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Alanazi SJ, Haas T, Scafide KN. Interventions to Enhance Nursing Student Compliance With Infection Control: A Systematic Review. Nurs Educ Perspect 2023; 44:E45-E49. [PMID: 37428648 DOI: 10.1097/01.nep.0000000000001168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/12/2023]
Abstract
AIM The purpose of this review was to identify effective strategies for improving infection control practices among prelicensure nursing students. BACKGROUND Infection control practices are fundamental skills taught to prelicensure nursing students. The most effective teaching strategy to support infection control behaviors has yet to be determined. METHOD A systematic search of peer-reviewed English literature published before October 2021 was conducted in three databases, followed by critical appraisal. Outcomes included either observed or self-reported infection control behaviors. RESULTS Twelve eligible studies met inclusion criteria for qualitative synthesis. Studies with integrated simulation or multimodal interventions generally achieved higher infection control compliance than those with greater emphasis on traditional education. The appraisal noted intervention/instrument heterogeneity and limited control. CONCLUSION Didactic infection control education should be supplemented with other modalities, but further controlled studies are needed to identify which specific approach is most effective.
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Affiliation(s)
- Salwa Jadid Alanazi
- About the Authors Salwa Jadid Alanazi, RN, is with the Nursing Department at North Border University, Arar, Saudi Arabiaand a PhD student at the School of Nursing, George Mason University, Fairfax, Virginia. Tanya Haas, DNP, MSN, RN, is an associate professor and associate director, School of Nursing, George Mason University. Katherine N. Scafide, PhD, RN, is an associate professor, School of Nursing, George Mason University. For more information, contact Salwa Alanazi at
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Jeong D, Park C, Eun Y. Effects of Infection Control Education Program Using Flipped Learning Based on the ARCS Model for Nursing Students: A Mixed Method. Healthcare (Basel) 2023; 11:2731. [PMID: 37893805 PMCID: PMC10606155 DOI: 10.3390/healthcare11202731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 10/02/2023] [Accepted: 10/11/2023] [Indexed: 10/29/2023] Open
Abstract
This study was conducted to verify the effect of an infection control education program, using flipped learning based on the ARCS model, for nursing students. The study was a mixed-method study, composed of a nonequivalent control group, a pretest-posttest design, and focus group interviews. The total number of participants was 37, with 18 in the experimental group and 19 in the control group. The mean age of the participants was 24.32 ± 5.60 years, consisting of three males (8.1%) and thirty-four females (91.9%). The collected data were analyzed using a linear mixed-effects method. The data regarding experiences of participation were analyzed using conventional content analysis. The experimental group had a higher degree of learning motivation, self-directed learning ability, and confidence in infection control practice than the control group. In the results of the focus group interviews, the themes were derived from 'Engaging learning experience, although difficult, in new ways of learning'. It was confirmed that the infection control education program, using flipped learning based on the ARCS model, was an effective intervention for improving nursing students' self-directed learning ability. Therefore, it is strongly recommended to use the educational program developed in this study for infection control education for nursing students and new nurses.
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Affiliation(s)
- Dain Jeong
- College of Nursing, Gyeongsang National University, Jinju 52727, Republic of Korea;
| | - Chang Park
- College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA;
| | - Young Eun
- College of Nursing, Institute of Medical Sciences, Gyeongsang National University, Jinju 52727, Republic of Korea
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Chang SO, Sohng KY, Kim K, Won J, Chaung SK, Choi MJ. How nursing students learn infection control education through undergraduate nursing programs: a phenomenographic research study. BMC Nurs 2023; 22:297. [PMID: 37653385 PMCID: PMC10470169 DOI: 10.1186/s12912-023-01465-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 08/23/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND Competency in infection control is crucial for implementing nursing best practices to ensure patient safety. However, research is lacking on the infection control education received by nursing students prior to entering clinical settings as nurses. This study aimed to explore how nursing students conceptualize infection control care in undergraduate nursing programs. METHODS This study employed a qualitative research method using phenomenography. Universities providing undergraduate nursing programs in Korea. Thirty nursing students: 10 students each from the 2nd, 3rd, and 4th years of five undergraduate programs. Data were collected from May 2019 to February 2020 through semi-structured interviews and analyzed using a phenomenographic analysis procedure. RESULTS Six descriptive categories were derived inductively for nursing students' frames of reference regarding infection control care and six descriptive categories of how nursing students learned about infection control care. The structural framework of the identified categories, about how nursing students learn about infection control care, was presented as an outcome space. CONCLUSIONS Given that nursing students demonstrate diverse conceptualizations of infection control and are at varying levels of learning, professors and clinical mentors need to develop theoretical education and clinical practice opportunities that consider these differences.
