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Assessing Intensive Care Nurses' Knowledge Levels in Preventing Healthcare-Associated Infections

Year 2025, Volume: 7 Issue: 1, 52 - 65, 25.04.2025

Meltem Kurt , Gülay Yazıcı

Abstract

This study aimed to assess the knowledge level of nurses employed in adult intensive care units regarding evidence-based practices for preventing healthcare-associated infections. Conducted as a descriptive study, this research involved 229 nurses from 34 adult intensive care units across 15 hospitals within a Turkish Health Group. The data collection took place between August 1, 2021, and January 31, 2022. A questionnaire, comprising inquiries about nurses' socio-demographic characteristics and evidence-based practices in preventing healthcare-associated infections, served as the primary data collection tool. Statistical analyses, including mean, standard deviation, minimum, maximum, frequency, and percentage calculations, along with the Kolmogorov-Smirnov test, Mann-Whitney U test in Independent Groups, Kruskal-Wallis H test, and Mann-Whitney U analysis with Bonferroni correction for post hoc analysis, were employed. A significance level of p<0.05 was set for all results. The average knowledge score among nurses regarding evidence-based practices for preventing healthcare-associated infections was determined to be 29.63±4.46 out of a total of 45 points. Additionally, it was observed that the educational background, gender, and education related to healthcare-associated infections significantly influenced their average knowledge scores (p<0.05). The study outcomes highlight a deficiency in the knowledge level of intensive care nurses concerning the prevention of healthcare-associated infections. Factors such as gender, educational background, and education related to healthcare-associated infections were identified as influencing factors on this knowledge level. These findings underscore the importance of providing education for nurses as a crucial strategy in preventing healthcare-associated infections.

Keywords

Evidence-Based Practice Health Care Associated Infection Critical Care Nursing.

