The fundamental role of educational intervention on improving health care workers’ knowledge, attitude and practice towards infection control precautions

2016 ◽  
Vol 12 (3) ◽  
Author(s):  
Rasha H. Bassyouni ◽  
Ahmed-Ashraf Wegdan ◽  
Naglaa A El-Sherbiny

To evaluate the role of educational intervention on health care workers' (HCWs) compliance to standard precautions and cleaning of frequently touched surfaces at critical care units, forty-nine HCWs at 2 intensive care units (ICUs) and one neonatology unit at Fayoum University hospital were evaluated for knowledge, attitude and practice (KAP) towards standard precautions as well as obstacles affecting their compliance to standard precautions before and after a 32-hour purposed-designed infection control education program. A structured self-administrated questionnaire as well as observational checklists were used. Assessment of Environmental cleaning was investigated by observational checklist, ATP bioluminescence and aerobic bacteriological culture for 118 frequently touched surfaces. Pre-intervention assessment revealed that 78.6% of HCWs were with good knowledge, 82.8% with good attitude and 80.8% had good practice. Obstacles identified by HCWs were as follow: making patient-care very technical (65.3%), deficiency of hand washing facilities (59.2%), skin irritation resulting from hand hygiene products (51%), and unavailability of PPE (38.8%). High significant improvements of knowledge, attitude and practice were detected after one month of educational intervention (P= 0.000). During the pre-interventional period only 30.5% of surfaces were considered clean versus 97.45% post intervention (P< 0.05). The highest Median ATP bioluminescence values were obtained from telephone handset, light switches and Blood pressure cuffs. S. aureus was the most common isolated organism followed by Enterococcus spp and E.coli (52, 38 and 19 surfaces respectively). In conclusion, contentious training of HCWs on standard precautions should be considered a mandatory element in infection control programs

Author(s):  
Olubunmi Ayinde ◽  
Aishat Bukola Usman ◽  
Posi Aduroja ◽  
Abass Gbolahan

Abstract Background Health workers are at the front line of the COVID-19 outbreak response and as such are exposed to hazards that put them at risk of infection. Poor knowledge among HCWs and inadequate infection control practices may lead to the increased risk of COVID-19 nosocomial transmission. This study assessed the knowledge, attitude and practice of Oyo state health care workers on COVID-19 as part of emergency preparedness. Methods A hospital based cross-sectional survey was conducted in selected health facilities in Oyo State, Nigeria. A total of 350 HCWs were assessed for the knowledge, attitudes and practices on COVID-19 using a semi-structured questionnaire. Multivariate analysis was conducted to identify predictors of good knowledge at 95% confidence interval. with Epi-info software. Results The level of good knowledge on COVID-19 was 78.6% and positive attitude was 64% among the respondents. Majority of respondents practice safe measures in the prevention of COVID-19 including washing of hands (95.3%), routine cleaning (82.7%) and high-level disinfection (83.9%). However, use of personal protective equipment (PPE) was low (56.8%). Predictors of good knowledge on COVID-19 were being a female HCW [Adjusted Odd’s Ratio(AOR) = 6.5 95% CI 1.0-17.2], ≥ 10 years length in service[AOR = 5.2 95%CI 2.7–18.9] and being a secondary or tertiary facility[ AOR = 3.6 95%CI 1.7–32.2]. Conclusions Overall knowledge and attitude were satisfactory however the practices of HCWs on the use of personal protective equipment was not satisfactory. Effective infection control measures including regular skill-based training and/or orientation for all categories of HCWs can improve infection control practices in health facilities.


Author(s):  
Adil Abalkhail ◽  
Mahmudul Hassan Al Imam ◽  
Yousif Mohammed Elmosaad ◽  
Mahmoud F Jaber ◽  
Khaled Al Hosis ◽  
...  

Hospital-acquired infections (HAIs) contribute to increased length of hospital stay, high mortality and higher health-care costs. Prevention and control of HAIs is a critical public health concern. We conducted a cross-sectional survey of 213 hospital health-care workers in Qassim, Saudi Arabia. We assessed Knowledge, Attitude and Practice (KAP) of standard infection control precautions using a structured questionnaire. Predictors of KAP were investigated using multivaraible logistic regression analyses and independent sample t tests. Prevalence of good (&ge;80% correct response) knowledge, attitude and practice were 67.6%, 61.5% and 73.2%, respectively. Predictors of good knowledge included age over 34 years (adjusted odds ratio: 30.5, p&lt;0.001), and receiving training (13.3, p&lt;0.001). Predictor of positive attitude was having &gt;6 years of experience (5.5, p&lt;0.001). While, the predictors of good practice were having &gt;6 years of experience (2.9, p&lt;0.01), previous exposure to HAIs (2.5, p&lt;0.05) and training (3.5, p&lt;0.01). However, being female (0.22, p&lt;0.001) and older (&gt;34 years) (0.34, p&lt;0.01) were negatively associated with knowledge. Results indicate that older academic programs might not have adequately covered infection crontrol. Arranging training for HCWs might be useful in improving their knowledge of standard infection control precautions and is also expected to facilitate positive attitude and practice.


