
There is a bidirectional relationship between climate change and health care. Climate change threatens public health, and health care contributes to climate change. For example, surgery is the most energy-intensive practice in the health-care sector, and gastrointestinal conditions are responsible for a substantial environmental burden. However, environmental costs associated with health care are often overlooked. This issue has been examined more closely in current times. Emerging data are mainly focused on surgery, as the most resource-intensive practice. However, there is still a lack of global awareness and guidance on sustainable surgical practices. This Perspective aims to reassess the evidence on health care and surgery carbon footprints, focusing on gastrointestinal conditions, identify issues that need to be addressed to achieve a more sustainable practice and develop perspectives for future surgical procedures. The proposed framework to mitigate the environmental effects of surgery could be translated to other health-care sectors.
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Affiliation(s)
- Miguel F Cunha
- Colorectal Surgery group - General Surgery Department, Algarve University Centre, Portimão, Portugal.
- Algarve Biomedical Centre, Portimão, Portugal.
| | - Gianluca Pellino
- Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy.
- Colorectal Surgery, Vall d'Hebron University Hospital, Barcelona, Spain.
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Rubasinghe S, Priyadarshani K, Wijesundara P, Ramyamala S, Lakmal K, Bandara A, Dasanayaka R. Knowledge of nosocomial infections, standard precautions, and source of information among physiotherapy undergraduates in Sri Lanka; an observational study. Antimicrob Resist Infect Control 2023; 12:45. [PMID: 37161426 PMCID: PMC10169217 DOI: 10.1186/s13756-023-01248-6] [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: 10/29/2022] [Accepted: 05/01/2023] [Indexed: 05/11/2023] Open
Abstract
BACKGROUND Physiotherapists and physiotherapy undergraduates have direct contact with patients which make them transmitters of infections if they do not follow standard precautions. Hence, the purpose of this study was to assess the knowledge of nosocomial infections, standard precautions, and source of information among physiotherapy undergraduates in Sri Lanka. METHODS An observational Google based survey study was conducted among 294 physiotherapy undergraduates, of which there were 103 in University of Peradeniya, 103 in University of Colombo, and 88 in General Sir John Kotelawala Defence University. The Infection Control Standardized Questionnaire comprising three domains: knowledge of nosocomial infections, standard precautions and hand hygiene was used for data collection along with a self-constructed data sheet for socio-demographic information and source of information. RESULTS Participants achieved mean knowledge of 67.1 ± 16.8, 84.4 ± 14.7 and 66.4 ± 15.4 for nosocomial infections, standard precautions, and hand hygiene respectively. Of the total sample, 225 (76.5%) achieved adequate level of total knowledge. Eighty-three of them (28.3%) equally mentioned, formal teaching at faculty and informal sources as the most important source of knowledge. There was no significant impact of university and the duration of clinical exposure on knowledge of nosocomial infections, standard precautions, hand hygiene and total knowledge. The study year has a significant impact on standard precautions (P = 0.004) and total knowledge (P = 0.035) and final years had highest knowledge compared to the other study years. CONCLUSION Knowledge of nosocomial infections and infection control measures were satisfactory among the physiotherapy undergraduates in Sri Lanka. Further developments of formal sources of information about nosocomial infections are recommended.
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Affiliation(s)
- Sahan Rubasinghe
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, 20400, Sri Lanka
| | - Kokila Priyadarshani
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, 20400, Sri Lanka
| | - Pramodha Wijesundara
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, 20400, Sri Lanka
| | - Singappulige Ramyamala
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, 20400, Sri Lanka
| | - Krishantha Lakmal
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, 20400, Sri Lanka
| | - Anuradhi Bandara
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, 20400, Sri Lanka
| | - Renuka Dasanayaka
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, 20400, Sri Lanka.
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Sukumar S, Saha S, Dkhar W, Panakkal NC, Nair VT, Bommasamudram T, Vaishali K, Nagaraja R, Ravichandran S, Kadavigere R. Knowledge of Medical Imaging Professionals on Healthcare-Associated Infections: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4326. [PMID: 36901340 PMCID: PMC10001984 DOI: 10.3390/ijerph20054326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 02/25/2023] [Accepted: 02/27/2023] [Indexed: 06/18/2023]
Abstract
Healthcare-associated infections (HCAIs) are a significant concern for both healthcare professionals and patients. With recent advances in imaging modalities, there is an increase in patients visiting the radiology department for diagnosis and therapeutic examination. The equipment used for the investigator is contaminated, which may result in HCAIs to the patients and healthcare professionals. Medical imaging professionals (MIPs) should have adequate knowledge to overcome the spread of infection in the radiology department. This systematic review aimed to examine the literature on the knowledge and precaution standard of MIPs on HCIAs. This study was performed with a relative keyword using PRISMA guidelines. The articles were retrieved from 2000 to 2022 using Scopus, PubMed, and ProQuest databases. The NICE public health guidance manual was used to assess the quality of the full-length article. The search yielded 262 articles, of which Scopus published 13 articles, PubMed published 179 articles, and ProQuest published 55 articles. In the present review, out of 262 articles, only 5 fulfilled the criteria that reported MIPs' knowledge of Jordan, Egypt, Sri Lanka, France, and Malawi populations. The present review reported that MIPs have moderate knowledge and precautionary standards regarding HCIAs in the radiology department. However, due to the limited studies published in the literature, the current review limits the application of the outcome in the vast MIPs population. This review recommended further studies to be conducted among the MIPs worldwide to know the actual knowledge and precaution standards regarding HCIAs.
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Affiliation(s)
- Suresh Sukumar
- Department of Medical Imaging Technology, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal 576104, India
| | - Shovan Saha
- Department of Occupational Therapy, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal 576104, India
| | - Winniecia Dkhar
- Department of Medical Imaging Technology, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal 576104, India
| | - Nitika C. Panakkal
- Department of Medical Imaging Technology, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal 576104, India
| | - Visakh Thrivikraman Nair
- Department of Medical Imaging Technology, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal 576104, India
| | - Tulasiram Bommasamudram
- Department of Exercise and Sports Sciences, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal 576104, India
| | - K Vaishali
- Department of Physiotherapy, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal 576104, India
| | - Ravishankar Nagaraja
- Department of Biostatistics, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi 110021, India
| | - Sneha Ravichandran
- Department of Medical Imaging Technology, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal 576104, India
| | - Rajagopal Kadavigere
- Department of Radiodiagnosis and Imaging, Kasturba Medical College (KMC), Manipal Academy of Higher Education (MAHE), Manipal 576104, India
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Harun MGD, Anwar MMU, Sumon SA, Abdullah-Al-Kafi M, Datta K, Haque MI, Chowdhury ABMA, Sharmin S, Islam MS. Pre-COVID-19 knowledge, attitude and practice among nurses towards infection prevention and control in Bangladesh: A hospital-based cross-sectional survey. PLoS One 2022; 17:e0278413. [PMID: 36454785 PMCID: PMC9714721 DOI: 10.1371/journal.pone.0278413] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 11/15/2022] [Indexed: 12/03/2022] Open
Abstract
INTRODUCTION Hospital-acquired infections endanger millions of lives around the world, and nurses play a vital role in the prevention of these infections. Knowledge of infection prevention and control (IPC) best practices among nurses is a prerequisite to maintaining standard precautions for the safety of patients. AIM The study aims to assess knowledge, attitudes, and practices (KAP) towards IPC including associated factors among the nurses of a tertiary care hospital in Bangladesh. METHODS We conducted this hospital-based cross-sectional study from October 2017 to June 2018 at Dhaka Medical College Hospital among 300 nurses working in all departments. We calculated three KAP scores for each participant reflecting their current state of knowledge and compliance towards IPC measures. Descriptive, bivariate and multivariable analyses were conducted to determine KAP scores among nurses and their associated factors. RESULTS Average scores for knowledge, attitudes, and practices were 18.6, 5.4, and 15.5 (out of 26, 7, and 24), respectively. The study revealed that the majority (85.2%) of the nurses had a good to moderate level of knowledge, half (51%) of them showed positive attitudes, and only one fifth (17.1%) of the nurses displayed good practices in IPC. The respondents' age, education, monthly income and years of experience were found to have statistical associations with having moderate to adequate level of KAP scores. Aged and experienced nurses were found more likely to have poor knowledge and unfavorable attitude toward IPC practices. CONCLUSION The majority of nurses had good IPC knowledge, but their practices did not reflect that knowledge. In particular, nurses needed to improve the proper IPC practice for better patient care and to protect themselves. Regular IPC training and practice monitoring can enhance the IPC practice among nurses.
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Affiliation(s)
- Md. Golam Dostogir Harun
- Infection Disease Division, icddr,b, Dhaka, Bangladesh
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh
- * E-mail:
| | | | - Shariful Amin Sumon
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh
| | - Md Abdullah-Al-Kafi
- School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
| | - Kusum Datta
- Dhaka Medical College Hospital, Dhaka, Bangladesh
| | - Md. Imdadul Haque
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh
| | | | - Sabrina Sharmin
- Department of Public Health, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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Standard Precaution Knowledge and Behavioral Intentions Among Students in the Healthcare Field: A Cross-Sectional Study. THE JOURNAL OF NURSING RESEARCH : JNR 2022; 30:e229. [PMID: 35997613 DOI: 10.1097/jnr.0000000000000512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Infectious diseases are a major threat to healthcare workers and patients alike. Standard precautions (SPs) are a pivotal element in controlling their spread. However, worldwide reported compliance with SP guidelines is suboptimal among workers and students in the healthcare field. PURPOSE The objective of this study was to identify the knowledge and behavioral intent patterns of students in the healthcare field as well as the relationship of these patterns to the students' study program, clinical exposure, and attitudes. METHODS This cross-sectional study employed a web-based structured questionnaire. Participants were students of nursing, emergency medicine for paramedics, physiotherapy, and medicine studying at a public university in Israel. The questionnaire assessed SP-related knowledge and behavioral intent, perceptions of personal responsibility, and the presence of mentors as role models. The K -means clustering method was used. RESULTS The 259 students (33% response rate) who completed the questionnaire were enrolled as participants and divided into two knowledge and behavioral intent clusters. Cluster 1 ( n = 156) had a higher proportion of nursing students and a lower proportion of medical students than Cluster 2 ( n = 103). Emergency medicine for paramedics and physiotherapy students were more evenly distributed between the clusters. Participants who were classified in Cluster 1 reported higher intent with regard to proper hand hygiene, use of personal protective equipment, and decontamination practices. In multivariable analysis, only three variables predicted belonging to Cluster 1: nursing students, perception of their mentors as role models, and perception of having higher personal responsibility for microbiological safety. CONCLUSIONS We observed clear patterns of knowledge and behavior among the students in the healthcare field examined in this study. These patterns were influenced by profession, role mentoring, and sense of responsibility. This use of cluster analysis may contribute to the development of better SP educational endeavors. The patterns identified highlight the need for improved training and the importance of role modeling for healthcare students in all areas of specialization.