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Affiliation(s)
- Sung Ok Chang
- College of Nursing and BK21 FOUR R&E Center for Learning Health Systems, Korea University, Seoul, Republic of Korea
| | - Kyeong-Yae Sohng
- College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-Gu, Seoul, 06591, Republic of Korea
| | - Kyunghee Kim
- Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea
| | - Jongsoon Won
- College of Nursing, Eulji University, Seongnam, Republic of Korea
| | - Seung-Kyo Chaung
- Department of Nursing, Semyung University, Jecheon, Republic of Korea
| | - Min-Jung Choi
- College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-Gu, Seoul, 06591, Republic of Korea.
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Park HY, Yeom IS. Factors influencing nursing students' knowledge, attitudes, and infection management behavior for emerging respiratory infectious diseases: A cross-sectional study. PLoS One 2023; 18:e0290874. [PMID: 37651401 PMCID: PMC10470921 DOI: 10.1371/journal.pone.0290874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 08/18/2023] [Indexed: 09/02/2023] Open
Abstract
Understanding the factors influencing infection management behavior related to Emerging Respiratory Infectious Diseases (ERIDs) among nursing students is important because nursing students play a vital role in preventing the spread of ERIDs. This study aimed to determine factors influencing infection management behavior related to ERIDs among nursing students in Korea. In this cross-sectional survey study, data were collected from May 3 to June 30, 2022, using a questionnaire. Data collected from 481 nursing students were analyzed using descriptive statistics, an independent t-test, a one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression using the SPSS program. The key factors influencing respondents' ERID-related infection management behavior were attitude (β = 0.554, p<0.001) and knowledge (β = 0.282, p<0.001). The explanatory power of this model was 40.2%, and the regression model was found to be statistically significant (F = 27.935, p<0.001). To improve nursing students' ERID-related infection management behavior, their knowledge of and attitudes toward ERIDs should be enhanced by repeatedly providing them with accurate professional information about ERIDs. Therefore, intensive efforts should be taken to develop a systematic educational program that can help nursing students better perform infection management.
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Affiliation(s)
- Ha-Young Park
- College of Nursing, Kyungbok University, Namyangju-si, Gyeonggi-do, Republic of Korea
| | - In-Sun Yeom
- College of Nursing, Sungshin Women’s University, Gangbuk-gu, Seoul, Republic of Korea
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Alinejad N, Bijani M, Malekhosseini M, Nasrabadi M, Harsini PA, Jeihooni AK. Effect of educational intervention based on health belief model on nurses' compliance with standard precautions in preventing needle stick injuries. BMC Nurs 2023; 22:180. [PMID: 37231474 DOI: 10.1186/s12912-023-01347-0] [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: 02/12/2023] [Accepted: 05/21/2023] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND The increasing prevalence of needle stick injuries among nurses and the arising risks double the need to pay attention to improve their knowledge and change their behavior using effective educational models. The present study aimed to investigate the effect of educational intervention based on the health belief model on nurses' compliance with standard precautions in preventing needle stick injuries. METHODS This quasi-experimental study was conducted on 110 nurses working in medical training centers in Shiraz and Fasa in 2019. Subjects were selected using a simple sampling method and were randomly divided into two interventions (n = 55) and control (n = 55). The intervention included 7 sessions of 50-55 min. Before and 3 months after the intervention, the health belief model questionnaire was completed by both groups. The data were analyzed using SPSS software version 22 through chi-square, independent, and paired t-tests (P < 0.05). RESULTS Based on independent and paired t-tests, there was no significant difference between the control and intervention groups regarding the mean score of health belief model constructs before the intervention. However, there was a significant difference regarding the mentioned scores 3 months after the educational intervention. Based on the paired t-test, the mean score of awareness, perceived sensitivity, perceived severity, perceived benefits, self-efficacy, cues to action, and behavioral performance in the intervention group significantly increased after the educational intervention (P < 0.05). Also, there was a significant decrease in perceived barriers (P < 0.05). CONCLUSION It is recommended to apply the proposed model as an effective and cost-effective method along with other methods in training programs for nurses and other health workers exposed to invasive procedures, contaminated blood, and secretions.
