Effect of Training Program on Nurses' Performance Regarding Infection Control Measures in Caring For Patient with Post-Operative Wound

Author

Medical surgical Nursing Faculty of Nursing, Port Said University.

Abstract

Background: Now adays wound infection is one of the most challenging aspects of wound management. It is a major contributor to healthcare costs around the world, and causes significant distress to patients and careers.  Aim: to evaluate the effectof training program on nurses' performance regarding infection control measures in caring for patient with post operative wound. Setting: The study was conducted in surgical units and out-patient surgical clinics of three general hospitals in Port-Said City. Sampling: The study was applied on 40 nurses working in the previously mentioned setting.  Data was collected through a "questionnaire sheet" to assess nurses' knowledge and "observational checklists" to assess nurses' practice in caring for patients with post-operative wounds.   Results: the studyresulted that, there were statistically significant relations between total knowledge of nurses' pre, post 1, and post 2, and between nurses' practice pre, post 1 and post 2. The results showed marked improvement in nurses' knowledge and skills related to the care of wounds after surgery after the program. Conclusion: The study concluded that there was statistically significant relation between nurses' total score of knowledge and total score of practice related to post-operative wound care. Recommendations: The study recommended that further programs with continues follow up for nurses in all general hospitals in Port-Said City to help them to improve their  performance regarding postoperative wound care through applying infection control measures and monitoring periodically the nurses' performance.