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Hammoud S, Amer F, Khatatbeh H, Alfatafta H, Zrínyi M, Kocsis B. Translation and validation of the Hungarian Version of the infection control standardized questionnaire: a cross-sectional study. BMC Nurs 2022; 21:244. [PMID: 36056329 PMCID: PMC9436728 DOI: 10.1186/s12912-022-01024-8] [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: 01/12/2022] [Accepted: 08/26/2022] [Indexed: 11/10/2022] Open
Abstract
Background To our knowledge, there is currently no psychometrically validated Hungarian scale to evaluate nurses’ knowledge about infection prevention and control (IPC) practices. Thus, we aim in this study to assess the validity and reliability of the infection control standardized questionnaire Hungarian version (ICSQ-H). Methods A cross-sectional, multisite study was conducted among 591 nurses in Hungary. The original ICSQ included 25 questions. First, the questionnaire was translated into Hungarian. Then, content validity was assessed by a committee of four specialists. This was done by calculating the item content validity index and scale content validity index. Afterward, structural validity was evaluated in a two-step process using principal component analysis and confirmatory factor analysis. The goodness of fit for the model was measured through fit indices. Convergent validity was assessed by calculating the average variance extracted. Additionally, discriminant validity was evaluated by computing the Spearman correlation coefficient between the factors. Finally, the interitem correlations, the corrected item-total correlations, and the internal consistency were calculated. Results The content validity of the questionnaire was established with 23 items. The final four-factor ICSQ-H including 10 items showed a good fit model. Convergent validity was met except for the alcohol-based hand rub (ABHR) factor, while discriminant validity was met for all factors. The interitem correlations and the corrected item-total correlations were met for all factors, but the internal consistency of ABHR was unsatisfactory due to the low number of items. Conclusions The results did not support the original three-factor structure of the ICSQ. However, the four-factor ICSQ-H demonstrated an adequate degree of good fit and was found to be reliable. Based on our findings, we believe that the ICSQ-H could pave the way for more research regarding nurses’ IPC knowledge to be conducted in Hungary. Nevertheless, its validation among other healthcare workers is important to tailor effective interventions to enhance knowledge and awareness. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-022-01024-8.
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Affiliation(s)
- Sahar Hammoud
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, 7621, Pécs, Hungary.
| | - Faten Amer
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, 7621, Pécs, Hungary
| | - Haitham Khatatbeh
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, 7621, Pécs, Hungary
| | - Huda Alfatafta
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 4, 7621, Pécs, Hungary
| | - Miklós Zrínyi
- Basic Health Sciences and Health Visiting, Faculty of Health Sciences, Institute of Nursing Sciences, University of Pécs, Vörösmarty u. 4, H-7621, Pécs, Hungary
| | - Béla Kocsis
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Szigeti u. 12, 7624, Pécs, Hungary
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Szczesny G, Leszczynski P, Sokol-Leszczynska B, Maldyk P. Identification of human-dependent routes of pathogen's transmission in a tertiary care hospital. Jt Dis Relat Surg 2022; 33:330-337. [PMID: 35852191 PMCID: PMC9361096 DOI: 10.52312/jdrs.2022.556] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 04/08/2022] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES The purpose of the study was to validate the risk of patients' exposure to pathogenic flora carried on hands of students, visitors, and patients themselves, analyzing its density and genera and to compare them with the microflora of healthcare workers (HCWs). PATIENTS AND METHODS Between May and June 2018, five groups of participants were included. Each group consisted of eight individuals. Palmar skin imprints were obtained from dominant hands of doctors, nurses, students, visitors, and patients in orthopedics ward. Imprints were incubated at 37°C under aerobic conditions, and colony-forming units (CFU) on each plate were counted after 24, 48, and 72 h. Microorganisms were identified. RESULTS Hands of doctors were colonized more often by Gram - positive non-spore-forming rods bacteria than hands of nurses (p<0.05). A higher number of Staphylococcus epidermidis CFUs was observed on doctors' than on nurses' hands (p<0.05), whereas Staphylococcus hominis was isolated from doctor's and patients' imprints, but was not from nurses' and students' imprints (p<0.05). Micrococcus luteus colonized patients' hands more often than students' (p<0.05), visitors' hands than doctors' (p<0.05), students' than nurses' (p<0.05), visitors' than nurses' (p<0.05) and patients' hands (p<0.05). Staphylococcus aureus (S. aureus) was isolated only from one doctor and one nurse (203 and 10 CFUs/25 cm2 ). Imprints taken from the hands of patients, students and visitors were S. aureus-free. No methicillin-resistant S. aureus (MRSA), vancomycin-resistant enterococci, nor expanded spectrum betalactamase-positive or carbapenemase-positive rods were isolated. The number of Gram-negative rods was the highest on visitors' hands, significantly differing from the number on patient's, doctor's, nurse's, and student's hands. Spore-forming rods from genus of Bacillus were isolated from representatives of all tested groups. Bacillus cereus occurred more commonly on visitors' hands than doctors' hands (p<0.05). CONCLUSION Patients, students, and visitors may play the causal role in the spread of pathogenic bacteria, particularly spore-forming rods. Our study results confirm the effectiveness of educational activities, that is the hospital's hand hygiene program among HCWs, patients, and visitors. Hand hygiene procedures should be reviewed to put much more effort into reducing the impact of all studied groups on the transmission of infectious diseases.
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Affiliation(s)
- Grzegorz Szczesny
- Department of Orthopedic Surgery and Traumatology, Medical University of Warsaw, 02-091 Warsaw, Poland.
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Greene C, Wilson J. The use of behaviour change theory for infection prevention and control practices in healthcare settings: A scoping review. J Infect Prev 2022; 23:108-117. [PMID: 35495101 PMCID: PMC9052851 DOI: 10.1177/17571774211066779] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Revised: 09/09/2021] [Indexed: 11/17/2022] Open
Abstract
Background Infection prevention and control (IPC) practices performed by healthcare workers are key to the prevention and management of infections. Compliance with IPC practices is often low, they are therefore commonly the focus of improvement interventions. Designing interventions that are based on behaviour change theories may help to improve compliance to practice. The aim of this review is to synthesise the evidence on the application of behaviour change theories to interventions to improve IPC practice in healthcare settings. Methods A scoping review was conducted following the Joanna Briggs Institute methodological framework. The theories of focus were the Theoretical Domains Framework (TDF), Capability, Opportunity, Motivation, Behaviour (COM-B) and Behaviour Change Wheel (BCW). Studies which applied these theories to any IPC practice were included. Results Eleven studies were identified which met the inclusion criteria. The IPC behaviours investigated were hand hygiene (7), antimicrobial stewardship (3), and MRSA screening (1). Nine studies explored barriers and facilitators to existing IPC practice; three used their findings to design a behaviour change intervention or tool. Domains of ‘beliefs about consequences’, ‘environmental context/resources’, and ‘social/professional role and identity’ were identified as key across all three IPC behaviours. Discussion This review has demonstrated the use of behavioural theories to understand determinants of behaviour related to IPC practice. Currently, there are few published examples of interventions to improve IPC practice that have been underpinned by behavioural theory. Practitioners in IPC should consider the use of these methods to enhance the efficacy of strategies to change healthcare worker behaviour.
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Affiliation(s)
- Carolynn Greene
- Richard Wells Research Centre, College of Nursing, Midwifery and Healthcare, University of West London, London, UK
| | - Jennie Wilson
- Richard Wells Research Centre, College of Nursing, Midwifery and Healthcare, University of West London, London, UK
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Alriyami M, Al Omari O, Al-Daken L, Alriyami T, Al Rashdi R, Al Shukaili S, Al-Alawi T, Al Qadire M. Assessing knowledge of nosocomial infection among Omani student nurses: a cross-sectional study. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2022; 31:66-70. [PMID: 35094542 DOI: 10.12968/bjon.2022.31.2.66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND The total cost and negative health associated with nosocomial infection are high and early interventions are required. Assessing students' knowledge about nosocomial infection may contribute to solving this issue. AIMS The present study aimed to assess the level of knowledge of nosocomial infection among student nurses and to identify their main sources of information on the topic. METHODS A total of 330 student nurses at Sultan Qaboos University completed the online survey, which included participants' demographics and the Infection Control Standardized Questionnaire (ICSQ). FINDINGS The results of the study reveal the average total corrected score of the participants was 51.53 (SD=0.89) out of 100, with a minimum score of 16 and a maximum score of 96. Female students had a higher average score (13.9, SD=4.34) than male students (11.6, SD=3.2); t(328)=5.35. CONCLUSION The student nurses did not have a sufficient level of knowledge about nosocomial infection. This calls for a review of nursing curricula to pave the way for more pragmatic teaching of infection control.
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Affiliation(s)
- Mallak Alriyami
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Omar Al Omari
- Associate Professor, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Laila Al-Daken
- Associate Professor, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Thikra Alriyami
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Ranin Al Rashdi
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Shahad Al Shukaili
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Tamouh Al-Alawi
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Mohammad Al Qadire
- Associate Professor, College of Nursing, Sultan Qaboos University, Muscat, Oman
- Princess Salma Faculty of Nursing Al al-Bayt University, Mafraq, Jordan
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Hammoud S, Amer F, Kocsis B. Examining the effect of infection prevention and control awareness among nurses on patient and family education: A cross-sectional study. Nurs Health Sci 2021; 24:140-151. [PMID: 34792859 DOI: 10.1111/nhs.12905] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 11/08/2021] [Accepted: 11/10/2021] [Indexed: 12/23/2022]
Abstract
The significance of patient engagement in infection prevention and control remains to be stressed as a means of improving patient safety. This study aimed to determine nurses' awareness of infection prevention and control, assess patient and family education on infection prevention and control, and examine the effect of nurses' infection prevention and control awareness on patient and family education. A multi-site, cross-sectional study was conducted among 566 nurses in Hungary. Nurses responded to a questionnaire of three parts: demographics, infection prevention, and control awareness; healthcare-associated infections, hand hygiene, and standard precautions; and patient and family education. High scores were reached in overall awareness and standard precautions. Nurses educated patients and family members the most on hand hygiene and respiratory hygiene. Nurses with higher awareness educated patients more than those with lower awareness, but the differences were only significant for respiratory hygiene and the reason for isolation. Nursing leaders are encouraged to enhance the culture that is based on nurse/patient partnership and to develop reminders to emphasize the importance of engaging patients and family members in infection prevention and control.