References

  • Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G. Y., Rabaan, A. A., Al-Tawfiq, J. A., & Al-Omari, A. (2021). Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrobial Resistance and İnfection Control, 10(1), 86. https://doi.org/10.1186/s13756-021-00957-0
  • Angelozzi, A., Caminada, S., Dorelli, B., Sindoni, A., Baccolini, V., Di Paolo, C., Mele, A., Salvatori, L. M., Alessandri, F., Marzuillo, C., De Vito, C., Tellan, G., De Giusti, M., & Villari, P. (2021). Knowledge, attitude, barriers, professional behaviour and possible interventions: a survey on healthcare-associated infections among the healthcare workers of an intensive care unit in a large teaching hospital in Rome. Annali di Igiene: Medicina Preventiva e di Comunita, 33(6), 628–643. https://doi.org/10.7416/ai.2021.2461.
  • Arda, B., Ateş, K., Bakır, M., Güven, M., Karakoç, E., Özinel, M. A., Pirat, A., & Şemkul, T. (2012). Üriner kateterizasyon enfeksiyonlarının önlenmesi kılavuzu. Hastane İnfeksiyonları Dergisi, 16(1), 1-22. http://www.hider.org.tr/global/Dernek_Kilavuzlari/2012-16-Ek1.pdf.
  • Arefian, H., Hagel, S., Fischer, D., Scherag, A., Brunkhorst, F. M., Maschmann, J., & Hartmann, M. (2019). Estimating extra length of stay due to healthcare-associated infections before and after implementation of a hospital-wide infection control program. PloS One, 14(5), e0217159. https://doi.org/10.1371/journal.pone.0217159.
  • Arman, D., Arda, B., Çetinkaya, Ş.Y., Bal, K. Ç., Esen, F., Topeli, İ. A., Sayıner, A., & Kılınç, O. (2008). Sağlık hizmeti ile ilişkili pnömoninin önlenmesi kılavuzu. Hastane İnfeksiyonları Dergisi, 12(2), 1-17. http://www.hider.org.tr/global/Dernek_Kilavuzlari/2008-12-Ek2-003-014.pdf.
  • Asfaw, N. (2021). Knowledge and practice of nurses towards prevention of hospital acquired infections and its associated factors. International Journal of Africa Nursing Sciences 15,100333. https://doi.org/10.1016/j.ijans.2021.100333.
  • Ashu, F. (2023). Preventing Nosocomial Infections in West Central Africa through Nurse Education (Doctoral dissertation, Walden University). Walden Dissertations and Doctoral Studies https://scholarworks.waldenu.edu/dissertations/13963.
  • Aydınlı, A., & Biçer, S. (2019). Hemşirelik eğitiminde güncel yaklaşımlar. Sağlık Bilimleri Dergisi. 28(1), 38-42. https://search.trdizin.gov.tr/yayin/detay/351014/.
  • Aylaz, R. , Şahin, F. & Yıldırım, H. (2018). Hemşirelerin hastane enfeksiyonu konusuna ilişkin bilgi düzeylerinin belirlenmesi. Balıkesir Sağlık Bilimleri Dergisi, 7 (2), 67-73. https://dergipark.org.tr/tr/pub/balikesirsbd/issue/38837/465521.
  • Barry, M., Alhadlaq, G., Alsergani, R., Almana, R., Alshabib, N., & Altheeb, N. (2020). Knowledge and attitudes toward preventing hospital-acquired infections among nurses and residents at a university hospital. Journal of Nature and Science of Medicine, 3(4),272-279. https://doi.org/10.4103/JNSM.JNSM_19_20.
  • Baviskar, A. S., Khatib, K. I., Rajpal, D., & Dongare, H. C. (2019). Nosocomial infections in surgical intensive care unit: A retrospective single-center study. International Journal of Critical İllness and İnjury Science, 9(1), 16–20. https://doi.org/10.4103/IJCIIS.IJCIIS_57_18.
  • Benenson, S., Cohen, M. J., Schwartz, C., Revva, M., Moses, A. E., & Levin, P. D. (2020). Is it financially beneficial for hospitals to prevent nosocomial infections?. BMC Health Services Research, 20(1), 653. https://doi.org/10.1186/s12913-020-05428-7.
  • Benny, A. M., Idiculla, A. S., Kunjumon, A., George, A., & Sequera, S. K. (2020). Nurses’ knowledge on prevention of catheter-associated urinary tract ınfection in a selected hospital of Mangaluru. Journal of Health and Allied Sciences NU, 10(03), 128-131. https://doi.org/10.1055/s-0040-1716664.
  • Center for Disease Control and Prevention (CDC), (2021). National and State Healthcare-Associated Infections Progress Report, https://www.cdc.gov/hai/data/portal/progress-report.html.
  • Center for Disease Control and Prevention. (2017). Catheter- Associated Urinary Tract Infections.2009. https://www.cdc.gov/hai/ca_uti/uti.html.
  • Chernet, A. Z., Dasta, K., Belachew, F., Zewdu, B., Melese, M., & Ali, M. M. (2020). Burden of healthcare-associated ınfections and associated risk factors at Adama Hospital Medical College, Adama, Oromia, Ethiopia. Drug, Healthcare and Patient Safety, 12, 177–185. https://doi.org/10.2147/DHPS.S251827.
  • Cronk, B. C. (2019). How to Use SPSS®: A Step-By-Step Guide to Analysis and İnterpretation, (11th ed., pp. 1-228). Routledge. https://doi.org/10.4324/9780429340321.
  • Çalışkaner, D. (2020). Ventilatör ilişkili pnömoninin önlenmesinde risk faktörlerine yönelik koruyucu önlemler ve klinik uygulamalar. Yoğun Bakım Hemşireliği Dergisi, 24(3), 237-244. https://dergipark.org.tr/tr/pub/ybhd/issue/59354/827515.
  • Çetinkaya, Ş. Y., Güner, R., Çakar, N., Ağalar, F., Bolaman, Z., Yavaşoğlu, İ., Kunt, A., & Yılmaz, G. R. (2013). Damar içi kateter ilişkili enfeksiyonların önlenmesi kılavuzu. Hastane İnfeksiyonlarıDergisi,17(2),1-56. https://l24.im/orGQ
  • Denis, D. J. (2018). SPSS Data Analysis for Univariate, Bivariate, and Multivariate Statistics. (1st ed., pp.1-224). John Wiley & Sons. https://l24.im/Z7Tka1t