Keywords


 
Ahmed, F.M. (2003): Assessment of nurses knowledge and practice about postoperative wound infection. Unpublished Master Thesis. Suez Canal University, Egypt, pp.54-59.
Ali, S.B.M. (2003): Developing an in service training program for nurses control hospital infection in Suez Canal University Hospital. Unpublished Doctorate Thesis, Faculty of Nursing, Suez Canal University
Altier, M. E., & Krsek, C .A. (2006): Effect of one year residency program on job satisfaction and retention of new graduate nurses'. J. Nurses – Staff- Dev; 22(2).    pp. 70-77
Berman, A., Snyder, SH.J. Koizer, B., & Erb, G. (2008): Koizer & Erbs.    Fundamentals of nursing concepts process and practice. (8th ed.). New Jersey: Upper Saddle River, New Jersey: pp. 967-968.
Bronsan, C. A., Upchurch, S. L., Meininger, J. C., Hester, L, E., Johnson, G,. & Eissa, M. A. (2007): Student nurses participate in public health research and practice through a school-based screening program. Public–Health-Nurs. 22(3):260.
Bystel T, Diane M., & Xillant U. (2001): Hand washing and gloves use in A long learn–care facility. Infection Control and Hospital Epidemiology; 18: 2.
Daniels, R. (2004): Nursing fundamentals, caring &clinical decision making. Thomson's. 1948.
Devadason, B. (2010): Infection control - Lack of compliance in Western Europe.
El-Azem, A. K. (2013): Assessment of nurses' performance regarding infection control measures with central venous catheter. Master Thesis. Faculty of Nursing.     Port Said University. PP.109-112.
Eldosoky, H.I. (2004): Assessment of nurses' knowledge and practice about measures to prevent deep venous thrombosis among hospitalized patients in general hospitals of Port-Said City. Unpublished Master Thesis Faculty of Nursing, Suez Canal University, pp. 77-78
El-Hosany, W.A. (2003):Development of Quality Assurance Program for the Nursing Services Provided in the Surgical Unit in Suez Canal University Hospital , Unpublished Doctorate Thesis, Faculty of Nursing; Suez Canal University, Egypt, pp.102-106.
El-Kazaz, R .H. (2011): Impact of implementing infection control program for nurses' to control nosocomial infection in neonatal intensive care units in Port Said. Doctorate Thesis, Faculty of nursing, Port Said University. Egypt.
El-Soudany E, (2012): Assess nurses' performance regarding infection control measures in caring for patient with post-operative wound. Un published master thesis. Faculty of Nursing. Port Said University
 Garden ,O.J., Bradbury, A.W., Forsythe, J.L., & Parks, R.W. (2007): Principles and practice of surgery. (5th ed.). Churchill Livingstone. (71).62.
 Howard, P.K. & Steinmann, R.A. (2010): Emergency nursing: Principles and practice, (6th ed.) (11), pp. 112-120.
 Ibrahim, N.   (2014): Impact of educational program on nurses' performance related to care of patients with chest tube. Doctorate thesis, Faculty of Nursing:  Port-Said University, Egypt.
 Ismail , M .F., Fakery , N., &Mousse, M. (2000):Costing out nursing services of myocardial infarction patients in the critical care unit at El-Manial University Hospital .The New Egyptian Journal of Medicine, 22(950):247-255.
Kowalski, M.T. (2003): Text Book of basic nursing. Respiratory intervention, (8th ed.), Philadelphia; Lippincott Williams and Wilkins, p.1202.
 Lewis, S. M., Hitkemper, M.M., Dirksen, S.R., O'Brien, P. G., & Bucher, L. (2007): Medical surgical nursing: Assessment and Management of Clinical Problems, (ed. 7). St. Louis: Mosby, pp. 247-501.
Martin, J., Lucas, J., Fletcher, M., & Sawyer, J. (2004): Handbook of practice nursing. (3rd ed).Churchill Livingstone. (25).pp, 346-347-446.
Mohamed, SM. (2002).An epidemiology study of operative rooms' hospital acquired infection at Alexandria hospitals. PhD. Thesis of epidemiology, Alexandria University, pp.62.
 Paudyal, P.,  Simkhada, P., &  Bruce, J. (2008): Infection control knowledge, attitude, and practice among Nepalese health care workers. American Journal of Infection Control. Volume 36, Issue 8, October 2008, Pages 595–597.
 Potter, P.A., &Perry, A, G. (2010): Clinical nursing skills &techniques  (7th ed).Mosby. pp.173, 188, 980-981.
Sabara, H.T. (2003): Assessment Nursing Care Circulation Association Operating Room, (1st ed) Philadelphia: W.B. Saunders Co, p.341.
Satteson, E. S. (2015): Materials for wound closure. Medscape reference. Feb 13, Retrieved from .http://www.medscape.com/.
Sherif, Sh. (2005): The role of the nurse toward the critically ill patients. Unpublished Master Thesis, Suez Canal University, Egypt.
Shittu, A.O., Kolawole, D.O., & Oyedepo, E.A.R. (2009): Wound infections in two health institutions in Ile-Ife, Nigeria; 49:5.
Sobeh, D.S. (2005): Assessment of nurses knowledge and practice related to the care of the mechanically ventilated patient. Unpublished Master Thesis, Suez Canal University, Egypt .p.47.
Sodhi , K.  Shrivastava, A. Arya, M. Kumar M. (2013): Knowledge of infection control practices among intensive care nurses in a tertiary care hospital. Journal of infection and public health. Volume 6, Issue 4. May 22. Pages 269–275. Retrieved from http://www.jiph.org/home
Stein , A.D., Makarawo, T.P., &  Ahmad, M.F.R. (2003): A survey of doctors' and nurses' knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals. Journal of hospital infection. Volume 54, Issue 1, May. Pages 68–73.
Taylor, C.R., Lemone, P.L., Lillis, C., & Lynn, P. (2008): Fundamental of nursing. The art and the science of nursing care. Lippincott Williams &Wilkins. (6th ed.). (38) pp, 706, 707, 898, 1186, 1189
Timby, B.K. (2009): Fundamental nursing skills and concepts. (9thed.). Lippincott Williams &Wilkins. pp, 138-145-640-641
Youssef, F. (2001): Standards of infection control in cardio surgical units as perceived by nurses. Unpublished Master Thesis, Faculty of Nursing, Ain Shams University. p. 75.