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Affiliation(s)
- Navid Alinejad
- Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran
| | - Mostafa Bijani
- Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran
| | | | - Mahsa Nasrabadi
- Department of Health Promotion and Aging, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Pooyan Afzali Harsini
- Department of Public Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Ali Khani Jeihooni
- Nutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
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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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Parreira P, Santos-Costa P, Pardal J, Neves T, Bernardes RA, Serambeque B, Sousa LB, Graveto J, Silén-Lipponen M, Korhonen U, Koponen L, Myllymäki M, Yurrebaso Macho A, Mayens ALW, Picado Valverde EM, Guzmán Ordaz R, Juanes Méndez JA, Iglesias JLP, Canelo JAM, Jankowiak-Bernaciak A, Patrzała A, Bączyk G, Basa A, do Sacramento Costa Reis AM, Simões JA, Torres AL, do Rosário Pinto M, Salgueiro-Oliveira A. Nursing Students’ Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience in Portugal. J Pers Med 2022; 12:jpm12020180. [PMID: 35207668 PMCID: PMC8880596 DOI: 10.3390/jpm12020180] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 01/21/2022] [Accepted: 01/24/2022] [Indexed: 02/04/2023] Open
Abstract
Healthcare-associated infections (HAI) are one of the major concerns worldwide, posing significant challenges to healthcare professionals’ education and training. This study intended to measure nursing students’ perceptions regarding their learning experiences on HAI prevention and control. In the first phase of the study, a cross-sectional and descriptive study with a convenience sample composed of undergraduate nursing students from Portugal, Spain, Poland, and Finland was conducted to develop the InovSafeCare questionnaire. In the second phase, we applied the InovSafeCare scale in a sample of nursing students from two Portuguese higher education institutions to explore which factors impact nursing students’ adherence to HAI prevention and control measures in clinical settings. In phase one, the InovSafeCare questionnaire was applied to 1326 students internationally, with the instrument presenting adequate psychometric qualities with reliability results in 14 dimensions. During phase two, the findings supported that Portuguese nursing students’ adherence to HAI prevention and control measures is influenced not only by the curricular offerings and resources available in academic settings, but also by the standards conveyed by nursing tutors during clinical placements. Our findings support the need for a dedicated curricular focus on HAI prevention and control learning, not only through specific classroom modules, innovative resources, and pedagogical approaches, but also through a complementary and coordinated liaison between teachers and tutors in academic and clinical settings.
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Affiliation(s)
- Pedro Parreira
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Paulo Santos-Costa
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
- Correspondence:
| | - João Pardal
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Teresa Neves
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Rafael A. Bernardes
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Beatriz Serambeque
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
- Coimbra Institute for Clinical and Biomedical Research (iCBR) Area of Environment Genetics and Oncobiology (CIMAGO), University of Coimbra, 3000-548 Coimbra, Portugal
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
| | - Liliana B. Sousa
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - João Graveto
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Marja Silén-Lipponen
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Ulla Korhonen
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Leena Koponen
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Mikko Myllymäki
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Amaia Yurrebaso Macho
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Alexander L. Ward Mayens
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Eva Maria Picado Valverde
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Raquel Guzmán Ordaz
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Juan Antonio Juanes Méndez
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Jose Luis Pérez Iglesias
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - José Antonio Mirón Canelo
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Aleksandra Jankowiak-Bernaciak
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
| | - Amelia Patrzała
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
| | - Grażyna Bączyk
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
- Department of Practice Nursing, Poznan University of Medical Sciences, 61-701 Poznan, Poland
| | - Anna Basa
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
| | | | - Joaquim Augusto Simões
- Escola Superior de Saúde, IP Santarem, 2040-413 Santarém, Portugal; (A.M.d.S.C.R.); (J.A.S.); (A.L.T.); (M.d.R.P.)
