KNOWLEDGE OF NURSING STAFF TOWARDS INFECTION CONTROL MEASURES IN DELIVERY ROOM

Author

Maternity Obstetrics, Gynecology Nursing - Faculty of Nursing - Port Said University

Abstract

Background: nurses should use the standard precautions as the basic level of infection control precautions when delivering care to all patients, regardless of their presumed infection status. Therefore midwives and nurses should have sound knowledge and compliance with standard precaution. The aim of the study: To evaluate   nurse's knowledge of infection control measures in the delivery room. Method: An exploratory descriptive study was conducted from August 2015 and extended to February 2016 on 51 nurses from four hospitals in Damietta governorate. The data were collected from labor rooms of Damietta hospit/als. Tool for data collection self-administers questioners was used. Results: The current study showed that the poor of standard precautions knowledge level and compliance are 72% and 100% respectively. There is a relation between age, education, work experience, and compliance with standard precautions at p < 0.05. At the same time no significant relation between training courses and compliance to standard precautions at p < 0.05. Conclusion: The nurses in the current study for knowledge have poor level regarding standard precautions. There is a relation between age, education, work experience, and knowledge of standard precautions. Recommendations: Knowledge of nurses should be updated; the importance of latest evidence-based practices of infection control in continuing education/training program should be emphasized, and training programs for new nurses about standard precaution and at regular intervals should be provided.