  • Despotovic, A., Milosevic, B., Milosevic, I., Mitrovic, N., Cirkovic, A., Jovanovic, S., & Stevanovic, G. (2020). Hospital-acquired infections in the adult intensive care unit-Epidemiology, antimicrobial resistance patterns, and risk factors for acquisition and mortality. American Journal of İnfection Control, 48(10), 1211–1215. https://doi.org/10.1016/j.ajic.2020.01.009.
  • Desta, M., Ayenew, T., Sitotaw, N., Tegegne, N., Dires, M., & Getie, M. (2018). Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos referral hospital, Northwest Ethiopia. BMC Health Services Research, 18(1), 465. https://doi.org/10.1186/s12913-018-3277-5.
  • Duszynska, W., Rosenthal, V. D., Szczesny, A., Zajaczkowska, K., Fulek, M., & Tomaszewski, J. (2020). Device associated -health care associated infections monitoring, prevention and cost assessment at intensive care unit of University Hospital in Poland (2015-2017). BMC İnfectious Diseases, 20(1), 761. https://doi.org/10.1186/s12879-020-05482-w.
  • Erdoğan, S., Nahcivan, N., & Esin, M. N. (2020). Hemşirelikte Araştırma: Süreç, Uygulama ve Kritik (4. baskı, s.1-403). Nobel Tıp Kitabevi.
  • Eroğlu, E. (2020). Nöroloji yoğun bakım ünitesinde gelişen hastane enfeksiyonlarının değerlendirilmesi.. Turkiye Klinikleri Journal of Internal Medicine 5(2), 49-54. https://doi.org/10.5336/intermed.2019-72948.
  • Finch, H., French, B.F., & Immekus, J.C. (2016). Applied Psychometrics Using SPSS and AMOS. (1st., pp. 1-289).IAP. https://l24.im/lA7P
  • Foga Sebro, S., Birhanu, M., Bilal, A., & Sahle, T. (2023). Knowledge and practice toward hospital-acquired infections prevention and associated factors among nurses working at university referral hospitals in Southern Nations, Nationalities, and Peoples' Region, Ethiopia 2021. SAGE open medicine, 11, 20503121221149362. https://doi.org/10.1177/20503121221149362.
  • Gel, U. H., Koç, H. S., Harbacı, H. A., Yorgun, U. H., & Akdeniz, H. (2021). Sağlık bakım ilişkili infeksiyonlar ve kontrol önlemleri hakkında hemşirelerin bilgi düzeyleri. Yaşam Boyu Hemşirelik Dergisi, 2(1),20-41. https://llnursing.com/files/llnursing/1db07dab-3495-46e3-bac8-9b87fa915bb5.pdf.
  • George, D., & Mallery, P. (2019). IBM SPSS Statistics 26 Step by Step: A Simple Guide and Reference.(16th. Ed., pp.1-402). Routledge. https://doi.org/10.4324/9780429056765.
  • Gould, C. V., Umscheid, C. A., Agarwal, R. K., Kuntz, G., Pegues, D. A., & Healthcare Infection Control Practices Advisory Committee (2010). Guideline for prevention of catheter-associated urinary tract infections 2009. Infection Control and Hospital Epidemiology, 31(4), 319–326. https://doi.org/10.1086/651091.
  • Gruda, A., & Sopjani, I. (2017). The Knowledge, Attitudes and Practices of Nurses Toward Management of Hospital-acquired Infections in the University Clinical Center of Kosovo. Materia Socio-Medica, 29(2), 84–87. https://doi.org/10.5455/msm.2017.29.84-87.
  • Günaydın, M., Perçin, D., Esen, Ş., Zenciroğlu, D., & Aydın, F. (2015). Sterilizasyon dezenfeksiyon rehberi 2, Dezenfeksiyon Antisepsi Sterilizasyon Derneği, 13:1-118. https://www.das.org.tr/dosya/DASRehber2015.pdf.
  • Hannachi, H., Cheikh, A.B., Bhiri, S., Ghali, H., Khefacha, S., Dhidah, L., Ben Rejeb, M., &Said Latiri, H. (2019). Surveillance of healthcare-associated infections in a Tunisian university hospital. European Journal of Public Health, 29 (4), 573-574. https://doi.org/10.1093/eurpub/ckz186.513.
  • Horan, T. C., Andrus, M., & Dudeck, M. A. (2008). CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. American Journal of İnfection Control, 36(5), 309–332. https://doi.org/10.1016/j.ajic.2008.03.002.
  • İnfal, S., & Şahin, T. K. (2018). Bir üniversite hastanesinde çalışan hemşirelerin hastane enfeksiyonları konusundaki bilgi düzeyleri. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 9(3), 1-6. https://doi.org/10.22312/sdusbed.330868.
  • Jayasree, T. & Afzal, M.(2019). Implementation of infection control practices to manage hospital acquired infections. Journal of Pure and Applied Microbiology, 13(1), 591-597. https://dx.doi.org/10.22207/JPAM.13.1.68.
  • Karabey, S., Çetinkaya, Ş. Y., Alp, E., Ergönül, Ö., Esen, Ş., & Kaymakçı, H. (2008). El hijyeni kılavuzu. Hastane İnfeksiyonları Dergisi, 12(1), 1-33. http://www.hider.org.tr/global/Dernek_Kilavuzlari/2008-12-Ek1-003-029.pdf. Karagöz, Y. (2016). İstatistiksel Analizler ( 2. baskı, s. 1-1200). Nobel Yayıncılık.
  • Kıray, S., Yıldırım, D., Özçiftçi, S., Korhan, E. A., & Uyar, M.(2019). Santral venöz kateter bakımı ve enfeksiyon: bir sistematik derleme. Turkish Journal of Intensive Care, 17, 60-74. http://doi.org/10.4274/tybd.galenos.2019.02418.
  • Labi, A. K., Obeng-Nkrumah, N., Owusu, E., Bjerrum, S., Bediako-Bowan, A., Sunkwa-Mills, G., Akufo, C., Fenny, A. P., Opintan, J. A., Enweronu-Laryea, C., Debrah, S., Damale, N., Bannerman, C., & Newman, M. J. (2019). Multi-centre point-prevalence survey of hospital-acquired infections in Ghana. The Journal of Hospital İnfection, 101(1), 60–68. https://doi.org/10.1016/j.jhin.2018.04.019.
  • Lee, X. J., Stewardson, A. J., Worth, L. J., Graves, N., & Wozniak, T. M. (2021). Attributable Length of Stay, Mortality Risk, and Costs of Bacterial Health Care-Associated Infections in Australia: A Retrospective Case-cohort Study. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 72(10), e506–e514. https://doi.org/10.1093/cid/ciaa1228.
