IJCRR - 14(7), April, 2022
Pages: 32-39
Knowledge and Practices Regarding Standard Precautions for Infection Control Among Nurses Working at a Public, Tertiary Care Hospital Islamabad, Pakistan
Author: Ms. Samina Yasmeen, Tazeen Saeed Ali, Wardah Khalid, Ms. Zohra Kurji, Mr. Shair Muhammad Hazara, Mr. Shahzad Bashir
Category: Healthcare
[Download PDF]
Abstract:
Introduction: To protect patients and healthcare providers from healthcare-associated infections (HAIs), standard precautions have been promoted universally. Nurses are the forefront force inpatient care; therefore, evidence-based and up-to-date knowledge and practices can play a vital role in helping nurses apply standard precautions (SPs). Methods: The analytical cross-sectional study design was used. Through purposive sampling, the data were collected from 320 nurses, via, a self-administered questionnaire, from April to May 2017, from a public tertiary level hospital in Islamabad. The validity and reliability of each section were established. Mean and standard deviation were computed for continuous variables’ whereas; frequencies with percentages were calculated for categorical variables. The Multiple linear regression was applied for inferential statistics, maintaining 95% CI for important associations. Results: Out of 320 participants, the mean age of the participants was 33.04 ± 6.65 years. More than half of the study participants (66.88%) were females’ whereas 33.13% were male nurses. The mean knowledge and practice were 19.6 ±3.3 and 13.00± 5.23, respectively, with a maximum score of 24 and 25. The results showed that the knowledge of the participants was better as compared to practices, though, in general knowledge they were reported as relatively deficient. Continuing training sessions on SPs revealed a significant 0.66 (95% C.I; 1.07, 3.67) relationship with the knowledge score in the final model. Practices were found to be better. Similarly, the Hep. B vaccinated nurses showed a positive impact of 1.49 (95% C.I; 0.07, 2.91) on the level of practices in MLR. Conclusion: The overall level of knowledge and practices among female nurses regarding standard precautions were inadequate. The study findings highlighted the need to continue intensive and in-service trainings sessions on SPs of infection control, using innovative approaches.
Keywords: Infection Control, Knowledge, Attitudes, Practices, Nurses, Public Tertiary Care, Hospital
Citation:
Ms. Samina Yasmeen, Tazeen Saeed Ali, Wardah Khalid, Ms. Zohra Kurji, Mr. Shair Muhammad Hazara, Mr. Shahzad Bashir. Knowledge and Practices Regarding Standard Precautions for Infection Control Among Nurses Working at a Public, Tertiary Care Hospital Islamabad, Pakistan International Journal of Current Research and Review. 14(7), April, 32-39
References:
1. Nejad SB, Allegranzi B, Syed SB, Ellis B, Pittet D. Health-care-associated infection in Africa: a systematic review. Bull World Health Org. 2011;89:757-65.
2. Sandokji AM, Murshid KR, El-Badry AA, Al-Ali KH, Shalaby SA. Infectious Nosocomial Diarrhea in the Surgical Wards: Role of Parasites and Microbes Imply Stool Analysis “Arabic Abstracts”. J Taibah Univ Med Sci. 2009;1(4):A8.
3. Organization WH. Report on the burden of endemic healthcare-associated infection worldwide. 2011.
4. Shaikh JM, Devrajani BR, Shah S, Akhund T, Bibi I. Frequency, pattern and etiology of nosocomial infection in intensive care unit: an experience at a tertiary care hospital. J Ayub Med Coll Abbottabad. 2008;20(4):37-40.
5. Petersen MH, Holm MO, Pedersen SS, Lassen AT, Pedersen C. Incidence and prevalence of hospital-acquired infections in a cohort of patients admitted to medical departments. Dan Med Bull. 2010;57(11):A4210.
6. Getchell JP, Wroblewski KE, DeMaria Jr A, Bean CL, Parker MM, Pandori M, et al. Testing for HCV infection: an update of guidance for clinicians and laboratorians. MMWR Morbidity and mortality weekly report. 2013;62(18):362.