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Affiliation(s)
- Sahar Hammoud
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Faten Amer
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Béla Kocsis
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Pécs, Hungary
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Yurrebaso Macho A, Ward Mayens AL, Picado Valverde EM, Guzmán Ordaz R, Juanes Méndez JA, Pérez Iglesias JL, Mirón Canelo JA, Pinto MDR, Costa Reis AMDS, Simões JA, Torres AL, Silén-Lipponen M, Korhonen U, Koponen L, Myllymäki M, Jankowiak-Bernaciak A, Patrzała A, Bączyk G, Basa A, Costa PS, Serambeque B, Oliveira AS, Pardal J, Graveto JMGDN, Parreira P. Nursing Students' Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience: Development and Validation of a Scale in Four European Countries. Front Psychol 2021; 12:701208. [PMID: 34690861 PMCID: PMC8531406 DOI: 10.3389/fpsyg.2021.701208] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Accepted: 08/27/2021] [Indexed: 11/13/2022] Open
Abstract
Healthcare-associated infections are one of the major concerns worldwide. This study presents the development and the validation process of the InovSafeCare scale and aimed at identifying and measuring the ecosystem variables related to healthcare-associated infection (HCAI) prevention and control practices in European nurse students. Qualitative and quantitative approaches were used to (1) elaborate an item pool related to the educational environment, the healthcare setting environment, and the attitudes, beliefs, and performance of the nursing students regarding HCAI prevention and control and (2) analyze psychometric properties of the scale using factor analysis. The validated InovSafeCare scale was applied to undergraduate nursing students of five European Higher Education Institutions. The partial least square structural equation modeling (PLS-SEM) method with SMART-PLS3 software was used. The study sample consists of 657 nursing students, who responded a self-report inventory. From the analyzed data were identified 14 factors. The InovSafeCare scale reveals good validity and reliability of the dimensions in different European countries.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | - Ulla Korhonen
- Savonia University of Applied Sciences, Health and Social Care, Kuopio, Finland
| | - Leena Koponen
- Savonia University of Applied Sciences, Health and Social Care, Kuopio, Finland
| | - Mikko Myllymäki
- Savonia University of Applied Sciences, Health and Social Care, Kuopio, Finland
| | | | - Amelia Patrzała
- Hipolit Cegielski State University of Applied Sciences in Gniezno, Gniezno, Poland
| | - Grażyna Bączyk
- Hipolit Cegielski State University of Applied Sciences in Gniezno, Gniezno, Poland
| | - Anna Basa
- Hipolit Cegielski State University of Applied Sciences in Gniezno, Gniezno, Poland
| | | | | | | | - João Pardal
- Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
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Kultanova E, Severo M, Turmukhambetova A. Knowledge And Judgments About Standard Precautions For Nosocomial Infection: Comparative Analysis Of Medical Vs. Non-Medical Students. RUSSIAN OPEN MEDICAL JOURNAL 2021. [DOI: 10.15275/rusomj.2021.0302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background — Nosocomial infection (NI) is among the most common and serious challenges in a healthcare system. Health workers and medical students play an important role in prevention of NI. Despite advances in the field of medicine in Kazakhstan, low detection rate of NIs remains unchanged, which could be due to a lack of awareness of the standard precautions for infection control among medical students and health workers. This study is aimed at examining knowledge and judgments on NIs among medical and non-medical students. Material and Methods — We conducted a cross-sectional paper-based survey to examine the knowledge and judgments about the standard precautions for NI among medical and non-medical students. Data collection took place between September 21 and December 20, 2017. Results — The study enrolled 2,817 students. The mean overall score (±SD) was 2.045±1.29. Medical students had a better mean overall score (2.113) than non-medical students (1.785; p<0.001). Awareness of the standard preventive measures was increasing with a year of study, but still just one-third of year 5 medical students were aware of standard prevention (36.3% vs. 17.4% for non-medical students; p<0.001). Conclusion — The overall score of our survey indicated inadequate knowledge and awareness of the guidelines on infection prevention and control among both medical and non-medical students. In order to improve patient safety and welfare, the courses on infection control should be introduced into the curricular of medical universities in Kazakhstan.
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Bounou L, Katelani S, Panagiotopoulou KI, Skouloudaki AI, Spyrou V, Orfanos P, Lagiou P. Hand hygiene education of Greek medical and nursing students: A cross-sectional study. Nurse Educ Pract 2021; 54:103130. [PMID: 34246184 DOI: 10.1016/j.nepr.2021.103130] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 06/09/2021] [Accepted: 06/23/2021] [Indexed: 11/19/2022]
Abstract
AIM To investigate medical and nursing students' education on hand hygiene, their attitude on hand hygiene education and how this education influences their hand hygiene knowledge and practices. BACKGROUND Hospital-acquired infections are associated with prolonged hospitalisation and mortality. The most effective measure for their control is healthcare workers' hand hygiene compliance. Since medical and nursing students constitute the future healthcare workers, our study focuses on them. DESIGN Cross-sectional study METHODS: This study was conducted during the academic year 2016-2017, using a modified World Health Organisation questionnaire. Our sample consisted of 132 medical and 111 nursing students from National and Kapodistrian University of Athens, Greece. In data analysis, the Mann-Whitney and Fisher's exact tests were applied to compare differences in continuous variables and proportions in categorical variables, respectively. Knowledge and practices overall scores were calculated per student group. Multiple linear regression analyses were performed to assess the influence of potential confounders on these scores. RESULTS We found that 73.1% of medical and 98.2% of nursing students had received relevant education, which was reported as "only theoretical" by 77.4% of the former and as "hands-on and theoretical" by 88.1% of the latter group. Besides the risk of infection, knowledge acquired in lectures and trainer's behaviour were also considered very influential factors shaping hand hygiene attitude in both groups. Overall, medical students reported better hand hygiene practices than nursing ones (69.9% and 59.7%, respectively; p < 0.001). The opposite finding was observed regarding their overall knowledge on hand hygiene (57.2% of medical versus 60.4% of nursing students, p = 0.04). The majority of students (86.6% of all participants; p < 0.001) supported the inclusion of compulsory hand hygiene education in their curriculum. Compulsory education and seminars were assessed as the most effective measures to increase hand hygiene compliance (71.4% of all students). CONCLUSION In our study, medical students scored better in practices questions than nursing students; this did not apply for the knowledge score. The majority of students supported the inclusion of compulsory education on hand hygiene principles in their Departments' curricula, highlighting compulsory education and seminars as the most effective measures to increase compliance with hand hygiene.
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Affiliation(s)
- Lamprini Bounou
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Street, Athens GR-115 27, Greece.
| | - Stamatia Katelani
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Street, Athens GR-115 27, Greece.
| | - Konstantina-Ioanna Panagiotopoulou
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Street, Athens GR-115 27, Greece.
| | - Agapi-Iliana Skouloudaki
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Street, Athens GR-115 27, Greece.
| | - Vasiliki Spyrou
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Street, Athens GR-115 27, Greece.
| | - Philippos Orfanos
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Street, Athens GR-115 27, Greece.
| | - Pagona Lagiou
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Street, Athens GR-115 27, Greece.
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Hammoud S, Khatatbeh H, Zand A, Kocsis B. A survey of nurses' awareness of infection control measures in Baranya County, Hungary. Nurs Open 2021; 8:3477-3483. [PMID: 33951315 PMCID: PMC8510750 DOI: 10.1002/nop2.897] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 03/16/2021] [Accepted: 03/29/2021] [Indexed: 11/10/2022] Open
Abstract
AIM This study aimed to assess nurses' awareness of infection control (IC) measures in Baranya County, Hungary. DESIGN A cross-sectional survey. METHODS The study used the infection control standardized questionnaire to assess nurses' awareness in standard precautions (SP), healthcare-associated infections (HAIs) and hand hygiene (HH). Data collection was done from two hospitals in February and March 2020. SPSS was used for statistical analysis. RESULTS The study included 121 nurses. The mean scores were 16.55 ± 2.69 for IC overall awareness, 10.10 ± 1.58 for SP, 2.07 ± 0.71 for HAIs and 4.38 ± 1.47 for HH. Acceptable scores were reached in overall awareness and SP. The overall and HAIs' scores significantly differed across educational degrees. The difference in SP mean ranks was statistically significant across hospital types. The low HAIs and HH scores highlight the need to enhance IC trainings in Hungarian hospitals and improve nurses' knowledge on IC.
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Affiliation(s)
- Sahar Hammoud
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Haitham Khatatbeh
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Afshin Zand
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Béla Kocsis
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Pécs, Hungary
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Wu W, Wang W, Yuan Y, Lin L, Tan Y, Yang J, Dai L, Wang Y. Knowledge, attitude and practice concerning healthcare-associated infections among healthcare workers in Wuhan, China: cross-sectional study. BMJ Open 2021; 11:e042333. [PMID: 33402407 PMCID: PMC7786794 DOI: 10.1136/bmjopen-2020-042333] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
OBJECTIVES To assess the knowledge, attitude and practice (KAP) concerning healthcare-associated infections (HAIs) among healthcare givers and to identify the factors influencing KAP. DESIGN This was a hospital-based, cross-sectional study. SETTING Two public hospitals in Wuhan, central China. PARTICIPANTS Participants were recruited among healthcare workers (HCWs) of one general hospital and one children's hospital in Wuhan city between 1 June and 30 September 2019. PRIMARY AND SECONDARY OUTCOME MEASURES The outcomes were KAPs concerning HAIs. RESULTS Data from 455 HCWs were included in the final data analysis. The mean scores of KAP and total KAP were 15.67±3.32, 25.00±2.75, 43.44±5.15 and 84.76±6.72, respectively. The following factors were significantly associated with the total KAP score concerning HAIs, explaining 61% of the variance (p<0.001): gender (β=2.36, 95% CI 1.11 to 4.40), age (β=6.65, 95% CI 5.07 to 7.74), position (β=7.02, 95% CI 3.88 to 8.45), type of employment (β=-1.08, 95% CI -2.08 to -0.07), with HAI education within last year (β=-2.98, 95% CI -4.23 to -1.72), with invasive operation authority (β=-4.22, 95% CI -5.46 to -2.99), antibacterial drug training (β=-4.38, 95% CI -5.45 to -3.31) and with antibacterial drug training and clinical consultation (β=-4.35, 95% CI -5.38 to -3.32). CONCLUSION The controllable factors identified in this study can be used by hospital managers to implement measures that improve KAP among HCWs. Moreover, these measures should be customised, based on uncontrollable factors to suit the specific characteristics of medical staff and to improve KAP. Training programmes should be designed for medical workers to increase their awareness of HAIs and to foster positive attitudes and practices.
