scholarly journals Knowledge, Attitude and Practice of nursing students regarding hand hygiene in Western region of Nepal

2017 ◽  
Vol 12 (4) ◽  
pp. 169-173 ◽  
Author(s):  
Ishwari Sharma Paudel ◽  
Vivek Ghosh ◽  
Purushottam Adhikari

Background & Objectives: Hospital acquired infections (HAIs) are thought to be transmitted by the hands of health care workers (HCWs). Reducing HAIs requires that HCWs take responsibility for ensuring that hand hygiene becomes an everyday part of patient care. This study was conducted with objectives of assessing the level of Knowledge, attitude and practice (KAP) regarding hand hygiene among nursing students in the Western Region of Nepal.Materials & Methods: This descriptive cross-sectional study was conducted among nursing students posted in different wards of two hospitals of Pokhara. A self administered questionnaire containing different set of questions regarding knowledge, attitude and practice on hand hygiene were used for data collection. Results: A total of 99% of the participants reported that they were acquainted with the WHO recommended steps of hand washing. The knowledge on hand hygiene was moderate (84%) among the total study population. Knowledge regarding the minimum time needed for alcohol based hand rub (20 sec) was known correctly by only 24% of the participants. A total of 90% of the participants had positive attitude towards hand-hygiene. A total of 29% of the correspondents believed that they had not been properly instructed in hand hygiene during their practice, 56% of the participants exhibited good practice regarding hand hygiene and 91% realized that the presence of an infection prevention team would have positive influences on their hand hygiene practices.Conclusion: Moderate knowledge among majority of the nursing students reflected upon their positive attitude and practice regarding hand hygiene among them. Essentially, most of the nursing students considered hand hygiene as an essential part of their role. Improvement of accessibility to hand hygiene facilities would play an important role to improve the compliance to hand-hygiene in current practice. 

2020 ◽  
Author(s):  
Dr Zahir Ansari ◽  
Dr Babu Dhanendra Chaurasiya ◽  
Dr Sirjana Adhikari ◽  
Dr Uday Chandra Prakash ◽  
Bikram Adhikari ◽  
...  

Background: Being an added high-risk group, ophthalmic HCP are actively providing emergency eye care services, also enthusiastically participating in prevention and control of the COVID-19 pandemic. Hence, this study aimed to assess the level of knowledge, attitude, and practice (KAP) among ophthalmic HCP towards COVID-19 pandemic. Methods: A web-based cross-sectional study was conducted during the period of lockdown among ophthalmic HCP including consultant ophthalmologist, resident, optometrist, ophthalmic assistant, nursing staff, and other paramedics of eye care centers in Nepal. The KAP questionnaire was designed and distributed online. Data were analyzed using the Chi-square test, Pearson correlation, and binary logistic regression. All tests were performed at 95% Confidence Interval (CI) and p-value <0.05 was considered statistically significant. Results: Of 694 participants, the majority were male (59.1%) from the age group 31-40 years (41.5%) and tertiary eye center (68.9%). Among ophthalmic HCP, there were 29.8% consultants ophthalmologist, 22.6% residents, 23.3% optometrist, 15% ophthalmic assistant, and 9.2% other ophthalmic paramedics, 11.7% working as front-liners in COVID-19 centers. Findings showed, 98.1% had good knowledge, 59.4% had a positive attitude and only 13.3% had good practice regarding COVID-19. Binary logistic regression analysis demonstrated the age of HCP to be a significant determinant of good knowledge (Crude Odds Ratio (COR)=0.72, 95%CI=0.62-0.82), positive attitude (COR=0.92, 95%CI=0.90-0.94) and good practice (COR=1.16, 95%CI=1.10-1.21). Lower odds of poor practice was seen among junior resident (COR=0.26, 95% CI=0.14-0.47) and higher odds of poor practice was seen among HCP with job experience of 5-10 years (COR=2.38, 95% CI=1.23-4.60) towards COVID-19 pandemic. Conclusion: The majority of ophthalmic HCP have good knowledge, insufficient positive attitude, and inadequate evidence-based practice towards the COVID-19 pandemic in Nepal. Hence, this study conclusively recommends to modify existing guidelines and formulate new policies to improve KAP among ophthalmic HCP to effectively control the spread of COVID-19.