Keywords


Abou Elela, T. H. (2008). Adequacy of nursing care facilities and its effect on nurses infection control behaviour during antenatal and post natal care, maternity hospital EL-Manial university  hospital. Master thesis faculty of nursing Cairo university pp 60- 70.
Ahmed, S. H. (2003).Development of clinical nursing care standards for adult surgical patient. Doctorate thesis, faculty of nursing. Alexandria University.p60
Al-Rawajfah, L.M., Hweidi, M., & Alkhalaileh, Y.S. (2013). Compliance of Jordanian registered nurses with infection control guidelines: a national population-based study.
Al-Tawfiq, J. A., Pittet, D. (2013). Improving Hand Hygiene Compliance in Healthcare Settings Using Behavior Change Theories: Reflections.: October-December;25(4):374-382.
Asadollahi, M., Arshadi Bostanabad, M., Jebraili, M., Mahallei, M., Seyyed Rasooli, A. & Abdolalipour, M. (2015). Nurses’ Knowledge Regarding Hand Hygiene and Its Individual and Organizational Predictors. Journal of Caring Sciences, 4, 45-53
Ayed, A., Eqtait, M., Fashafsheh, I. and Ali, G. (2015). Knowledge & Compliance of Nursing Staff towards Standard Precautions in the Palestinian Hospitals. Advances in Life Science and Technology, 36, 21-30.
Boullègue, O., Naija, W., Said, H., Nouria, A., Jaidane, N., Dhidah, L. & Boujaafar, N. (2013). Incidence of ICU Acquired Nosocomial Infections in University Hospital of Sahloul (Sousse-Tunisia). Antimicrobial Resistance and Infection Control, 2, 233.
Center of Disease Prevention and Control (CDC) (2012). Glossary of Terms .Atlanta, USA.
Center of Disease Prevention and Control CDC (2007). Guideline for Isolation Precautions: Preventing Transmission ofInfectious Agents in Healthcare Settings. US, 136 p.
Cole, M. (2007). Infection Control: Worlds apart Primary and Secondary Care. British Journal of Community Nursing,12, 301, 303-306.
Faro, C. & Faro, S. (2008). Postoperative Pelvic Infections. Infectious Disease Clinics of North America, 22, 653-663.
Garner, J. (1996). Guideline for Isolation Precautions in Hospitals. The Hospital Infection Control Practices Advisory Committee. Infection Control and Hospital Epidemiology, 17, 53-80.
Health Protection Agency, (HPA) (2010). Occupational Transmission of HIV: Summary of Published Reports March Edition: Health Protection Agency, London.
www.hpa.org.ukwebIHPAwebFileIHPAweb_CI1194947320156.
Huis, A., Hulscher, M., Adang, E., Grol, R., van Achterberg, T. & Schoonhoven, L. (2013). Cost-Effectiveness of a team and Leaders-Directed Strategy to Improve Nurses’ Adherence to Hand Hygiene Guidelines: A Cluster Randomised Trial. International Journal of Nursing Studies, 50, 518-526.
Joukar, F. & Taherri Ezbarami, Z. (2007). Nursing Student and Staff Knowledge about Nosocomial Infection. Iranian Journal of Infectious Diseases, 12, 83-86.
Kalata, N, L., Kamange, L., & Muula, A.S. (2013). Adherence to hand hygiene protocol by clinicians and medical students at Queen Elizabeth Central Hospital, Blantyre-Malawi. 2013 Jun; 25(2):50-52.
Kosgeroglu, N., Ayranci, U., Vardareli, E. & Dincer, S. (2004). Occupational Exposure to Hepatitis Infection among Turkish Nurses: Frequency of Needle Exposure, Sharps Injuries and Vaccination. Epidemiology and Infection, 132, 27-33.
Malekmakan, L., Haghpanah, S., Askarian, M., Jowkari, M. & Moalaee, M. (2008). Hand Hygiene in Iranian Health Care Workers. American Journal of Infection Control, 36, 602-603.
Mathai, E., Allegranzi, B., & Seto, W.H. (2010).Educating healthcare workers to optimal hand hygiene practices: addressing the need. Oct; 38(5): 349-56.
McLaws, M.L., Maharlouei, N., Yousefi, F. & Askarian, M. (2012). Predicting Hand Hygiene among Iranian Health Care Workers Using the Theory of Planned Behavior. American Journal of Infection Control, 40, 336-339.
Mohammed, S. (2006): Comparative study between the Nursing performance for general post-operative patients at university hospital and teaching hospital at Benha city, Master thesis, faculty of nursing Benha University, p 96.
Nejad, S.B., Allegranzi, B., Syed, S.B., Ellis, B. & Pittet, D. (2011). Health-Care-Associated Infection in Africa: A Systematic Review. Bulletin of the World Health Organization, 89, 757-765.
Pincock, T., Bernstein, P., &Warthman, S. (2012). Bundling hand  hygiene interventions and measurement to decrease health care- associated infections. 2012 May; 40 (4 Suppl1):S18-27.
Richmond, J.A., Dunning, T.L. & Desmond, P.V. (2007). Health Professionals’ Attitudes toward Caring for People with Hepatitis C. Journal of Viral Hepatitis, 14, 624-632
Shalby , A.Y. (2009). Effect of training program on staff nurses performance and empowerment toward care of patient undergoing organs and tissues transplantation thesis submitted for partial fulfillment of doctorate degree in fundamental of nursing, faculty of nursing, Benha University.
Singh, A., Purohit, B. M., & Bhamba, A. (2011). Knowledge , attitudes and practice regardine infection control measures among dental student in central India. Mar: 75 421 – 7
Smeltzer , S., & Bare B. G. (2009).Brunner & suddarth's textbook of medical surgical nursing, 10th ., Lippincott company, phildelphi, pp 1870 – 1871.
Tenias , J. M. , Mayordomo , C., & Benavent , L. (2009). Impact of an educational intervention for promoting hand washing and the rational use of gloves in a hospital.  This page was last modified on 28 January at 00:2
Tetali, S. & Choudhry, P. (2006). Occupational Exposure to Sharps and Splash: Risk among Health Care Providers in Three Territory Care Hospitals In South India. Indian Journal of Occupational and Environmental Medicine, 10, 35- 40.
Thompson , R . (2004). Prevention of nosocomial pneumonia. Medical clinics of North America, 78 (5) pp 1185 – 11
Twitch ell, K. (2003). Blood Borne Pathogens. What You Need to Know—Part II. AAOHNJ, 51, 89-97.
Vaz, K., McGrowder, D., Lindo, R.A, Gordon, L., Brown, P. & Irving, R. (2010).Knowledge, Awareness and Compliance with Universal Precautions among Health Care Workers at the University Hospital of the West Indies, Jamaica. International Journal of Occupational and Environmental Health, 1, 171-181.
World Health Organization (2008). The First Global Patient Safety Challenge: “Clean Care Is Safer Care”. WHO, Geneva. http://www.who.int/gpsc/background/en/index.html
World Health Organization (2014). Improved Hand Hygiene to Prevent Health Care Associated Infections. http://www.who.int/gpsc/tools/faqs/evidence_hand_hygiene/en/2014
Zakzouk , M. (2004). Infection standards in burn unit Doctorate thesis faculty of nursing , A in Shams University Cairo Egypt.
Zhang ,  C., Hong , Y., & Guo , L. (2013). Strategies to prevent hepatitis B virus infection in China : immunization , screening , and standard medical practices 7 (1) : 7 – 12.