  • Lutwick, L., Al-Maani, A. S., Mehtar, S., Memish, Z., Rosenthal, V. D., Dramowski, A., Lui, G., Osman, T., Bulabula, A., & Bearman, G. (2019). Managing and preventing vascular catheter infections: A position paper of the international society for infectious diseases. International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 84, 22–29. https://doi.org/10.1016/j.ijid.2019.04.014.
  • O'Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Lipsett, P. A., Masur, H., Mermel, L. A., Pearson, M. L., Raad, I. I., Randolph, A. G., Rupp, M. E., Saint, S., & Healthcare Infection Control Practices Advisory Committee (HICPAC) (2011). Guidelines for the prevention of intravascular catheter-related infections. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 52(9), e162–e193. https://doi.org/10.1093/cid/cir257.
  • Öztürk, R., Cesur, S., Şimşek, E., Şen, S., & Şanal, L. (2018). Yoğun bakım ünitesinde çalışan sağlık personellerinin enfeksiyon kontrol önlemleri hakkındaki bilgi düzeyinin değerlendirilmesi. Ortadoğu Tıp Dergisi, 10(3), 289-296. https://doi.org/10.21601/ortadogutipdergisi.333462.
  • Rutala, W. A. & Weber, D. J. (2008). The Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for disinfection and sterilization in healthcare facilities, https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines-H.pdf.
  • Sağlık Hizmetleri Genel Müdürlüğü, Sağlıkta Kalite ve Akreditasyon Daire Başkanlığı (2016). Sağlıkta Kalite Standartları Hastane, 1. Revizyon. 2. Baskı. Ankara: Pozitif Matbaacılık Ltd. Şti; 2016. https://bergamadh.saglik.gov.tr/TR-120748/saglikta-kalite-standartlari-rehberi.html.
  • Salem, O. A. (2019). Knowledge and practices of nurses in ınfection prevention and control within a tertiary care hospital, Annals of Medical and Health Science Research . 9, 422- 425. https://api.semanticscholar.org/CorpusID:85444632.
  • Su, L. H., Chen, I. L., Tang, Y. F., Lee, J. S., & Liu, J. W. (2020). Increased financial burdens and lengths of stay in patients with healthcare-associated infections due to multidrug-resistant bacteria in intensive care units: A propensity-matched case-control study. PloS One, 15(5), e0233265. https://doi.org/10.1371/journal.pone.0233265.
  • Sun, Y., Bao, Z., Guo, Y., & Yuan, X. (2020). Positive effect of care bundles on patients with central venous catheter insertions at a tertiary hospital in Beijing, China. The Journal of İnternational Medical Research, 48(7), 300060520942113. https://doi.org/10.1177/0300060520942113.
  • T.C. Sağlık Bakanlığı (2020). Sağlıkta Kalite Standartları Gösterge Yönetimi Rehberi, 2020. T.C. Sağlık Bakanlığı (2020). https://l24.im/GusFnW
  • Ural, O., Sümer, Ş., Demir, N. A., Abukan, P., Benlioğlu, Ö. Ö., & Özcan, N. (2020). Selçuk üniversitesi tıp fakültesi hastanesi’nde çalışan hemşire ve personellerin sağlık hizmeti ilişkili enfeksiyonları önlemeye ilişkin eğitim öncesi ve eğitim sonrası bilgi düzeylerinin ölçülmesi. Genel Tıp Dergisi, 30(2), 76-81. https://dergipark.org.tr/en/pub/geneltip/issue/66975/1046728.
  • Usluer, G., Esen, Ş., Dokuzoğuz, B., Ural, O., Akan, H., Arcagök, C., & Şahin, H. (2006). İzolasyon önlemleri kılavuzu. Hastane İnfeksiyonları Dergisi, 10(2), 5-28. http://www.hider.org.tr/global/Dernek_Kilavuzlari/2006-10-Ek2-005-028.pdf.
  • Voidazan, S., Albu, S., Toth, R., Grigorescu, B., Rachita, A., & Moldovan, I. (2020). Healthcare Associated Infections-A New Pathology in Medical Practice?. International Journal of Environmental Research and Public Health, 17(3), 760. https://doi.org/10.3390/ijerph17030760.
  • Vu, T. T., Nguyen, M. K., Tran, M. K., Nguyen, P. S., Le, L. H., & Le, Q. T. (2021). General knowledge of intensive resuscitation nurses on hospital-acquired infection in 7A Military Hospital. Annals of Clinical and Analytical Medicine, 12(1), 1-4. https://doi.org/10.4328/ACAM.20172.
  • Wang, L., Zhou, K. H., Chen, W., Yu, Y., & Feng, S. F. (2019). Epidemiology and risk factors for nosocomial infection in the respiratory intensive care unit of a teaching hospital in China: A prospective surveillance during 2013 and 2015. BMC İnfectious Diseases, 19(1), 145. https://doi.org/10.1186/s12879-019-3772-2.
  • World Health Organization (2011). Report on the Burden of Endemic Helath Care Associated Infection Worldwide. https://apps.who.int/iris/handle/10665/80135.
  • Yazici, G. & Bulut, H. (2018). Efficacy of a care bundle to prevent multiple infections in the intensive care unit: A quasi-experimental pretest-posttest design study, Applied Nursing Research., 39, 4-10. https://doi.org/10.1016/j.apnr.2017.10.009.
  • Yılmaz, E.(2019). Yoğun bakım ünitelerinde sık görülen enfeksiyonlar ve kanıta dayalı uygulamalar. Turkiye Klinikleri Surgical Nursing-Special Topics, 5(3), 27-36. https://l24.im/C4ftu1
  • Yılmaz, S. G. & Çam, T.(2019). Ventilatör bakım paketi kullanımının etkileri: literatür taraması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 22 (4), 310-315. https://doi.org/10.17049/ataunihem.473448.
  • Yurttaş, A. , Kaya, A. & Engin, R. (2017). Bir üniversite hastanesinin yoğun bakım ünitesindeki el hijyeni uyumları ile hastane enfeksiyonlarının incelenmesi: retrospektif çalışma. Sağlık Bilimleri ve Meslekleri Dergisi,4 (1), 1-7. https://doi.org/10.17681/hsp.115490.