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Affiliation(s)
- Wenwen Wu
- School of Public Health and Management, Hubei University of Medicine, Shiyan, Hubei, China
| | - Wenru Wang
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Yufeng Yuan
- Department of Nosocomial Infection Management, Wuhan University Zhongnan Hospital, Wuhan, Hubei, China
| | - Likai Lin
- Institute of Hospital Management, Wuhan University, Wuhan, Hubei, China
| | - Yibin Tan
- Department of Nosocomial Infection Management, Wuhan University Zhongnan Hospital, Wuhan, Hubei, China
| | - Jinru Yang
- School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei, China
| | - Li Dai
- Department of Cardiovascular Medicine, Affiliated Dongfeng Hospital, Hubei University of Medicine, Shiyan, Hubei, China
| | - Ying Wang
- Department of Nosocomial Infection Management, Wuhan University Zhongnan Hospital, Wuhan, Hubei, China
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CAMBIL-MARTIN J, FERNANDEZ-PRADA M, GONZALEZ-CABRERA J, RODRIGUEZ-LOPEZ C, ALMARAZ-GOMEZ A, LANA-PEREZ A, BUENO-CAVANILLAS A. Comparison of knowledge, attitudes and hand hygiene behavioral intention in medical and nursing students. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2020; 61:E9-E14. [PMID: 32490263 PMCID: PMC7225645 DOI: 10.15167/2421-4248/jpmh2020.61.1.741] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Accepted: 10/22/2019] [Indexed: 11/16/2022]
Abstract
Introduction Hand hygiene is crucial to prevent cross infection. Healthcare students are in a prime position to learn hand hygiene skills. The aim of this study was to analyze hand hygiene behavioral intentions of healthcare students before and after contact with the patient and to compare the knowledge of and attitude towards hand hygiene between medical and nursing students. Methods In a descriptive survey research design, convenience selection of a sample of medical students (n=657) and nursing students (n=303) was done from modules taught by the Department of Preventive Medicine and Public Health in both Medicine and Nursing undergraduate degrees in four Spanish universities. The hand hygiene Questionnaire, a validated instrument to evaluate behavior, knowledge, and attitudes, was used. Results A significantly lower percentage of students reported always or almost always carrying out hand hygiene before contact with the patient or invasive procedures in comparison to the percentage complying after contact with secretions or with the patient. Although hand hygiene knowledge appears acceptable, its importance is not sufficiently valued. Conclusions There are deficiencies in behavioral intention, knowledge, and attitudes related to hand hygiene in medical and nursing students. Better results are observed among nursing students, especially those who have received specific training.
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Affiliation(s)
| | - M. FERNANDEZ-PRADA
- Department of Preventive Medicine and Public Health, University of Granada, Spain, Preventive Medicine Unit, San Cecilio Universitary Hospital of Granada, Spain
| | - J. GONZALEZ-CABRERA
- Department of Social Psychology and Methodology of Science Human Behavior, University of Granada, Spain
| | - C. RODRIGUEZ-LOPEZ
- Department of Obstetrics and Gynecology, Pediatrics, Preventive Medicine and Public Health, Toxicology and Forensic Medicine, University of La Laguna, Spain
| | - A. ALMARAZ-GOMEZ
- Department of Pathology, Microbiology, Preventive Medicine and Public Health, Forensic Medicine, University of Valladolid, Spain
| | | | - A. BUENO-CAVANILLAS
- Department of Preventive Medicine and Public Health, University of Granada, Spain, Preventive Medicine Unit, San Cecilio Universitary Hospital of Granada, Spain
- Correspondence: Aurora Bueno-Cavanillas, Departament of Preventive Medicine and Public Health. University of Granada. (Spain). Preventive Medicine Unit. San Cecilio Universitary Hospital of Granada, Spain, Ciber of Epidemiology and Public Health (CIBERESP), Faculty of Medicine, 11, La Investigación Avenue, 18016 Granada, Spain - Tel. 0034 958248855 - E-mail:
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Karaali K, Ilgin D, Ozcan O, Arslan T, Arslan S, Gunduz T, Limoncu M. Physiotherapy students as a partner for the prevention of healthcare associated infections. SANAMED 2020. [DOI: 10.24125/sanamed.v15i1.398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Background: Hand hygiene compliances of healthcare students have been examined extensively. However, there has been no study in this area for the students of the department of physiotherapy and rehabilitation. The aim was to evaluate hand hygiene compliance of the department of physiotherapy and rehabilitation students after a briefing on hand hygiene. Methods: Before the summer practice, the students were briefed on hand hygiene. Then their hand hygiene compliance were assessed. Their sociodemographic characteristics, clinical summer practice data, and hand hygiene compliance based on the recommendations commented in the Centers for Disease Control and Prevention Guideline for Hand Hygiene in Health Care Settings were assessed with a questionnaire prepared by the researchers. Results: Of 53 students, 52 met inclusion criteria. The average correct answer rate was 82.69%. Students had inadequacies in selecting suitable hand hygiene techniques and in complying with hand hygiene indications in some situations related to their profession. Moreover, the students suggested that there was a great need for education (n = 24; 39.34%) and improvements in physical conditions (n = 21; 34.43%). Conclusions: As a conclusion, department of physiotherapy and rehabilitation students were aware of the importance of hand hygiene in terms of prevention of healthcare-associated infections. However, for department of physiotherapy and rehabilitation students, educational programs about hand hygiene is needed in order to gain optimal competence and to be able to protect and improve health care workers and patients safety.
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Guevara A, González O, Salazar P, Tedesco-Maiullari R, Gascón C. Conocimiento sobre infecciones asociadas a la atención de la salud en estudiantes de Medicina, Licenciatura en Bioanálisis y Licenciatura en Enfermería de una universidad venezolana. REVISTA DE LA FACULTAD DE MEDICINA 2020. [DOI: 10.15446/revfacmed.v68n1.71181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Introducción. El conocimiento acerca de las infecciones asociadas a la atención de la salud (IAAS) en profesionales en salud es fundamental para disminuir las tasas de morbimortalidad causadas por estas infecciones.Objetivo. Evaluar el nivel de conocimiento sobre las IAAS en estudiantes del último año de la Escuela de Ciencias de la Salud de la Universidad de Oriente, Venezuela.Materiales y métodos. Estudio descriptivo realizado en una muestra aleatoria estratificada (n=98). Se aplicó una encuesta para determinar los conocimientos de los participantes sobre 3 áreas específicas: generalidades sobre IAAS, precauciones universales e higiene de las manos. Se consideró que los estudiantes tenían un conocimiento adecuado si obtenían un puntaje promedio de 17.5.Resultados. La edad promedio de los encuestados fue 24.9 años y el 74.9% fueron mujeres. En promedio, los estudiantes de Licenciatura en Enfermería, los de Medicina y los de Licenciatura en Bioanálisis obtuvieron 18, 18.04 y 17.25 puntos, respectivamente; el 59.2% de los respondientes aprobó la encuesta y el puntaje promedio total fue 17.87 puntos. En cuanto a las tres áreas de conocimiento evaluadas, la mayoría de estudiantes reprobó Generalidades sobre IAAS (n=78) e Higiene de las manos (n=76), mientras que la mayoría (n=91) aprobó Precauciones universales.Conclusiones. En general, los estudiantes encuestados tienen un conocimiento adecuado de las IAAS y su prevención; sin embargo, independiente del programa académico, se evidenciaron deficiencias en aspectos puntuales del tema, tales como la fuente de los microorganismos causantes de las IAAS y el uso adecuado de guantes, por lo que es necesario que los currículos de estos programas profundicen más al respecto.
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Majidipour P, Aryan A, Janatolmakan M, Khatony A. Knowledge and performance of nursing students of Kermanshah-Iran regarding the standards of nosocomial infections control: a cross-sectional study. BMC Res Notes 2019; 12:485. [PMID: 31387624 PMCID: PMC6683346 DOI: 10.1186/s13104-019-4533-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2019] [Accepted: 07/31/2019] [Indexed: 11/10/2022] Open
Abstract
Objectives The aim of this study was to determine the level of knowledge and performance of nursing students in regard to the standards of nosocomial infections control. Results The average score of knowledge and performance of the subjects was 12.49 ± 2.3 from 18 and 43.07 ± 0.67 from 54, respectively. There was a direct and significant correlation between the knowledge and performance of students (r = 0.46, p < 0.0001). There was no statistically significant relationship between the knowledge of students and variables such as gender and academic year of the students, but there was a significant relationship between students’ performance, and gender (p = 0.014) and academic year (p = 0.015).
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Affiliation(s)
- Parastoo Majidipour
- Clinical Research Development Center of Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Amir Aryan
- Students Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Maryam Janatolmakan
- Clinical Research Development Center of Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Alireza Khatony
- Health Institute, Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. .,Nursing Department, School of Nursing and Midwifery, Doolat Abaad, Kermanshah, Iran.
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Nasiri A, Balouchi A, Rezaie-Keikhaie K, Bouya S, Sheyback M, Rawajfah OA. Knowledge, attitude, practice, and clinical recommendation toward infection control and prevention standards among nurses: A systematic review. Am J Infect Control 2019; 47:827-833. [PMID: 30612817 DOI: 10.1016/j.ajic.2018.11.022] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 11/28/2018] [Accepted: 11/28/2018] [Indexed: 12/17/2022]
Abstract
BACKGROUND The purpose of this study was to systematically review the literature to describe nurses' knowledge and practice of and attitude toward infection control and prevention standards. METHODS In the present systematic review, 4 electronic databases were searched from the inception of databases through March 2018. Quality of included studies was assessed using the Hoy tool. RESULTS Eighteen studies conducted on 4,577 employed nurses and nursing students entered the final stage. Results indicated that nurses in most studies had adequate knowledge (n = 10, 40%-90%) and positive attitude (n = 4, 37%-100%). However, most studies reflected average and poor nursing practices with regard to adherence to infection control and prevention standards. The most frequent recommendations proposed for improving nurses' knowledge, attitude, and practice included periodic training via scientific conferences and relevant practical courses (n = 12), combining up-to-date theoretical and practical programs (n = 6), and training at the beginning of hospital employment (n = 4). CONCLUSIONS The results of the present study indicate that although nurses in most studies had adequate knowledge of and positive attitude toward health care-associated infections, because of average and poor practices, they need systematic and integrated implementation of the presented recommendations.