7. Maragos A, Maltezou HC, Raftopoulos V. Strategies to increase influenza vaccine uptake among health care workers in Greece. Scand J Infect Dis. 2009.
8. Control CD, Prevention. Hepatitis C information for health professionals: statistics and surveillance. 2011.
9. Janjua NZ, Razaq M, Chandir S, Rozi S, Mahmood B. Poor knowledge–predictor of nonadherence to universal precautions for blood borne pathogens at first level care facilities in Pakistan. BMC Infect Dis. 2007;7(1):1-11.
10. Jawaid M, Iqbal M, Shahbaz S. Compliance with standard precautions: A long way ahead. Iran J Public Health. 2009;38(1):85-8.
11. Siddique K, Mirza S, Tauqir SF, Anwar I, Malik AZ. Knowledge attitude and practices regarding needle stick injuries amongst healthcare providers. Pak J Surg. 2008;24(4):243-8.
12. Dean A, Sullivan K, Soe M. OpenEpi: Open Source Epidemiologic Statistics for Public Health Accessed from https://www. openepi. com/Menu/OE_Menu. htm. Accessed; 2016.
13. Alice TE, Akhere A, Ikponwonsa O, Grace E. Knowledge and practice of infection control among health workers in a tertiary hospital in Edo state, Nigeria. Direct Res J Health Pharm. 2013;1(2):20-7.
14. Thu T, Anh N, Chau N, Hung N. Knowledge, attitude and practices regarding standard and isolation precautions among Vietnamese health care workers: a multicenter cross-sectional survey. Intern Med. 2012;2(4):115.
15. Luo Y, He G-P, Zhou J-W, Luo Y. Factors impacting compliance with standard precautions in nursing, China. Int J Infect Dis. 2010;14(12):e1106-e14.
16. Fayaz SH, Higuchi M, Hirosawa T, Sarker MAB, Djabbarova Z, Hamajima N. Knowledge and practice of universal precautions among health care workers in four national hospitals in Kabul, Afghanistan. J Infect Dev Ctries. 2014;8(04):535-42.
17. Abubakar SM, Haruna H, Teryila KR, Hamina D, Ahmadu I, Babaji M, et al. Assessment of knowledge and practice of standard precautions among nurses working at Federal Medical Centre Gombe, Nigeria. Direct Res. J. Health Pharm. 2015;3(1):11.
18. El-Sol A, Badawy A. The effect of a designed teaching module regarding prevention of central-line associated bloodstream infection on ICU nurses' knowledge and practice. AJN Science. 2017;6(1):11-8.
19. Bai HJ. Knowledge and Practice of Health Care Workers on Infection Control Measures. AJNER. 2015;5(4):518-22.
20. Ayed A. Knowledge and practice of nursing staff towards infection control measures in the Palestinian hospitals. 2015.
21. Abdulraheem I, Amodu M, Saka M, Bolarinwa O, Uthman M. Knowledge, awareness and compliance with standard precautions among health workers in north eastern Nigeria. 2012.
22. Kesieme EB, Uwakwe K, Irekpita E, Dongo A, Bwala KJ, Alegbeleye BJ. Knowledge of hepatitis B vaccine among operating room personnel in Nigeria and their vaccination status. Hepatitis research and treatment. 2011;2011.
23. Salehi AS, Garner P. Occupational injury history and universal precautions awareness: a survey in Kabul hospital staff. BMC Infect Dis. 2010;10(1):1-4.
24. Efstathiou G, Papastavrou E, Raftopoulos V, Merkouris A. Compliance of Cypriot nurses with standard precautions to avoid exposure to pathogens. Nursing & health sciences. 2011;13(1):53-9.
25. Haile TG, Engeda EH, Abdo AA. Compliance with standard precautions and associated factors among healthcare workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia. J Environ Public Health. 2017;2017.
|