Yoğun Bakım Hemşirelerinin Sağlık Hizmetiyle İlişkili Enfeksiyonları Önlemeye Yönelik Bilgi Düzeylerinin Belirlenmesi

Year 2025, Volume: 7 Issue: 1, 52 - 65, 25.04.2025

Meltem Kurt , Gülay Yazıcı

Abstract

Bu araştırma, erişkin yoğun bakımda çalışan hemşirelerin sağlık hizmetiyle ilişkili enfeksiyonları önlemede etkili kanıta dayalı uygulamalara yönelik bilgi düzeylerini belirlemek amacıyla yapıldı. Araştırma tanımlayıcı olarak, 01 Ağustos 2021-31 Ocak 2022 tarihleri arasında Türkiye’de bir Sağlık Grubu’na ait 15 hastanesinin 34 erişkin yoğun bakım ünitesinde görev yapan 229 hemşire ile yapıldı. Verilerin toplanmasında, hemşirelerin sosyo-demografik özelliklerinin ve sağlık hizmetiyle ilişkili enfeksiyonları önlemede kanıta dayalı uygulamalar konusunda soruların yer aldığı form kullanıldı. Verilerin değerlendirilmesinde, ortalama, standart sapma, minimum, maksimum, frekans ve yüzde, Kolmogrow Smirnow testi, Bağımsız Gruplarda Mann Whitney U testi, Kruskal Wallis H testi ve post hoc analiz için ise Bonferroni düzeltmesi ile Mann Whitney U analizi kullanıldı. Tüm sonuçlar için p<0.05 değeri istatistiksel olarak anlamlı kabul edildi. Hemşirelerin sağlık hizmetiyle ilişkili enfeksiyonları önlemede kanıta dayalı uygulamalar konusunda bilgi puan ortalaması 45 puan üzerinden 29.63±4.46 bulundu. Hemşirelerin öğrenim durumu, cinsiyet ve sağlık hizmetiyle ilişkili enfeksiyonlara yönelik eğitim alma durumunun bilgi puan ortalamalarını anlamlı olarak etkilediği bulundu (p<0.05). Araştırma bulguları, yoğun bakım hemşirelerinin sağlık hizmetiyle ilişkili enfeksiyonları önlemeye yönelik bilgi düzeyleri yetersizdir. Bilgi düzeyini cinsiyet, öğrenim durumu ve sağlık hizmetiyle ilişkili enfeksiyonlar konusunda eğitim alma durumu etkilemektedir. Hemşireler için verilen eğitimin sağlık hizmetiyle ilişkili enfeksiyonların önlenmesinde önemli olacağını gösterdi.

Keywords

Kanıta Dayalı Uygulamalar Sağlık Hizmetiyle İlişkili Enfeksiyon Yoğun Bakım Hemşireliği.