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Affiliation(s)
- Aliakbar Nasiri
- Department of Anesthesiology, Emam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
| | - Abbas Balouchi
- Nursing Department, Zabol University of Medical Sciences, Zabol, Iran; Student Research Committee, Nursing and Midwifery School, Iran University of Medical Sciences, Tehran, Iran
| | | | - Salehoddin Bouya
- Clinical Immunology Research Center, Ali-Ebne Abitaleb Hospital, Zahedan University of Medical Sciences, Zahedan, Iran.
| | - Mahmood Sheyback
- Student Research Committee, School of Nursing, Bushehr University of Medical Sciences, Bushehr, Iran
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Goyal M, Chaudhry D. Impact of Educational and Training Programs on Knowledge of Healthcare Students Regarding Nosocomial Infections, Standard Precautions and Hand Hygiene: A Study at Tertiary Care Hospital. Indian J Crit Care Med 2019; 23:227-231. [PMID: 31160840 PMCID: PMC6535985 DOI: 10.5005/jp-journals-10071-23166] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Background and Objectives Nosocomial infections are significant public health problems in developed as well as developing countries. To tackle this problem, it is vital to sensitize healthcare students (HCSs) at early period of their clinical practise. Thus, this study was conducted to access the existing knowledge among HCSs and determine the impact of educational and training programs regarding nosocomial infections, standard precautions, and hand hygiene. Methods This was a cross-sectional cum interventional, questionnaire based, single center study. Total 728 MBBS, BDS and BSC nursing students were targeted for workshop on nosocomial infections, standard precautions, and hand hygiene based on the Centers for Disease Control and prevention (CDC) and World Health Organization (WHO) guidelines. Infection control standardized questionnaire (ICSQ) was administered as a pretest and posttest. Results were analyzed by SPSS software. Results A paired-samples t-test was conducted to access the impact of educational and training programs on knowledge of HCS. There was a significant difference in the scores of pretests (M = 37.30, SD = 4.81) and posttests (M = 42.03, SD = 4.55); t (727) = 22.162, p ≤0.005 and also statistically significant difference in scores of all 3 domains- 1. Nosocomial infections: Pretest (M = 6.61, SD = 1.57) and Posttest (M = 7.98, SD = 4.65); t (727) = 20.589, p ≤ 0.005; 2. Standard Precautions: Pretest (M = 20.81, SD = 3.06) and Posttest (M = 41.88, SD = 4.30); t (727) = 4.584, p ≤ 0.005; 3. Hand Hygiene: Pretest (M = 9.88, SD = 2.68) and Posttest (M = 12.54, SD = 2.92); t (727) = 19.527, p ≤ 0.005. The results suggest that educational and training programs have positive impact on knowledge of HCS. Conclusion This study highlighted the need for regular educational and training programs in primary training time for retention of knowledge regarding nosocomial infections and reinforcement of the principals of standard precautions and hand hygiene. How to cite this article Goyal M, Chaudhry D. Impact of Educational and Training Programs on Knowledge of Healthcare Students Regarding Nosocomial Infections, Standard Precautions and Hand Hygiene: A Study at Tertiary Care Hospital. Indian J Crit Care Med 2019;23(2):227–231.
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Affiliation(s)
- Mohit Goyal
- Department of Pulmonary and Critical Care Medicine, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Dhruva Chaudhry
- Department of Pulmonary and Critical Care Medicine, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
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Mehta Y, Kulkarni AP. Watch out, Someone is Watching You! Indian J Crit Care Med 2019; 23:205. [PMID: 31160834 PMCID: PMC6535984 DOI: 10.5005/jp-journals-10071-23160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
How to cite this article: Mehta Y, Kulkarni AP. Watch out, Someone is Watching You! Indian J Crit Care Med 2019;23(5):205.
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Affiliation(s)
- Yatin Mehta
- Medanta Institute of Critical Care and Anesthesiology, Medanta: The Medicity, Gurugram, Haryana, India
| | - Atul P Kulkarni
- Division of Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India
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The Effect of Infection Control Course on Nursing Studentsʼ Knowledge of and Compliance With Universal Precautions. Dimens Crit Care Nurs 2019; 38:137-145. [DOI: 10.1097/dcc.0000000000000352] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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Russell D, Dowding DW, McDonald MV, Adams V, Rosati RJ, Larson EL, Shang J. Factors for compliance with infection control practices in home healthcare: findings from a survey of nurses' knowledge and attitudes toward infection control. Am J Infect Control 2018; 46:1211-1217. [PMID: 29866633 DOI: 10.1016/j.ajic.2018.05.005] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 04/03/2018] [Accepted: 05/03/2018] [Indexed: 12/12/2022]
Abstract
BACKGROUND Infection is a leading cause of hospitalization among home healthcare patients. Nurses play an important role in reducing infection among home healthcare patients by complying with infection control procedures. However, few studies have examined the compliance of home healthcare nurses with infection control practices or the range of sociocultural and organizational factors that may be associated with compliance. METHODS This study analyzed survey responses from nurses at 2 large, certified home healthcare agencies (n = 359), to explore levels of compliance with infection control practices and identify associated demographic, knowledge, and attitudinal correlates. RESULTS Nurses reported a high level of infection control compliance (mean = 0.89, standard deviation [SD] = 0.16), correct knowledge (mean = 0.85, SD = 0.09), and favorable attitudes (mean = 0.81, SD = 0.14). Multivariate mixed regression analyses revealed significant positive associations of attitudinal scores with reported level of compliance (P < .001). However, knowledge of inflection control practices was not associated with compliance. Older (P < .05) and non-Hispanic black (P < .001) nurses reported higher compliance with infection control practices than younger and white non-Hispanic nurses. CONCLUSION These findings suggest that efforts to improve compliance with infection control practices in home healthcare should focus on strategies to alter perceptions about infection risk and other attitudinal factors.
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Affiliation(s)
- David Russell
- Department of Sociology, Appalachian State University, Boone, NC; Center for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY.
| | - Dawn W Dowding
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, United Kingdom
| | - Margaret V McDonald
- Center for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY
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Hassan ZM. Improving knowledge and compliance with infection control Standard Precautions among undergraduate nursing students in Jordan. Am J Infect Control 2018; 46:297-302. [PMID: 29102051 PMCID: PMC7115283 DOI: 10.1016/j.ajic.2017.09.010] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2017] [Revised: 09/06/2017] [Accepted: 09/06/2017] [Indexed: 01/16/2023]
Abstract
Introduction The recent emergence and reemergence of infectious diseases have made the knowledge and practice of standard infection control precautions in developing countries more important than ever. However, schools of nursing in Jordan do not have a prescribed curriculum in Standard Precautions. Purpose To test the effectiveness of using of an online education module and a learning contract on knowledge and compliance with infection control Standard Precautions among undergraduate nursing students in Jordan. Methods A sample of 256 undergraduate nursing students participated in an online education module in infection control Standard Precautions. A pretest–posttest design tested effectiveness using an online questionnaire (Questionnaires for Knowledge and Compliance with Standard Precautions) before and after the online instruction. Results Initially, subjects reported low levels of knowledge and compliance with Standard Precaution practices and relatively few (15.2%) had high scores. Compliance with Standard Precautions was somewhat better (27%). Significant differences in the mean scores of knowledge and compliance between pretest and posttest were found. Conclusion Online instruction offers a consistent and effective method to include Standard Precautions into nursing education. Organizations that oversee nursing in Jordan have the option to strengthen all nursing curricula by mandating a standardized infection control curricula across all schools of nursing.
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Kappes Ramirez MS. Influence of undergraduate nursing student teaching methods on learning standard precautions and transmission-based precautions: Experimental research. NURSE EDUCATION TODAY 2018; 61:101-105. [PMID: 29195210 DOI: 10.1016/j.nedt.2017.11.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 10/08/2017] [Accepted: 11/07/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES An experimental study was performed with undergraduate nursing students in order to determine, between two methodologies, which is the best for learning standard precautions and precautions based on disease transmission mechanisms. METHODS Students in the sample are stratified by performance, with the experimental group (49 students) being exposed to self-instruction and clinical simulation on the topic of standard precautions and special precautions according to disease transmission mechanisms. Conventional classes on the same topics were provided to the control group (49 students). RESULTS The experimental group showed the best performance in the multiple-choice post-test of knowledge (p=0.002) and in the assessment of essay questions (p=0.043), as well as in the evaluation of a simulated scenario, in relation to the control group. CONCLUSIONS This study demonstrates that it is possible to transfer some teaching subjects on the prevention of Healthcare Associated Infections (HAIs) to self-learning by means of virtual teaching strategies with good results. This allows greater efficiency in the allocation of teachers to clinical simulation or learning situations in the laboratory, where students can apply what they have learned in the self-instruction module.
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Ndu AC, Arinze-Onyia SU. Standard precaution knowledge and adherence: Do Doctors differ from Medical Laboratory Scientists? Malawi Med J 2017; 29:294-300. [PMID: 29963283 PMCID: PMC6019545 DOI: 10.4314/mmj.v29i4.3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Revised: 08/14/2017] [Accepted: 09/03/2017] [Indexed: 11/30/2022] Open
Abstract
Background Doctors and laboratory scientists are at risk of infection from blood borne pathogens during routine clinical duties. After over 20 years of standard precautions, health care workers knowledge and compliance is not adequate. Aim This study is aimed at comparing adherence and knowledge of standard precautions (SP) among Medical Laboratory Scientists (MLSs) and doctors. Methods It was a cross sectional study done at University of Nigeria Teaching Hospital, ItukuOzalla. A semi structured pre-tested questionnaire was the study instrument. Results General knowledge of SP was high,76.2% in doctors and 67.6% in MLSs although there were differences between the two groups on the knowledge of components of SP. Safe injection practices, use of personal protective equipment as well as safe handling of contaminated equipment or surfaces was higher amongst doctors. Even though more than half of respondents in both groups, 53.1 % among doctors and 58.1% among MLSs had received training on standard precautions, this did not reflect in the practice. MLS reported more use of personal protective equipment such as gloves and coveralls (100% in MLS and 35% of doctors), P<0.001. Recapping of syringes was higher amongst doctors (63.6%) than MLS (55.1%).The doctors practiced better hand hygiene than MLS (P<0.001). Constraints that affected SP included non-availability of PPEs and emergency situations for both groups. Conclusion SP knowledge and practice are still low, and as such, there is a need to train doctors and MLS on the components of SP. Policies on SP need to be enforced and facilities for practice regularly supplied.
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Affiliation(s)
- Anne C Ndu
- Department of Community Medicine, University of Nigeria Nsukka
| | - Sussan U Arinze-Onyia
- Department of Community Medicine, Enugu State University College of Medicine, Parklane Enugu
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Knowledge and information sources on standard precautions and infection control of health sciences students at King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia, Riyadh. J Infect Public Health 2017; 11:546-549. [PMID: 29137958 PMCID: PMC7102774 DOI: 10.1016/j.jiph.2017.10.013] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2017] [Revised: 10/24/2017] [Accepted: 10/30/2017] [Indexed: 11/21/2022] Open
Abstract
Background Only one study has been conducted in Saudi Arabia to assess medical students’ knowledge of standard precautions (SPs) and infection control (IC). In this study, we examined knowledge of SPs and IC among clinical students attending the King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Methods In this cross-sectional study, we targeted clinical students from the following five colleges: Medicine (fifth and sixth years); Dentistry (second semester of the third, fourth, fifth, and sixth years); Applied Medical Sciences (third and fourth years); Nursing (third and fourth years); and Pharmacy (third, fourth, and fifth years). The data collection instrument was an adopted 41-item questionnaire that measured knowledge of SPs and IC in five domains. A score of ≥24 (60%) indicated sufficient knowledge. Results The participants comprised 129 students (67 men). The proportions of participants from each college were: Medicine, 58.1% (n = 75); Dentistry, 14% (n = 18); Applied Medical Sciences, 13.2% (n = 17); Nursing, 10.9% (n = 14); and Pharmacy, 3.9% (n = 5). Most students (73.6%) demonstrated sufficient knowledge (men, 67.2% and women, 80.6%). The highest scores were obtained for the domains “general concept of SPs”, “hand hygiene”, and “personal protective equipment”, whereas the lowest scores were obtained for “disposal of and injuries from sharp objects” and “health-care providers’ care”. The main information source was formal curricular teaching. Conclusions In Saudi Arabia, students’ knowledge of SPs and IC is satisfactory, with no significant differences between the sexes or between colleges. Thus, formal curricular teaching is an effective way to increase students’ knowledge of SPs and IC.
