Nurses Knowledge About Hospital Infection Prevention and Practice of Hygiene and Safety Measures
Keywords:
Hospital Administration, Cross Infection, Health Promotion, Primary Prevention, Hand DesinfectionAbstract
Background: Nosocomial infections are the main complications of hospitalized patients; the most effective way to prevent them is to know the mechanism of transmission and the practice of the precaution standards.
Objective: To measure the level of knowledge that the nurses have on Nosocomial Infections and their prevention.
Methodology: Cross-sectional study was done in a hospital institution. Nurses of all shifts and categories were interviewed in reference to their knowledge on Nosocomial Infections and their prevention, with a questionnaire that contained 60 items some of which were open and optional. An analysis was done using simple frecuencies, χ2, Spearman co-relation and the Kruskall Wallis test.
Results: Of the 146 nurses that were interviewed, 127 (87 %) were female and 19 male. One hundred belonged to the morning shift, 16 to the afternoon shift and 22 to the night shift. The scoring of knowledge on Nosocomial Infections was 7.4, in the prevention 6.6, in hand washing 9.4, in the management of dangerous biological waste 6.1. The global score was 7.5. The highest score corresponded to the chief nurse with 8.01and the lowest to the auxiliary nurse (p = 0.003).
Conclusion: We can consider the level of knowledge of the nursing personnel as regular, therefore they need to improve their knowegde and training.
References
Nordase-Hernández R. Visión actualizada de las infecciones intrahospitalarias. Rev Cubana Med Milit. 2002;31(3):201-8.
PONCE DE LEÓN, Samuel; RANGEL-FRAUSTO, Sigfrido; I. ELÍAS-LÓPEZ, Josué. Infecciones nosocomiales: tendencias seculares de un programa de control en México. Salud Pública de México, [S.l.], v. 41, feb. 1999. ISSN 1606-7916. Disponible en: <http://saludpublica.mx/index.php/spm/article/view/4549>.
Ángeles-Garay U, Velázquez-Chávez Y, Anaya-Flores VE, Valencia-Martínez JC, López-Guerrero ME. Infecciones nosocomiales en un hospital de alta especialidad. Factores asociados a mortalidad. Rev Med Inst Mex Seguro Soc. 2005;43:383-93.
Brenner FP, Bugedo TG, Calleja RD, Del Valle MG, Fica CA, Gómez OM, et al. Prevención de infecciones asociadas a catéteres vasculares centrales. Rev Chil Infect. 2003;20(1):51-69.
Leija-Hernández C, Hernández-Cruz AR, Arellano-Hernández F, Rojas-Saldaña L, Flores-Montes I. Determinación del índice de eficiencia del proceso del lavado de manos. Rev Mex Enf Card. 2003;98-101.
RUBIO, T et al. Control de infección. Precauciones estándar. Política de aislamientos. Anales del Sistema Sanitario de Navarra, [S.l.], p. 105-121, may. 2009. ISSN 1137-6627. Disponible en: <https://recyt.fecyt.es/index.php/ASSN/article/view/6429>.
García-Alvarado E, César-Pérez V. Medidas de bioseguridad, precauciones estándar y sistemas de aislamiento. Rev Enferm Inst Mex Seguro Soc. 2002;10(1):27-30.
Kluytmans-Vanden B, Kluytmans J, Voss-Dutch A. Guideline for Preventing Nosocomial Transmission of Highly Resistant Microorganisms (HRMO). Infection. 2005;30:5-6.
Rosenthal VD, Maki DG. Prospective study of the impact of open and closed infusion systems on rates of central venous catheter-associated bacteremia. Am J Infect Control. 2004;32:135-41.
Johnson JR, Kuskowski MA, Wilt TJ.Systematic Review: Antimicrobial Urinary Catheters to Prevent Catheter-Associated Urinary Tract Infection in Hospitalized Patients. Ann Intern Med. 2006;144(2):116-126.
Siegel JD, Rhinehart E, Jackson M, Chiarello L. Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. 2007. [On line] http://www.cdc.gov/ncidod/dhqp/pdf/ isolation2007.pdf
John M. Boyce, Didier Pittet, Healthcare Infection Control Practices Advisory Committee, HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep. 2002. 25;51(RR-16):1-45, quiz CE1-4.