References

  • Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G. Y., Rabaan, A. A., Al-Tawfiq, J. A., & Al-Omari, A. (2021). Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrobial Resistance and İnfection Control, 10(1), 86. https://doi.org/10.1186/s13756-021-00957-0
  • Angelozzi, A., Caminada, S., Dorelli, B., Sindoni, A., Baccolini, V., Di Paolo, C., Mele, A., Salvatori, L. M., Alessandri, F., Marzuillo, C., De Vito, C., Tellan, G., De Giusti, M., & Villari, P. (2021). Knowledge, attitude, barriers, professional behaviour and possible interventions: a survey on healthcare-associated infections among the healthcare workers of an intensive care unit in a large teaching hospital in Rome. Annali di Igiene: Medicina Preventiva e di Comunita, 33(6), 628–643. https://doi.org/10.7416/ai.2021.2461.
  • Arda, B., Ateş, K., Bakır, M., Güven, M., Karakoç, E., Özinel, M. A., Pirat, A., & Şemkul, T. (2012). Üriner kateterizasyon enfeksiyonlarının önlenmesi kılavuzu. Hastane İnfeksiyonları Dergisi, 16(1), 1-22. http://www.hider.org.tr/global/Dernek_Kilavuzlari/2012-16-Ek1.pdf.
  • Arefian, H., Hagel, S., Fischer, D., Scherag, A., Brunkhorst, F. M., Maschmann, J., & Hartmann, M. (2019). Estimating extra length of stay due to healthcare-associated infections before and after implementation of a hospital-wide infection control program. PloS One, 14(5), e0217159. https://doi.org/10.1371/journal.pone.0217159.
  • Arman, D., Arda, B., Çetinkaya, Ş.Y., Bal, K. Ç., Esen, F., Topeli, İ. A., Sayıner, A., & Kılınç, O. (2008). Sağlık hizmeti ile ilişkili pnömoninin önlenmesi kılavuzu. Hastane İnfeksiyonları Dergisi, 12(2), 1-17. http://www.hider.org.tr/global/Dernek_Kilavuzlari/2008-12-Ek2-003-014.pdf.
  • Asfaw, N. (2021). Knowledge and practice of nurses towards prevention of hospital acquired infections and its associated factors. International Journal of Africa Nursing Sciences 15,100333. https://doi.org/10.1016/j.ijans.2021.100333.
  • Ashu, F. (2023). Preventing Nosocomial Infections in West Central Africa through Nurse Education (Doctoral dissertation, Walden University). Walden Dissertations and Doctoral Studies https://scholarworks.waldenu.edu/dissertations/13963.
  • Aydınlı, A., & Biçer, S. (2019). Hemşirelik eğitiminde güncel yaklaşımlar. Sağlık Bilimleri Dergisi. 28(1), 38-42. https://search.trdizin.gov.tr/yayin/detay/351014/.
  • Aylaz, R. , Şahin, F. & Yıldırım, H. (2018). Hemşirelerin hastane enfeksiyonu konusuna ilişkin bilgi düzeylerinin belirlenmesi. Balıkesir Sağlık Bilimleri Dergisi, 7 (2), 67-73. https://dergipark.org.tr/tr/pub/balikesirsbd/issue/38837/465521.
  • Barry, M., Alhadlaq, G., Alsergani, R., Almana, R., Alshabib, N., & Altheeb, N. (2020). Knowledge and attitudes toward preventing hospital-acquired infections among nurses and residents at a university hospital. Journal of Nature and Science of Medicine, 3(4),272-279. https://doi.org/10.4103/JNSM.JNSM_19_20.
  • Baviskar, A. S., Khatib, K. I., Rajpal, D., & Dongare, H. C. (2019). Nosocomial infections in surgical intensive care unit: A retrospective single-center study. International Journal of Critical İllness and İnjury Science, 9(1), 16–20. https://doi.org/10.4103/IJCIIS.IJCIIS_57_18.
  • Benenson, S., Cohen, M. J., Schwartz, C., Revva, M., Moses, A. E., & Levin, P. D. (2020). Is it financially beneficial for hospitals to prevent nosocomial infections?. BMC Health Services Research, 20(1), 653. https://doi.org/10.1186/s12913-020-05428-7.
  • Benny, A. M., Idiculla, A. S., Kunjumon, A., George, A., & Sequera, S. K. (2020). Nurses’ knowledge on prevention of catheter-associated urinary tract ınfection in a selected hospital of Mangaluru. Journal of Health and Allied Sciences NU, 10(03), 128-131. https://doi.org/10.1055/s-0040-1716664.
  • Center for Disease Control and Prevention (CDC), (2021). National and State Healthcare-Associated Infections Progress Report, https://www.cdc.gov/hai/data/portal/progress-report.html.
  • Center for Disease Control and Prevention. (2017). Catheter- Associated Urinary Tract Infections.2009. https://www.cdc.gov/hai/ca_uti/uti.html.
  • Chernet, A. Z., Dasta, K., Belachew, F., Zewdu, B., Melese, M., & Ali, M. M. (2020). Burden of healthcare-associated ınfections and associated risk factors at Adama Hospital Medical College, Adama, Oromia, Ethiopia. Drug, Healthcare and Patient Safety, 12, 177–185. https://doi.org/10.2147/DHPS.S251827.
  • Cronk, B. C. (2019). How to Use SPSS®: A Step-By-Step Guide to Analysis and İnterpretation, (11th ed., pp. 1-228). Routledge. https://doi.org/10.4324/9780429340321.
  • Çalışkaner, D. (2020). Ventilatör ilişkili pnömoninin önlenmesinde risk faktörlerine yönelik koruyucu önlemler ve klinik uygulamalar. Yoğun Bakım Hemşireliği Dergisi, 24(3), 237-244. https://dergipark.org.tr/tr/pub/ybhd/issue/59354/827515.
  • Çetinkaya, Ş. Y., Güner, R., Çakar, N., Ağalar, F., Bolaman, Z., Yavaşoğlu, İ., Kunt, A., & Yılmaz, G. R. (2013). Damar içi kateter ilişkili enfeksiyonların önlenmesi kılavuzu. Hastane İnfeksiyonlarıDergisi,17(2),1-56. https://l24.im/orGQ
  • Denis, D. J. (2018). SPSS Data Analysis for Univariate, Bivariate, and Multivariate Statistics. (1st ed., pp.1-224). John Wiley & Sons. https://l24.im/Z7Tka1t
  • Despotovic, A., Milosevic, B., Milosevic, I., Mitrovic, N., Cirkovic, A., Jovanovic, S., & Stevanovic, G. (2020). Hospital-acquired infections in the adult intensive care unit-Epidemiology, antimicrobial resistance patterns, and risk factors for acquisition and mortality. American Journal of İnfection Control, 48(10), 1211–1215. https://doi.org/10.1016/j.ajic.2020.01.009.