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Abdelrahman MA, Alhasan M, Alewaidat H, Rawashdeh MA, Al Mousa DS, Almhdawi KA. Knowledge of nosocomial infection control practices among radiographers in Jordan. Radiography (Lond) 2017; 23:298-304. [PMID: 28965892 DOI: 10.1016/j.radi.2017.07.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2017] [Revised: 07/12/2017] [Accepted: 07/16/2017] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Nosocomial infections add health-related and financial burdens on health systems. This study aims to evaluate the radiographers' knowledge of nosocomial infection control practices in Jordan. METHODS A cross-sectional questionnaire-based assessment was conducted. The main domains of the knowledge based test were the nature of nosocomial infections, standard precautions, and infection control practices specific to the radiology department. Comparison of knowledge among radiographers was assessed using the Student t-test and ANOVA. Multiple linear regression was used to find predictors of the knowledge score. RESULTS The final analysis included 100 radiographers from educational, private, and public hospitals. Mean knowledge score was 66.2% (SD: 20.3%, range: 25.0-100%). Questions with the lowest correctly scored were about the main source of infections (17%), recapping used needles (27%), gloves use (27%), the necessity of using overshoes (26%) and a cap (26%) when there is a risk of biological fluid splashes, the necessity of using sterile gloves (7%) and protective masks (5%) during all invasive procedures, the manoeuvrability around a sterile field (54%), and the safety of passing the imaging plate to the scrub nurse in order to place it under the radiographer's direction (37%). Predictors of knowledge score were the academic degree and training status (R2 = 0.21, P < 0.001). CONCLUSION Knowledge of infection control practices among Jordanian radiographers was moderate. Future training should focus on handling used needles, the use of protective barriers, and the manoeuvrability around sterile fields. Improved academic curriculum and on-site training could enhance knowledge in infection control practices.
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Affiliation(s)
- M A Abdelrahman
- Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.
| | - M Alhasan
- Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - H Alewaidat
- Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - M A Rawashdeh
- Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - D S Al Mousa
- Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - K A Almhdawi
- Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
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Peres D, Severo M, Ferreira MA. Knowledge, source of information, and perception of Portuguese medical students and junior doctors of infection control precautions. Am J Infect Control 2016; 44:1723-1725. [PMID: 27499194 DOI: 10.1016/j.ajic.2016.05.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Revised: 03/21/2016] [Accepted: 05/17/2016] [Indexed: 10/21/2022]
Abstract
Medical education should include infection control precautions (ICPs). Portuguese medical students showed reasonable knowledge in ICPs; however, contact isolation and glove and mask use should be reinforced. Only 25% referred to the curriculum as the most important information source. There was a positive association between academic year (P = .032), previous training in ICPs (P = .016), and knowledge. Main strategies proposed to acquire competences in ICPs were bedside teaching (26.9%) and curriculum and bedside teaching (20.2%).
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Sharif A, Arbabisarjou A, Balouchi A, Ahmadidarrehsima S, Kashani HH. Knowledge, Attitude, and Performance of Nurses toward Hand Hygiene in Hospitals. Glob J Health Sci 2016; 8:53081. [PMID: 27045398 PMCID: PMC5016353 DOI: 10.5539/gjhs.v8n8p57] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2015] [Accepted: 10/27/2015] [Indexed: 11/12/2022] Open
Abstract
INTRODUCTION The proper hand hygiene is one of the foremost techniques to reduce Nosocomial infections. The hand hygiene is deemed as the simplest method for control of Nosocomial infections if it is done properly it may prevent from a lot of costs and fatalities. Due to constant relationship with patients, nurses play paramount role in proper execution of hand hygiene among clinical personnel. The current study was carried out in order to analyze knowledge, attitude, and performance of nurses regarding hand hygiene. MATERIALS & METHODOLOGY A cross-sectional study was conducted on 200 (of 240) nurses from three hospitals in Kerman city at east of Iran in 2015. The standardized questionnaire was the tool for data collection. These data entered in SPSS (V.22). The frequency and percentage of frequency in descriptive statistics was employed for data analysis. The confidence interval was considered as 95%. RESULTS The results showed that the majority of participants were male173 (86.5%), had BA degree 161 (80.5%) and were married 155 (70.5%). Most of nurses 77 (38.5%) had working experience (5-10years). The majority of nurses had good knowledge 149 (74.5%), positive attitude 141 (70.5%) and good performance 175 (87.5%). DISCUSSION & CONCLUSION The nurses are good level in terms of knowledge, attitude, and performance but improvement of their knowledge and knowledge seems to be more necessary by holding educational classes and courses in cases where they have less knowledge.
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Affiliation(s)
- Alireza Sharif
- Department of Infectious Diseases, Kashan University of Medical Sciences, Kashan, Iran.
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Weiss A, Hollandsworth HM, Alseidi A, Scovel L, French C, Derrick EL, Klaristenfeld D. Environmentalism in surgical practice. Curr Probl Surg 2016; 53:165-205. [DOI: 10.1067/j.cpsurg.2016.02.001] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 02/09/2016] [Indexed: 01/03/2023]
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Moriceau G, Gagneux-Brunon A, Gagnaire J, Mariat C, Lucht F, Berthelot P, Botelho-Nevers E. Preventing healthcare-associated infections: Residents and attending physicians need better training in advanced isolation precautions. Med Mal Infect 2016; 46:14-9. [DOI: 10.1016/j.medmal.2015.11.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2015] [Revised: 08/20/2015] [Accepted: 11/02/2015] [Indexed: 12/09/2022]
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Giard M, Laprugne-Garcia E, Caillat-Vallet E, Russell I, Verjat-Trannoy D, Ertzscheid MA, Vernier N, Laland C, Savey A. Compliance with standard precautions: Results of a French national audit. Am J Infect Control 2016; 44:8-13. [PMID: 26341402 DOI: 10.1016/j.ajic.2015.07.034] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2015] [Revised: 07/21/2015] [Accepted: 07/21/2015] [Indexed: 10/23/2022]
Abstract
BACKGROUND Standard precautions (SPs) aim to reduce the risk of cross-transmission of microorganisms. The objectives of the present study were to assess institutional policies for SPs promotion, available resources for SPs implementation, and education of health care workers (HCWs) and their compliance with SPs. METHODS A multisite mixed-methods audit was conducted in 2011. Self-assessment questionnaires were administered at institution, ward, and HCW levels in French health care facilities (HCFs). Results were given as percentage of objectives achieved (POA) or percentage of "never or sometimes," "often," and "always" responses for each question. RESULTS A total of 1599 HCFs participated, including 14,968 wards and 203,840 HCWs. At an institutional level, the POA was 88%, covering SPs promotion (91%), procedures (99%), and SPs evaluation (63%). At the ward level, the POA was 94%, covering procedures (95%) and resources (93%). HCWs reported the best compliance for changing gloves between patients (94.5% "always"), and the worst compliance for the use of gloves for intramuscular injection and the use of eye protection in cases of blood exposure risk (34.5% and 24.4% of "always," respectively). CONCLUSIONS A literature review found no other study of SPs that included such a large study group. These results led to SPs promotion actions at local and regional levels. Reinforcement of SPs observance will be prioritized in the next national program from the French Ministry of Health.
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AL-Rawajfah OM, Tubaishat A. Nursing students' knowledge and practices of standard precautions: A Jordanian web-based survey. NURSE EDUCATION TODAY 2015; 35:1175-1180. [PMID: 26043655 DOI: 10.1016/j.nedt.2015.05.011] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2015] [Revised: 04/29/2015] [Accepted: 05/14/2015] [Indexed: 06/04/2023]
Abstract
BACKGROUND The main purpose of this web-based survey was to evaluate Jordanian nursing students' knowledge and practice of standard precautions. METHODS A cross-sectional, descriptive design was used. Six public and four private Jordanian universities were invited to participate in the study. Approximately, seventeen hundred nursing students in the participating universities were invited via the students' portal on the university electronic system. For schools without an electronic system, students received invitations sent to their personal commercial email. RESULTS The final sample size was 594 students; 65.3% were female with mean age of 21.2 years (SD=2.6). The majority of the sample was 3rd year students (42.8%) who had no previous experience working as nurses (66.8%). The mean total knowledge score was 13.8 (SD=3.3) out of 18. On average, 79.9% of the knowledge questions were answered correctly. The mean total practice score was 67.4 (SD=9.9) out of 80. There was no significant statistical relationship between students' total knowledge and total practice scores (r=0.09, p=0.032). CONCLUSION Jordanian nursing educators are challenged to introduce different teaching modalities to effectively translate theoretical infection control knowledge into safe practices.
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Legeay C, Thépot-Seegers V, Groh M, Pilmis B, Zahar JR. Medical students' knowledge of infection control and prevention: Factors associated with better results and room for improvement. Am J Infect Control 2015; 43:1142-3. [PMID: 26190384 DOI: 10.1016/j.ajic.2015.05.045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Revised: 05/28/2015] [Accepted: 05/28/2015] [Indexed: 10/23/2022]
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Dogra S, Mahajan R, Jad B, Mahajan B. Educational interventions to improve knowledge and skills of interns towards prevention and control of hospital-associated infections. Int J Appl Basic Med Res 2015; 5:S54-7. [PMID: 26380213 PMCID: PMC4552068 DOI: 10.4103/2229-516x.162279] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2015] [Accepted: 06/17/2015] [Indexed: 11/16/2022] Open
Abstract
Context: We believe that there is significant educational deficit amongst interns regarding up-to-date formal knowledge and skills on healthcare-associated infections (HAIs) which might compromise patient safety. This urgently requires curriculum innovations to ensure their formal training on HAIs prevention and control. Aim: Education of interns to improve their knowledge and skills toward HAIs prevention and control. Subjects and Methods: This pilot study was conducted in interns using a multimodal approach consisting of a combination of videos, PowerPoint presentation, and hands-on demonstration to provide applied and practical teaching on prevention and control of HAIs. Pre- and post-test assessment of knowledge, attitude, and skills was carried out by multiple choice questions, 5-point Likert scale, and Objective Structured Practical Examination respectively. Statistical Analysis Used: Paired t-test Results: A statistically significant improvement in the overall score rates between pre- and post-test of intern's was seen, suggesting that educational programs have a positive effect. Intern's felt benefitted from interventions focused on HAIs prevention and control and hoped that such sessions are integrated in the regular undergraduate curriculum. A majority of the students felt that their learning style assessment matched well with their own perception of learning preference. Conclusions: Assessment drives learning; hence strengthening the contribution of health-care workers to HAIs prevention programs should include measures that enhance knowledge, improve skills and develop appropriate attitudes, resulting in safety and quality of patient care.