2020 ◽  
Vol 10 (3) ◽  
pp. 98-102 ◽  
Author(s):  
Richa Nepal ◽  
Kalyan Sapkota ◽  
Pramod Paudel ◽  
Bhojraj Adhikari ◽  
Kalidas Adhikari ◽  
...  

Background: The cases of Coronavirus disease-2019 (COVID-19) has been gradually increasing in Nepal. The objective of this study was to evaluate knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, one of the districts located in central Nepal. Methods: It was a descriptive, cross-sectional study, conducted among healthcare workers from differ­ent health institutions of Chitwan, over the span of two weeks from 1st April, 2020 till 14th April, 2020. Bivariate analyses of knowledge, attitude and practice scores were done with different variables using appropriate tests in SPSS IBM version 25. Results: Out of 353 responses, 166 (47%) were nurses, 102 (28.9%) were doctors, 41 (11.6%) were health assistants, 7 (2%) were community medical assistants, and the remaining 37 (10.5%) were cat­egorized as others. 290 (82.2%) healthcare workers obtained moderate to good knowledge scores, 295 (83.6%) obtained moderate to good practice scores, and 321 (90.9%) had positive attitude scores. Doctors had highest mean knowledge scores (23.70 ± 4.48, p value- 0.000) and health assistants had highest mean practice scores (15.10±3.61, p value- 0.007). Positive correlation was obtained between knowledge and practice scores (r= 0.476, p value- 0.000); and attitude and practice scores (r= 0.238, p value- 0.000). Only 20.4% healthcare workers were confident to handle the pandemic in their health­care setup. Conclusions: The majority of healthcare workers had moderate to good knowledge and practice scores and had a positive attitude toward COVID-19. There was a significant association between knowledge, attitude and practice scores obtained by healthcare workers from Nepal.


2021 ◽  
Vol 9 ◽  
Author(s):  
Thinley Dorji ◽  
Karma Wangmo ◽  
Yezer ◽  
Tashi Wangchuk ◽  
Tshokey ◽  
...  

Bhutan has reopened schools and colleges after an initial closure to contain coronavirus disease 2019 (COVID-19) transmission. However, the risk of transmissions is higher in the schools and colleges due to crowding. Therefore, this study aimed to assess the level of knowledge, attitude, and practice (KAP) toward COVID-19 among the students of Sherubtse College in Bhutan. A cross-sectional study using a questionnaire was conducted in September 2020 among the students of Sherubtse College, Bhutan. The questionnaire was made in the Google Forms and administered through a social forum WeChat app. The KAP scores were calculated that include mean scores. The association between the KAP was assessed using the Pearson's correlation coefficient. A total of 613 students participated in the survey. The majority of the participants (57%) were female and 56% were from the third year. The mean knowledge score was 10.7 (SD = 1.7; range 0–14), mean attitude score of 3.67 (SD = 1.0; range: 0–5), and mean practice score of 5.19 (SD = range: 0–6). A majority of the students had good knowledge (98%) and practice (93.5%) scores, and a positive attitude (86.6%) toward COVID-19. A positive but weak correlation between good knowledge and practice (r = 0.1, p = 0.0126) was observed. Having a positive attitude led to practicing appropriately most of the time (r = 0.1866, p &lt; 0.001). The students had good KAP scores and followed the COVID-19 prevention protocols advocated by the government. Good knowledge and a positive attitude were translated into good practice. Therefore, the education campaign of the Bhutan government seems to be effective in the students.


2016 ◽  
Vol 12 (3) ◽  
pp. 103-107 ◽  
Author(s):  
Ishwari Sharama Paudel ◽  
Vivek Ghosh ◽  
Purushottam Adhikari