  • Desta, M., Ayenew, T., Sitotaw, N., Tegegne, N., Dires, M., & Getie, M. (2018). Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos referral hospital, Northwest Ethiopia. BMC Health Services Research, 18(1), 465. https://doi.org/10.1186/s12913-018-3277-5.
  • Duszynska, W., Rosenthal, V. D., Szczesny, A., Zajaczkowska, K., Fulek, M., & Tomaszewski, J. (2020). Device associated -health care associated infections monitoring, prevention and cost assessment at intensive care unit of University Hospital in Poland (2015-2017). BMC İnfectious Diseases, 20(1), 761. https://doi.org/10.1186/s12879-020-05482-w.
  • Erdoğan, S., Nahcivan, N., & Esin, M. N. (2020). Hemşirelikte Araştırma: Süreç, Uygulama ve Kritik (4. baskı, s.1-403). Nobel Tıp Kitabevi.
  • Eroğlu, E. (2020). Nöroloji yoğun bakım ünitesinde gelişen hastane enfeksiyonlarının değerlendirilmesi.. Turkiye Klinikleri Journal of Internal Medicine 5(2), 49-54. https://doi.org/10.5336/intermed.2019-72948.
  • Finch, H., French, B.F., & Immekus, J.C. (2016). Applied Psychometrics Using SPSS and AMOS. (1st., pp. 1-289).IAP. https://l24.im/lA7P
  • Foga Sebro, S., Birhanu, M., Bilal, A., & Sahle, T. (2023). Knowledge and practice toward hospital-acquired infections prevention and associated factors among nurses working at university referral hospitals in Southern Nations, Nationalities, and Peoples' Region, Ethiopia 2021. SAGE open medicine, 11, 20503121221149362. https://doi.org/10.1177/20503121221149362.
  • Gel, U. H., Koç, H. S., Harbacı, H. A., Yorgun, U. H., & Akdeniz, H. (2021). Sağlık bakım ilişkili infeksiyonlar ve kontrol önlemleri hakkında hemşirelerin bilgi düzeyleri. Yaşam Boyu Hemşirelik Dergisi, 2(1),20-41. https://llnursing.com/files/llnursing/1db07dab-3495-46e3-bac8-9b87fa915bb5.pdf.
  • George, D., & Mallery, P. (2019). IBM SPSS Statistics 26 Step by Step: A Simple Guide and Reference.(16th. Ed., pp.1-402). Routledge. https://doi.org/10.4324/9780429056765.
  • Gould, C. V., Umscheid, C. A., Agarwal, R. K., Kuntz, G., Pegues, D. A., & Healthcare Infection Control Practices Advisory Committee (2010). Guideline for prevention of catheter-associated urinary tract infections 2009. Infection Control and Hospital Epidemiology, 31(4), 319–326. https://doi.org/10.1086/651091.
  • Gruda, A., & Sopjani, I. (2017). The Knowledge, Attitudes and Practices of Nurses Toward Management of Hospital-acquired Infections in the University Clinical Center of Kosovo. Materia Socio-Medica, 29(2), 84–87. https://doi.org/10.5455/msm.2017.29.84-87.
  • Günaydın, M., Perçin, D., Esen, Ş., Zenciroğlu, D., & Aydın, F. (2015). Sterilizasyon dezenfeksiyon rehberi 2, Dezenfeksiyon Antisepsi Sterilizasyon Derneği, 13:1-118. https://www.das.org.tr/dosya/DASRehber2015.pdf.
  • Hannachi, H., Cheikh, A.B., Bhiri, S., Ghali, H., Khefacha, S., Dhidah, L., Ben Rejeb, M., &Said Latiri, H. (2019). Surveillance of healthcare-associated infections in a Tunisian university hospital. European Journal of Public Health, 29 (4), 573-574. https://doi.org/10.1093/eurpub/ckz186.513.
  • Horan, T. C., Andrus, M., & Dudeck, M. A. (2008). CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. American Journal of İnfection Control, 36(5), 309–332. https://doi.org/10.1016/j.ajic.2008.03.002.
  • İnfal, S., & Şahin, T. K. (2018). Bir üniversite hastanesinde çalışan hemşirelerin hastane enfeksiyonları konusundaki bilgi düzeyleri. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 9(3), 1-6. https://doi.org/10.22312/sdusbed.330868.
  • Jayasree, T. & Afzal, M.(2019). Implementation of infection control practices to manage hospital acquired infections. Journal of Pure and Applied Microbiology, 13(1), 591-597. https://dx.doi.org/10.22207/JPAM.13.1.68.
  • Karabey, S., Çetinkaya, Ş. Y., Alp, E., Ergönül, Ö., Esen, Ş., & Kaymakçı, H. (2008). El hijyeni kılavuzu. Hastane İnfeksiyonları Dergisi, 12(1), 1-33. http://www.hider.org.tr/global/Dernek_Kilavuzlari/2008-12-Ek1-003-029.pdf. Karagöz, Y. (2016). İstatistiksel Analizler ( 2. baskı, s. 1-1200). Nobel Yayıncılık.
  • Kıray, S., Yıldırım, D., Özçiftçi, S., Korhan, E. A., & Uyar, M.(2019). Santral venöz kateter bakımı ve enfeksiyon: bir sistematik derleme. Turkish Journal of Intensive Care, 17, 60-74. http://doi.org/10.4274/tybd.galenos.2019.02418.
  • Labi, A. K., Obeng-Nkrumah, N., Owusu, E., Bjerrum, S., Bediako-Bowan, A., Sunkwa-Mills, G., Akufo, C., Fenny, A. P., Opintan, J. A., Enweronu-Laryea, C., Debrah, S., Damale, N., Bannerman, C., & Newman, M. J. (2019). Multi-centre point-prevalence survey of hospital-acquired infections in Ghana. The Journal of Hospital İnfection, 101(1), 60–68. https://doi.org/10.1016/j.jhin.2018.04.019.
  • Lee, X. J., Stewardson, A. J., Worth, L. J., Graves, N., & Wozniak, T. M. (2021). Attributable Length of Stay, Mortality Risk, and Costs of Bacterial Health Care-Associated Infections in Australia: A Retrospective Case-cohort Study. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 72(10), e506–e514. https://doi.org/10.1093/cid/ciaa1228.
  • Lutwick, L., Al-Maani, A. S., Mehtar, S., Memish, Z., Rosenthal, V. D., Dramowski, A., Lui, G., Osman, T., Bulabula, A., & Bearman, G. (2019). Managing and preventing vascular catheter infections: A position paper of the international society for infectious diseases. International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 84, 22–29. https://doi.org/10.1016/j.ijid.2019.04.014.