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Affiliation(s)
- Sandeep Dogra
- Department of Microbiology, Government Medical College and Hospital, Jammu, Jammu and Kashmir, India
| | - Ruchita Mahajan
- Department of Microbiology, Government Medical College and Hospital, Jammu, Jammu and Kashmir, India
| | - Beena Jad
- Department of Microbiology, Government Medical College and Hospital, Jammu, Jammu and Kashmir, India
| | - Bella Mahajan
- Department of Microbiology, Government Medical College and Hospital, Jammu, Jammu and Kashmir, India
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Hefzy EM, Wegdan AA, Abdel Wahed WY. Hospital outpatient clinics as a potential hazard for healthcare associated infections. J Infect Public Health 2015; 9:88-97. [PMID: 26264392 DOI: 10.1016/j.jiph.2015.06.015] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2015] [Revised: 06/21/2015] [Accepted: 06/23/2015] [Indexed: 11/17/2022] Open
Abstract
Healthcare acquired infections are no longer confined to the hospital environment. Recently, many reported outbreaks have been linked to outpatient settings and attributed to non-adherence to recommended infection-prevention procedures. This study was divided into two parts: The first is a descriptive cross-sectional part, to assess the healthcare personnel's knowledge and compliance with Standard Precautions (SP). The second is an intervention part to assess the role of health education on reducing the level of environmental and reusable medical equipment bacterial contamination. Assessment of the doctors' and nurses' knowledge and compliance with SP was performed using a self-administered questionnaire. Assessment of environmental cleaning (EC) and reusable medical equipment disinfection has been performed using aseptic swabbing method. The extent of any growth was recorded according to the suggested standards: (A) Presence of indicator organisms, with the proposed standard being <1cfu/cm(2). These include Staphylococcus aureus (including methicillin-resistant Staphylococcus aureus, MRSA), Enterococci, including vancomycin-resistant Enterococci (VRE) and various multidrug-resistant Gram-negative bacilli. (B) Aerobic colony count, the suggested standard is <5cfu/cm(2). The effect of health education intervention on cleaning and disinfection had been analyzed by comparing the difference in cleaning level before and after interventional education. Good knowledge and compliance scores were found in more than 50% of participants. Primary screening found poor EC and equipment disinfection as 67% and 83.3% of stethoscopes and ultrasound transducers, respectively, were contaminated with indicator organisms. For all indicator organisms, a significant reduction was detected after intervention (p=0.00). Prevalence of MRSA was 38.9% and 16.7%, of the total S. aureus isolates, before and after intervention, respectively. Although 27.8% of the total Enterococcus isolates were VRE before intervention, no VRE isolates were detected after intervention. These differences were significant. Development and monitoring of the implementation of infection prevention policies and training of HCP is recommended.
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Affiliation(s)
- Enas M Hefzy
- Department of Medical Microbiology and Immunology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
| | - Ahmed A Wegdan
- Department of Medical Microbiology and Immunology, Faculty of Medicine, Fayoum University, Fayoum, Egypt
| | - Wafaa Y Abdel Wahed
- Department of Public Health and Community Medicine, Faculty of Medicine, Fayoum University, Fayoum, Egypt
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Cheung K, Chan CK, Chang MY, Chu PH, Fung WF, Kwan KC, Lau NY, Li WK, Mak HM. Predictors for compliance of standard precautions among nursing students. Am J Infect Control 2015; 43:729-34. [PMID: 25868650 PMCID: PMC7115313 DOI: 10.1016/j.ajic.2015.03.007] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2014] [Revised: 03/08/2015] [Accepted: 03/10/2015] [Indexed: 11/16/2022]
Abstract
BACKGROUND We aimed to investigate the frequency of standard precautions (SPs) compliance and the factors affecting the compliance among nursing students (NSs). METHODS A cross-sectional survey study guided by the health belief model was conducted in 2009. The study questionnaire is valid (content validity index, 0.81) and reliable (Cronbach α range, 0.65-0.94). RESULTS There were 678 questionnaires analyzed, with a response rate of 68.9%. The mean frequency score of SPs compliance was 4.38 ± 0.40 out of 5. Tukey honest significant difference post hoc test indicated that year 2 and year 4 students had better SPs compliance than year 3 students. Further analysis using a univariate general linear model identified an interaction effect of perceived influence of nursing staff and year of study (F1,593 = 3.72; P < .05). The 5 following predictors for SPs compliance were identified: knowledge of SPs, perceived barriers, adequacy of training, management support, and influence of nursing staff. CONCLUSION Although the SPs compliance among NSs was high, the compliance varied by year of study and was affected by the nursing staff. Furthermore, SPs compliance among NSs can be enhanced by increasing SPs knowledge, providing more SPs training, promoting management support, reducing identified SPs barriers, and improving nursing staff compliance to SPs.
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Affiliation(s)
- Kin Cheung
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
| | - Chi Keung Chan
- Medical ward, Tai Po Nethersole Hospital, Hong Kong, China
| | - Mei Yan Chang
- The Family Planning Association of Hong Kong, Hong Kong, China
| | - Po Ha Chu
- Emergency Medicine Centre, Union Hospital, Hong Kong, China
| | - Wai Fong Fung
- Intensive Care Unit, Tseung Kwan O Hospital, Hong Kong, China
| | - Kit Chi Kwan
- Outpatient Department, St. Teresa Hospital, Hong Kong, China
| | - Nga Yan Lau
- Outpatient Department, St. Teresa Hospital, Hong Kong, China
| | - Wai Kin Li
- Operating Theatre, Prince Margaret Hospital, Hong Kong, China
| | - Hiu Man Mak
- Combined Neurology and Neurosurgical Ward, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China
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Asadollahi M, Arshadi Bostanabad M, Jebraili M, Mahallei M, Seyyed Rasooli A, Abdolalipour M. Nurses' knowledge regarding hand hygiene and its individual and organizational predictors. J Caring Sci 2015; 4:45-53. [PMID: 25821758 DOI: 10.5681/jcs.2015.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2014] [Accepted: 09/07/2014] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Based on recommendations from World Health Organization, hand hygiene is the most important way to control the hospital infections. Due to the critical role of nurses in patient care, they should have essential and updated information regarding hand hygiene. So this study aims at determining the knowledge of hand hygiene and its individual and organizational predictors among nurses in neonatal units. METHODS This descriptive and cross-sectional study was conducted in neonatal units in the hospitals affiliated to Tabriz University of Medical Sciences. The participants surveyed in this study were 150 nurses who were invited by census sampling method. A researcher prepared questionnaire that investigated the knowledge of participants about hand hygiene and was used after approving its validity and reliability. The quantitative analysis of this study used Statistical Package for Social Sciences SPSS version 13 by descriptive statistics and pearson correlation test, independent samples t-test, One-way ANOVA. For multivariable explanation of nurses' knowledge based on independent variables multiple linear regressions was used. RESULTS Most of participants have an acceptable level of knowledge regarding hand hygiene. The highest score was for infection control domain and the lowest score was for definition of hand hygiene domain. Multivariable analysis showed that work experience and history of previous training were the most important predictors of participants' knowledge about hand hygiene. CONCLUSION It is recommended that infection control committees should revise their educational methods and give more emphasis on update guidelines regarding hand hygiene. Also, more experienced nurses should be employed in neonatal units.
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Affiliation(s)
- Malihe Asadollahi
- Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mohammad Arshadi Bostanabad
- Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahnaz Jebraili
- Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Majid Mahallei
- Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Alehe Seyyed Rasooli
- Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Marzieh Abdolalipour
- Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
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Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: a cross-sectional study. BMC Nurs 2014; 13:43. [PMID: 25516721 PMCID: PMC4266973 DOI: 10.1186/s12912-014-0043-9] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2014] [Accepted: 11/24/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In recent year, national bodies have been actively addressing the increasing concern on the spread of healthcare-associated infections (HAIs). The current study measures the knowledge, intentions and beliefs of third-year Australian nursing students on key infection prevention and control (IPC) concepts. METHODS A cross-sectional study of final-year undergraduate nursing students from Schools of Nursing at six Australian universities was undertaken. Students were asked to participate in an anonymous survey. The survey explored knowledge of standard precautions and transmission based precautions. In addition intentions and beliefs towards IPC were explored. RESULTS 349 students from six universities completed the study. 59.8% (95% CI 58.8-60.8%) of questions were answered correctly. Significantly more standard precaution questions were correctly answered than transmission-based precaution questions (p < 0.001). No association was found between self-reported compliance with IPC activities and gender or age. Certain infection control issues were correlated with the percentage of correctly answered transmission-based precaution questions. The participants were most likely to seek infection control information from an infection control professional. CONCLUSION Knowledge on transmission-based precautions was substandard. As transmission-based precautions are the foundation of IPC for serious organisms and infections, education institutions should reflect on the content and style of educational delivery on this topic.
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Hinkin J, Cutter J. How do university education and clinical experience influence pre-registration nursing students' infection control practice? A descriptive, cross sectional survey. NURSE EDUCATION TODAY 2014; 34:196-201. [PMID: 24090618 DOI: 10.1016/j.nedt.2013.09.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2012] [Revised: 09/04/2013] [Accepted: 09/11/2013] [Indexed: 06/02/2023]
Abstract
AIMS This study aims to explore nursing students' knowledge of infection control and investigate how university education and clinical experience influence their infection control practice. BACKGROUND In order to prevent and control healthcare associated infections all healthcare staff must be knowledgeable about infection control. However, knowledge and practice of infection control are often sub-optimal. Education has had variable results in improving the infection control knowledge of healthcare professionals yet, there have been few studies examining this issue in relation to pre-registration nursing students in the United Kingdom. METHODS This descriptive cross-sectional survey employed a questionnaire composed of predominantly closed questions for data collection. A non-probability, purposive sample of 354/444 (79.7%) nursing students from one university participated in the study. FINDINGS Knowledge was generally adequate in questions related to pathogen transmission, hand hygiene principles, glove use, immediate action following sharps' injuries, and risk reduction in relation to sharps and waste management. Topics that received less positive results related to the chain of infection, the use of alcohol gel and Clostridium difficile and the definition of inoculation injury. University education was the main influence on knowledge and practice (340/353, 96.3%), but mentors (322/354, 91.2%), nurses (316/353, 89.3%), doctors (175/353, 49.4%) and other members of the multi-disciplinary team (213/352, 60.2%) were also deemed influential. Workload, time, and availability of facilities and equipment also contributed to the adoption of infection control precautions. The findings illustrated the importance of both theoretical and practical knowledge, supported by competent role models. CONCLUSION The study identified the complexities of knowledge acquisition and application in a practice based discipline. The support of a competent role model to assist in applying theory to practice is vital. The study has identified that there are many variables that affect IPC practice, both positively and negatively.