Background & Objectives: Hospital-acquired infections (HAIs) are a common problem and challenge faced by hospitals in all countries around the world. Nurses are an important part of the healthcare team that plays a unique role in the control of HAIs. Compliance on the part of healthcare workers (HCWs) including nurses with standard precautions has been recognized as being an efficient means to prevent and control HAIs. The present study was conducted with objective of understanding the level of Knowledge, attitude and practice (KAP) regarding HAIs among nursing students in the Western Region of Nepal.Materials & Methods: This descriptive cross-sectional study was conducted among nursing students posted in different wards of two hospitals of Pokhara. A self administered questionnaire containing different set of questions regarding knowledge, attitude and practice on HAI were used for data collection.Results: Among the total participants in the study 97% of the participants considered that prevention of HAIs were a valuable part of nurses’ role but only 89% had received formal training regarding hand hygiene. The results show that 74% of the participants had good knowledge regarding HAIs. 82% of the participants felt that they would be less likely to transmit infection to the patient if they performed hand-hygiene. 66% of them identified that hand hygiene agents were not readily available in current settings. Regarding practice, only 6% performed hand hygiene before patient contact.Conclusion: The nursing students had good knowledge regarding HAIs that was reflected in their attitude and practice on hand hygiene for the prevention of HAIs. However there is the need of regular training and performance feedback regarding hand hygiene and the hospital environment should be hand-hygiene friendly with easily accessible to sinks and other facilities.


2021 ◽  
Author(s):  
Abdukadir Nigus Mohammed ◽  
Reda Haddish Berhe ◽  
Said Mussa Said

Abstract Background: The novel corona virus is a serious health problem world widely and is spreading in an immune naive population. Deaths are rising sharply, and health systems are under strain. There are confirmed cases of the virus in Ethiopia that found to have the problem. Therefore, the present study intended to assess epidemiology and determinant of knowledge, attitude, and practice of preventing COVID-19 positive patients at Southern Tigray Ethiopia.Methods: A facility based cross-sectional study was conducted from August 6, to October 26, 2020 in selected health care facilities of south Tigray. Multi-stage sampling technique was employed. Descriptive statistics were employed to describe the characteristics of the cross-section and to estimate the prevalence of clients having knowledge, attitude and practice of prevention. Bivariate analysis was performed using binary logistic regression.Results: A total of 170 COVID-19 positive patients were involved and eligible on the survey with the response rate of 98%. Of these participants, 106(62.4%) were male. Over half (51.2%) of the COVID-19 positive patients had good knowledge on transmission of COVID-19; about 64.4% had more accurate knowledge on prevention; ; about 62.9% had more positive attitude on prevention; and about half, 47.1% had poor practices of the precautionary measures against COVID-19. Participants who had more accurate knowledge for preventing COVID-19and more positive attitude of preventing COVID-19were 95%times (AOR=0.05, 95% CI =0.012 – 0.18) and 68% (AOR=0.32, 95% CI = 0.1 - 1.02) less likely, respectively, to implement the precautionary measures of COVID-19.Conclusion: Our findings suggest the need for effective and tailored health education programs aimed at improving COVID-19 knowledge, thereby leading to more favorable attitudes and to implementation and maintenance of safe practices.


2018 ◽  
Vol 8 (5) ◽  
pp. 358-364
Author(s):  
KJ Awosan ◽  
A Yunusa ◽  
I Yakubu ◽  
KK Yunusa ◽  
AM Auwal

Background: The weak pharmacovigilance (PV) systems in many developing countries of the world have undoubtedly hampered the global quest for safe drug use. Operators of pharmacies and patent medicine stores have important roles to play in developing the PV systems in these countries being the main source of medicines for acute conditions. This study aimed to assess the knowledge, attitude and practice of pharmacovigilance among operators of pharmacies and patent medicine stores in Sokoto metropolis, Nigeria. Materials and Methods: A cross-sectional study was conducted among 249 operators of pharmacies and patent medicine stores selected by multistage sampling technique. Data were collected with a set of pretested self- administered, semi-structured questionnaire. Results: Although, the majority, 173 (69.5%) of the 249 respondents were aware of PV, less than a fifth (17.3%) had good knowledge of it. Despite positive attitude towards PV, only about half, 56 (52.3%) of the 107 respondents that had observed adverse drug reactions (ADRs) in clients reported; and of these, only about a tenth (12.8%) formally reported to the organization in charge of PV. The most commonly cited reasons for non-reporting were that they didn’t know where and how to report (51.0%), and unavailability of reporting forms (23.5%). Conclusion: This study showed poor knowledge of PV and sub-optimal ADRs reporting despite positive attitude towards it by operators of pharmacies and patent medicine stores in Sokoto metropolis, Nigeria. Sensitization of the populace and training of healthcare providers on PV and ADRs reporting are necessary for revitalizing the PV system in Sokoto State, Nigeria. Keywords: Pharmacovigilance, knowledge, attitude, practice