  • O'Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Lipsett, P. A., Masur, H., Mermel, L. A., Pearson, M. L., Raad, I. I., Randolph, A. G., Rupp, M. E., Saint, S., & Healthcare Infection Control Practices Advisory Committee (HICPAC) (2011). Guidelines for the prevention of intravascular catheter-related infections. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 52(9), e162–e193. https://doi.org/10.1093/cid/cir257.
  • Öztürk, R., Cesur, S., Şimşek, E., Şen, S., & Şanal, L. (2018). Yoğun bakım ünitesinde çalışan sağlık personellerinin enfeksiyon kontrol önlemleri hakkındaki bilgi düzeyinin değerlendirilmesi. Ortadoğu Tıp Dergisi, 10(3), 289-296. https://doi.org/10.21601/ortadogutipdergisi.333462.
  • Rutala, W. A. & Weber, D. J. (2008). The Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for disinfection and sterilization in healthcare facilities, https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines-H.pdf.
  • Sağlık Hizmetleri Genel Müdürlüğü, Sağlıkta Kalite ve Akreditasyon Daire Başkanlığı (2016). Sağlıkta Kalite Standartları Hastane, 1. Revizyon. 2. Baskı. Ankara: Pozitif Matbaacılık Ltd. Şti; 2016. https://bergamadh.saglik.gov.tr/TR-120748/saglikta-kalite-standartlari-rehberi.html.
  • Salem, O. A. (2019). Knowledge and practices of nurses in ınfection prevention and control within a tertiary care hospital, Annals of Medical and Health Science Research . 9, 422- 425. https://api.semanticscholar.org/CorpusID:85444632.
  • Su, L. H., Chen, I. L., Tang, Y. F., Lee, J. S., & Liu, J. W. (2020). Increased financial burdens and lengths of stay in patients with healthcare-associated infections due to multidrug-resistant bacteria in intensive care units: A propensity-matched case-control study. PloS One, 15(5), e0233265. https://doi.org/10.1371/journal.pone.0233265.
  • Sun, Y., Bao, Z., Guo, Y., & Yuan, X. (2020). Positive effect of care bundles on patients with central venous catheter insertions at a tertiary hospital in Beijing, China. The Journal of İnternational Medical Research, 48(7), 300060520942113. https://doi.org/10.1177/0300060520942113.
  • T.C. Sağlık Bakanlığı (2020). Sağlıkta Kalite Standartları Gösterge Yönetimi Rehberi, 2020. T.C. Sağlık Bakanlığı (2020). https://l24.im/GusFnW
  • Ural, O., Sümer, Ş., Demir, N. A., Abukan, P., Benlioğlu, Ö. Ö., & Özcan, N. (2020). Selçuk üniversitesi tıp fakültesi hastanesi’nde çalışan hemşire ve personellerin sağlık hizmeti ilişkili enfeksiyonları önlemeye ilişkin eğitim öncesi ve eğitim sonrası bilgi düzeylerinin ölçülmesi. Genel Tıp Dergisi, 30(2), 76-81. https://dergipark.org.tr/en/pub/geneltip/issue/66975/1046728.
  • Usluer, G., Esen, Ş., Dokuzoğuz, B., Ural, O., Akan, H., Arcagök, C., & Şahin, H. (2006). İzolasyon önlemleri kılavuzu. Hastane İnfeksiyonları Dergisi, 10(2), 5-28. http://www.hider.org.tr/global/Dernek_Kilavuzlari/2006-10-Ek2-005-028.pdf.
  • Voidazan, S., Albu, S., Toth, R., Grigorescu, B., Rachita, A., & Moldovan, I. (2020). Healthcare Associated Infections-A New Pathology in Medical Practice?. International Journal of Environmental Research and Public Health, 17(3), 760. https://doi.org/10.3390/ijerph17030760.
  • Vu, T. T., Nguyen, M. K., Tran, M. K., Nguyen, P. S., Le, L. H., & Le, Q. T. (2021). General knowledge of intensive resuscitation nurses on hospital-acquired infection in 7A Military Hospital. Annals of Clinical and Analytical Medicine, 12(1), 1-4. https://doi.org/10.4328/ACAM.20172.
  • Wang, L., Zhou, K. H., Chen, W., Yu, Y., & Feng, S. F. (2019). Epidemiology and risk factors for nosocomial infection in the respiratory intensive care unit of a teaching hospital in China: A prospective surveillance during 2013 and 2015. BMC İnfectious Diseases, 19(1), 145. https://doi.org/10.1186/s12879-019-3772-2.
  • World Health Organization (2011). Report on the Burden of Endemic Helath Care Associated Infection Worldwide. https://apps.who.int/iris/handle/10665/80135.
  • Yazici, G. & Bulut, H. (2018). Efficacy of a care bundle to prevent multiple infections in the intensive care unit: A quasi-experimental pretest-posttest design study, Applied Nursing Research., 39, 4-10. https://doi.org/10.1016/j.apnr.2017.10.009.
  • Yılmaz, E.(2019). Yoğun bakım ünitelerinde sık görülen enfeksiyonlar ve kanıta dayalı uygulamalar. Turkiye Klinikleri Surgical Nursing-Special Topics, 5(3), 27-36. https://l24.im/C4ftu1
  • Yılmaz, S. G. & Çam, T.(2019). Ventilatör bakım paketi kullanımının etkileri: literatür taraması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 22 (4), 310-315. https://doi.org/10.17049/ataunihem.473448.
  • Yurttaş, A. , Kaya, A. & Engin, R. (2017). Bir üniversite hastanesinin yoğun bakım ünitesindeki el hijyeni uyumları ile hastane enfeksiyonlarının incelenmesi: retrospektif çalışma. Sağlık Bilimleri ve Meslekleri Dergisi,4 (1), 1-7. https://doi.org/10.17681/hsp.115490.
There are 59 citations in total.

Details

Primary Language Turkish
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Meltem Kurt 0000-0002-8521-3931

Gülay Yazıcı 0000-0001-8195-3791

Publication Date April 25, 2025
Submission Date May 3, 2023
Acceptance Date February 12, 2024
Published in Issue Year 2025 Volume: 7 Issue: 1

Cite

APA Kurt, M., & Yazıcı, G. (2025). Yoğun Bakım Hemşirelerinin Sağlık Hizmetiyle İlişkili Enfeksiyonları Önlemeye Yönelik Bilgi Düzeylerinin Belirlenmesi. Genel Sağlık Bilimleri Dergisi, 7(1), 52-65.
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