| | - Ana Luísa Torres
- Escola Superior de Saúde, IP Santarem, 2040-413 Santarém, Portugal; (A.M.d.S.C.R.); (J.A.S.); (A.L.T.); (M.d.R.P.)
| | - Maria do Rosário Pinto
- Escola Superior de Saúde, IP Santarem, 2040-413 Santarém, Portugal; (A.M.d.S.C.R.); (J.A.S.); (A.L.T.); (M.d.R.P.)
| | - Anabela Salgueiro-Oliveira
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
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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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Knowledge, Attitude, and Practice of Infection Control and Waste Management among Traditional Medicine Practitioners in Bhutan, 2019: A Nationwide Cross-Sectional Survey. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2021; 2021:6691780. [PMID: 33936243 PMCID: PMC8055410 DOI: 10.1155/2021/6691780] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 03/21/2021] [Accepted: 03/22/2021] [Indexed: 12/05/2022]
Abstract
Background In Bhutan, Traditional Medicine (TM) is a part of the government-sponsored free healthcare system and Traditional Medicine Units (TMUs) are colocated with allopathic hospitals. Prevention of healthcare-associated infections and patient safety must apply to all institutionalized healthcare settings including TMUs. This study assessed the knowledge, attitude, and practice of TM practitioners in Bhutan in the field of infection control and waste management practices. Methods This was a descriptive study among TM practitioners selected through simple random sampling. Data were collected using a structured pro forma and entered in EpiData 3.1 and analyzed in STATA 13.1. Results There were 132 respondents (response rate 98%). The majority (64%) knew the seven steps of handwashing but their knowledge of WHO's Five Moments for Handwashing was poor, especially handwashing after aseptic procedures (17%) and handwashing after touching patient surroundings (5%). Handwashing before palpation of the pulse (37%) and using gloves while dispensing medicines (9%) were poor; but the proportions of handwashing before performing moxibustion (96%), correct disposal of sharps (84%), and disinfection of cupping sets (78%) were high. The majority of participants hold a positive attitude towards the adoption of infection control and waste management practices for the benefit of patients. Only 23% had received preservice and 44% had received in-service training on infection control. Conclusions The knowledge and practices of infection control and waste management are optimal only in select domains of practice. The practitioners hold a positive attitude towards the adoption of infection control and waste management standards.
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Tumala RB. Predictors of nursing interns' standard precautions compliance during internship training in four teaching hospitals in Saudi Arabia. Int J Nurs Pract 2020; 27:e12897. [PMID: 33051969 DOI: 10.1111/ijn.12897] [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: 04/16/2020] [Revised: 09/06/2020] [Accepted: 09/25/2020] [Indexed: 11/28/2022]
Abstract
AIM The aim of this study was to assess compliance with standard precautions by Saudi nursing interns who were undergoing their internship training in four governmental tertiary teaching hospitals in Riyadh, Kingdom of Saudi Arabia, and to determine factors predictive of this. BACKGROUND Cross-transmission and infection prevention when delivering care must be strictly followed by nursing interns by complying with standard precautions during internship training. DESIGN The study employed a descriptive-correlational and cross-sectional design. METHODS A total of 224 nursing interns participated in the study by completing the Compliance with Standard Precautions Scale Arabic version between March 2017 and June 2017. RESULTS/FINDINGS A high overall compliance rate (84.8%) was observed. Nursing interns reported the highest compliance score in changing gloves between each patient contact and the lowest score in disposing of sharps boxes only when full. Nursing interns in hospital D showed the highest compliance rate over those in other hospitals. Age, sex, marital status, months in internship training and attendance of nursing interns in infection control seminars/trainings influenced their standard precautions compliance. CONCLUSION The study revealed good compliance by nursing interns with standard precautions. However, regular educational and clinical interventions are still needed to improve some areas and to ensure the continuity of high levels of compliance in other areas of standard precautions among nursing interns.
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Attitude, Adherence, and Nursing Students' Knowledge, about Preventive Standard Precautions of Blood Borne Diseases. PAJOUHAN SCIENTIFIC JOURNAL 2019. [DOI: 10.52547/psj.18.1.49] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
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