2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Belaynesh Tazebew Flatie ◽  
Abaineh Munshea

Background. Malaria is one of the most severe public health problems worldwide. It is a leading cause of suffering, death, and socioeconomic problem, especially in many developing countries like Ethiopia. To introduce appropriate preventive and control measures, assessment of community’s levels of knowledge, attitude, and preventative practices regarding malaria is crucial. This study was aimed at assessing the knowledge, attitude, and practice (KAP) towards malaria and its preventive and control methods among people attending Mekaneeyesus primary hospital, South Gondar, northwestern Ethiopia. Methods. A hospital-based cross-sectional study was conducted from September 2017 to April 2018. A structured questionnaire was administered to collect data on sociodemographic characteristics and KAP of 390 randomly selected individuals. The data collecting tool was pretested before commencing the actual data collection. The data were analyzed using the SPSS version 21 software. P values less than 0.05 were considered statistically significant. Results. The overall prevalence rate of malaria in the study area was 8.5%. Nearly two-third of the participants had good knowledge (63.1%) and positive attitude (62.6%) scores towards malaria while only half of the participants had (50.8%) good practice score towards malaria prevention and control measures. Sex, age category, family monthly income, residence, and occupational and educational status of the participants were significantly associated with knowledge and practice scores ( P < 0.05 ). The odds of malaria were 26.93 ( CI = 3.67 ‐ 197.47 , P = 0.001 ) and 13.09 ( CI = 0.93 ‐ 183.47 , P = 0.036 ) times higher among individuals who had poor knowledge and poor practice towards malaria, respectively, as compared to individuals who were knowledgeable and had good practice score towards malaria. Conclusion. The overall knowledge score, attitude, and practice level of respondents towards malaria was relatively good. However, significant proportion of the participants still have misconception about the cause, sign and symptoms, modes of transmission, and practices towards prevention methods of malaria. Thus, health education which is aimed at raising community’s awareness about the disease is necessary to address the gaps identified by this study.


2020 ◽  
Author(s):  
Balamurugan Janakiraman ◽  
Moges Gashaw ◽  
Mulualem Yinunie

Abstract Background “Is pregnancy opportunity or a barrier for engaging in exercise”. Maternal health still is a top priority in sub-Saharan Africa including Ethiopia. Participation in exercises during pregnancy in low-middle income countries is constrained. The objective of this study was to evaluate the knowledge, attitude, and practice of antenatal exercises among Ethiopian women during pregnancy, and also to find out why some women do not exercise during pregnancy. Method: A descriptive hospital-based cross-sectional study was conducted and 349 pregnant women receiving prenatal care at the ANC clinic, University of Gondar comprehensive specialized hospital were recruited. Data were obtained on maternal characteristics, knowledge, attitude, practice, and barriers towards antenatal exercise (ANEx) by interview method. Results Among 349 pregnant women, 138 (39.5%) and 193 (55.3%) had adequate knowledge, a positive attitude, and good practice respectively. Overall, 108 (30.9) of the respondents practiced antenatal exercise, while only 41 (37.9%) among them had a good practice. Brisk walking (90.7%), relaxation (38.9%), and breathing exercise (36.1%) were most practice ANEx, while pelvic floor 6 (5.6%) and 3 (2.8%) yoga were the least practiced. Enhancing post-natal recovery (71%) and vaginal bleeding (64.5) were perceived as benefits and contraindication of ANEx. More than half of them (53.6) think that ANEx doesn’t suit Ethiopian culture. Knowledge, attitude, and practice of ANEx among pregnant women are significantly associated with higher education, government employees, pre-pregnancy exercise, and being advised on ANEx before. Women with adequate knowledge are more likely to have a good practice (AOR 4.53, 95%CI: 1.64, 15.3). Conclusion The findings of this study suggest that knowledge concerning antenatal exercise is low and their attitude is reasonably favorable. However, very few Ethiopian pregnant practices ANEx according to recommended guidelines during pregnancy.


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