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Affiliation(s)
- Jonathan Hinkin
- College of Human and Health Sciences, Swansea University, St David's Park, Carmarthen SA31 3HB, United Kingdom.
| | - Jayne Cutter
- College of Human and Health Sciences, Swansea University, Swansea SA2 8PP, United Kingdom.
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D'Alessandro D, Agodi A, Auxilia F, Brusaferro S, Calligaris L, Ferrante M, Montagna MT, Mura I, Napoli C, Pasquarella C, Righi E, Rossini A, Semeraro V, Tardivo S. Prevention of healthcare associated infections: medical and nursing students' knowledge in Italy. NURSE EDUCATION TODAY 2014; 34:191-5. [PMID: 23725909 DOI: 10.1016/j.nedt.2013.05.005] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2012] [Revised: 04/08/2013] [Accepted: 05/09/2013] [Indexed: 05/13/2023]
Abstract
BACKGROUND The training of health workers is a key issue for the prevention of healthcare associated infections. OBJECTIVES To evaluate knowledge of nursing and medical students concerning the prevention of healthcare associated infections. DESIGN A cross-sectional study. SETTING University hospitals in nine Italian cities. PARTICIPANTS One thousand four hundred sixty one healthcare students (607 medical students and 854 nursing students). METHODS The study was performed using a questionnaire investigating 3 areas, each having different possible points: standard precautions=12; hand hygiene=8; healthcare associated infections=5, for an overall perfect score of 25. Scores that met a cutoff ≥17.5 were considered to be indicative of an acceptable level of knowledge. Factors associated with an acceptable level of knowledge were analyzed using a logistic regression model. RESULTS Mean overall score (±SD) was 18.1 ± 3.2. Nursing students (18.6 ± 2.9) obtained a higher overall score than medical students (17.4 ± 3.5) (p<0.001). Weighed scores (±SD) by area were: 10.3 (±2.0) for standard precautions, 5.0 (±1.3) for hand hygiene and 2.8 (±1.1) for healthcare associated infections. Knowledge level concerning the three areas was different between medical and nursing students (p<0.001). The probability of finding acceptable knowledge was smaller for medical students (OR: 0.54 p<0.0001) and for students aged ≥24 years (OR: 0.39 p<0.0001). CONCLUSION The overall score showed an acceptable level of knowledge for the whole sample; but, considering separately the two curricula, only nursing students reached the minimum acceptable score. It seems important to investigate what is working better in nursing than in medical education in order to implement and validate new teaching approaches.
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Affiliation(s)
- Daniela D'Alessandro
- Dept. Civil Building and Environmental Engineering, Sapienza University, Via Eudossiana, 18-00186 Rome, Italy; Post-graduate School of Public Health, Sapienza University of Rome, P.le Aldo Moro, 5, 18-00185 Rome, Italy.
| | - Antonella Agodi
- Dept. Hygiene and Public Health "G.F. Ingrassia", University of Catania, Via S. Sofia, 87-95123 Catania, Italy
| | - Francesco Auxilia
- Dept. Public Health, Microbiology and Virology, University of Milan, Via Carlo Pascal 36, 20133 Milano, Italy
| | - Silvio Brusaferro
- Dept. Clinical and Experimental Pathology and Medicine, University of Udine, Via Palladio 8, 33100 Udine, Italy
| | - Laura Calligaris
- Dept. Clinical and Experimental Pathology and Medicine, University of Udine, Via Palladio 8, 33100 Udine, Italy
| | - Margherita Ferrante
- Dept. Hygiene and Public Health "G.F. Ingrassia", University of Catania, Via S. Sofia, 87-95123 Catania, Italy
| | - Maria Teresa Montagna
- Dept. Biomedical Sciences and Human Oncology, University of Bari, piazza G. Cesare 11, 70124 Bari, Italy
| | - Ida Mura
- Dept. Biomedical Sciences, University of Sassari, Viale S. Pietro 43/b, 07100 Sassari, Italy
| | - Christian Napoli
- Dept. Biomedical Sciences and Human Oncology, University of Bari, piazza G. Cesare 11, 70124 Bari, Italy
| | - Cesira Pasquarella
- Dept. Biomedical, Biotechnological and Translational Sciences, University of Parma, Via Volturno, 39, 43125 Parma, Italy
| | - Elena Righi
- Dept. Public Health Sciences, University of Modena and Reggio Emilia, Via Università 4, 41100 Modena, Italy
| | - Angelo Rossini
- IRCCS Fondazione Santa Lucia, Rome, Via Ardeatina, 306, 00142 Rome, Italy
| | - Valentina Semeraro
- Post-graduate School of Public Health, Sapienza University of Rome, P.le Aldo Moro, 5, 18-00185 Rome, Italy
| | - Stefano Tardivo
- Dept. Public Health, University of Verona, Strada le Grazie, 15-37134 Verona, Italy
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[Historical development and current demands on medical training, further and advanced training in hygiene and infection prevention]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013; 55:1465-73. [PMID: 23114446 DOI: 10.1007/s00103-012-1565-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
New risks in nosocomial infections and the dramatic increase in antibiotic-resistant pathogens in healthcare facilities have pointed to the urgent need for a good education of students and practitioners in the basics of hospital hygiene and infection prevention. On the other hand in the last 10 years a large number of institutes of hygiene in universities were closed with remarkable consequences concerning the decreased education in modern hygiene and public health. A broad historical overview over the last 200 years of teaching hygiene and public health at German universities is given which was integrated into the education of medical students. Nowadays many universities do not teach modern hygiene and public health. The demand of re-establishing new institutes of hygiene by the German Medical Council is discussed. The curriculum for the formation of hospital hygienists is presented.
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Kulkarni V, Papanna M, Mohanty U, Ranjan R, Neelima V, Kumar N, Prasanna Mithra P, Upadhyay RP, Unnikrishnan B. Awareness of medical students in a medical college in Mangalore, Karnataka, India concerning infection prevention practices. J Infect Public Health 2013; 6:261-8. [DOI: 10.1016/j.jiph.2013.02.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2012] [Revised: 01/14/2013] [Accepted: 02/11/2013] [Indexed: 11/16/2022] Open
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Brasch J, Rucker M, Haise C. Medical textiles that suit the user: predicting health care workers' preference for disposable versus reusable surgical gowns. Health Mark Q 2013; 30:162-76. [PMID: 23697855 DOI: 10.1080/07359683.2013.787892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Administrators need to balance a variety of factors when purchasing products for a health care facility, including user preference. The objectives of this study were to determine which variables were significantly related to gown preference and then to create a multivariate model to determine the best set of variables for predicting user preference for reusable versus disposable gowns. When "no preference" was included in the multivariate analysis, both occupational group and years employed at the hospital where they currently worked were significant. When no preference data were removed, years employed at the current hospital became the only significant predictor of preference.
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Affiliation(s)
- Joanne Brasch
- Division of Textiles and Clothing, University of California, Davis, California 95616, USA.
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Amin TT, Al Noaim KI, Bu Saad MA, Al Malhm TA, Al Mulhim AA, Al Awas MA. Standard precautions and infection control, medical students' knowledge and behavior at a Saudi university: the need for change. Glob J Health Sci 2013; 5:114-25. [PMID: 23777728 PMCID: PMC4776810 DOI: 10.5539/gjhs.v5n4p114] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Accepted: 04/15/2013] [Indexed: 11/12/2022] Open
Abstract
Background: No previous studies have reported the knowledge of Saudi medical students about Standard Precautions (SPs) and infection control. Objectives: The objectives of this study were to assess medical students’ knowledge in clinical years at King Faisal University, Saudi Arabia about SPs’ and to explore their attitudes toward the current curricular/training in providing them with effective knowledge and necessary skills with regard to SPs. Subjects and Methods: This cross sectional study targeted students in clinical stage at College of Medicine, King Faisal University, Saudi Arabia. A pre-tested anonymous self administered data collection form was used. Inquires about students’ characteristics, general concepts of infection control/SPs, hand hygiene, personal protective equipment, sharp injuries and disposal, and care of health providers were included. The main source of information for each domain was also inquired. The second part dedicated to explore the attitudes toward the curricular and teaching relevant to SPs. Results: A total of 251 students were included. Knowledge scores in all domains were considerably low, 67 (26.7%) students scored ≥ 24 (out of 41points) which was considered as an acceptable level of knowledge, 22.2% in 4th year, 20.5% in 5th year and 36.8% in 6th year. Sharp injuries, personal protective equipment and health care of the providers showed the least knowledge scores. The main sources of knowledge were self learning, and informal bed side practices The majority of students’ believed that the current teaching and training are insufficient in providing them with the necessary knowledge and skills regarding SPs. Conclusion: The overall knowledge scores for SPs were low especially in the domains of hand hygiene, sharp management, and personal protective equipment reflecting insufficient and ineffective instructions received by medical students through the current curriculum posing them vulnerable to health facilities related infections. Proper curricular reform and training are required to protect students and their patients.
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Van der Berg LS, Daniels FM. Do nursing students know and practise the Universal Precautions to prevent transmission of infectious agents? Curationis 2013; 36:E1-7. [DOI: 10.4102/curationis.v36i1.99] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Background: Nursing students, like other healthcare students, are at high risk of occupational exposure to blood and bodily fluids. Studies have shown that use of the Universal Precautions(UPs) lowers this risk, but do students know and practise these precautions?Objectives: This study investigated the knowledge and practice of undergraduate nursing students regarding the UPs, and whether there was a correlation between knowledge of the UPs and their practice.Method: This was a descriptive quantitative study amongst undergraduate nursing students in years 2–4 (n = 253), who were selected by means of stratified random sampling. A questionnaire was administered to the participants by the researcher. The data collected were analysed through use of the Statistical Package for Social Sciences (SPSS 16.0) and content analysis.Results: It was established that there was indeed a lack of knowledge regarding the UPs,and that the students’ self-reported practice of the UPs was poor. There was no statistically significant correlation between knowledge and practice of the UPs.Conclusion: More structured educational programmes are needed to improve both knowledge and practice of the UPs. These programmes should be offered across all nursing student study years as continuous professional development.
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Awareness of standard precautions for 4439 healthcare professionals in 34 institutions in France. Med Mal Infect 2013; 43:10-6. [DOI: 10.1016/j.medmal.2012.11.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2012] [Revised: 09/08/2012] [Accepted: 11/27/2012] [Indexed: 11/20/2022]
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