Author(s):  
Jaydeep J. Devaliya ◽  
Raman D. Damor ◽  
Bansari L. Chawada

Background: Disposal of biomedical waste is neglected issue even in the urban heath care settings. So chances of transmission of infection increase which leads to high morbidity and mortality. Spread of disease can also be controlled by establishing isolation ward and it can be monitored through Hospital Infection Control Committee. Methods: This is a cross sectional study conducted in urban and rural health care settings of Ahmedabad district to assess the knowledge, attitude and practice of health care workers. In the present study 300 HCWs including Doctors, Nurses, Technicians and Servants were interviewed. Pre-tested questionnaire was used to collect the data regarding knowledge of infection control methods and various waste disposal practices. Results: Only 51% of health care workers were aware about the Isolation ward and 60% of HCWs were aware about hospital infection control committee. 87% nurses were correctly disposing gloves in urban health care settings. All the HCWs were using disposable syringe. Even in urban settings also 33% of doctors and 20% of nurses were recapping needle after using it. Conclusions: Constant reinforcement of knowledge should be done and regular training should be given to change the behavior regarding biomedical waste disposal. 


Author(s):  
Adil Abalkhail ◽  
Mahmudul Hassan Al Imam ◽  
Yousif Mohammed Elmosaad ◽  
Mahmoud F Jaber ◽  
Khaled Al Hosis ◽  
...  

Hospital-acquired infections (HAIs) contribute to increased length of hospital stay, higher mortality and higher health-care costs. Prevention and control of HAIs is a critical public health concern. This study assessed the knowledge, attitude, and practice (KAP) of standard infection control precautions among health-care workers (HCWs) in Qassim, Saudi Arabia. A cross-sectional online survey among HCWs was conducted using a structured questionnaire. Predictors of KAP were investigated using multivariate logistic regression analyses and independent sample t-tests. A total of 213 HCWs participated in the survey. The prevalence of good (≥80% correct response) knowledge, attitude, and practice were 67.6%, 61.5%, and 73.2%, respectively. The predictors of good knowledge included the age of the HCWs (>34 years) (adjusted odds ratio: 30.5, p < 0.001), and training (13.3, p < 0.001). More than 6 years of work experience was a significant predictor of having a positive attitude (5.5, p < 0.001). While the predictors of good practice were having >6 years of experience (2.9, p < 0.01), previous exposure to HAIs (2.5, p < 0.05), and training (3.5, p < 0.01). However, being female (0.22, p < 0.001) and older (>34 years) (0.34, p < 0.01) were negatively associated with knowledge. Results indicate that arranging training for HCWs might be useful in improving their knowledge of standard infection control precautions and is also expected to facilitate positive attitude and practice.


BMC Nutrition ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Wubegzier Mekonnen ◽  
Yeweyenhareg Feleke ◽  
Yakob Desalegn ◽  
Getahun Tarekegne ◽  
Biruk Lambisso ◽  
...  

Abstract Background Vitamin D is essential for health and its shortage exacerbates overall mortality. Health care workers (HCWs) need to educate on its uses and sources although studies indicate their low level of practice. The main aim of this study is therefore to assess the knowledge, attitude and practice of measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs in Ethiopia. Methods This study was conducted in three ecologies covering lowland, midland and highland districts. A total of 405 health care workers with different levels were interviewed. Tablets were used for data collection to archiving in a cloud server. Data were exported to Stata version 14 software for cleaning and analysis. Rates were computed and the Chi-square test was used to compare differences between the two groups. Binary logistic regression was used to measure the strength, direction and significance of the association between different covariates and the practice of HCWs. Result The level of knowledge, positive attitude and good practice in measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs was 210 (51.8%), 261(63.5%) and 195(47.4%) respectively. The odds of good practice in the provision of adult vitamin D service were AOR = 6.87: 95% CI (3.57, 13.21) and AOR = 2.20: 95% CI (1.23, 3.92) times higher among HCWs in Addis Ababa and highlands compared with those working in lowlands. Good practice among clinicians was AOR = 4.26: 95% CI (1.48, 12.25) times higher compared with those working in leadership positions. The likelihood was AOR = 1.96: 95% CI (1.19, 3.23) times higher among those with good knowledge compared with those with poor knowledge. Besides, good practice in adult vitamin D service provision was AOR = 2.30: 95% CI (1.40, 3.78) times higher among those with positive attitude compared with those who had negative attitude. Conclusions A little over half of HCWs have good knowledge and close to two-thirds of them have positive attitude while less than half of them have good practice on adult vitamin D deficiency. Besides, HCWs’ residential ecology, clinical position, knowledge and attitude is associated with good practice on adult vitamin D. It is essential to provide rigorous and continuous training for HCWs focusing on their deployment ecology.


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