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Cerrahi Hemşirelerinin Cerrahi Alan İnfeksiyonlarını Önlemeye Yönelik Bilgi Düzeyleri

Year 2022, Volume: 7 Issue: 2, 326 - 339, 01.08.2022
https://doi.org/10.25279/sak.828562

Abstract

Giriş: Hemşirelerin cerrahi alan infeksiyonunu (CAİ) önlemek için doğru ve hızlı karar vermeleri ve kanıta dayalı uygulamalarla ilgili önerileri bilmeleri kaliteli hemşirelik bakımı verebilmek için çok önemlidir. Amaç: Bu araştırmanın amacı cerrahi hemşirelerinin CAİ önlenmesi konusundaki bilgi düzeylerini belirlemektir. Gereç ve Yöntem: Tanımlayıcı tipte planlanan araştırma, Ege Bölgesinde bir Eğitim Araştırma Hastanesi cerrahi kliniklerinde çalışan 58 hemşire ile 20 Ocak 2020-15 Şubat 2020 tarihleri arasında yapıldı. Veriler “Bireysel Özellikler Formu” ve Hastalık Kontrol ve Önleme Merkezleri 2017 güncel rehberine göre hazırlanmış “Cerrahi Alan İnfeksiyonunu Önlemeye Yönelik Bilgi Formu” ile toplandı. Çalışmada verilerin değerlendirilmesinde Tanımlayıcı istatistiksel metotlar ile birlikte Mann-Whitney U Testi, Kruskal-Wallis Testi, Lojistik Regresyon analizinden yararlanıldı. Bulgular: Çalışmaya katılan hemşirelerin; yaş ortalaması 40.2±6.1, %93.1’i (n=54) kadın, %82.8’i (n=48) evli, %93.1’i (n=54) lisans mezunu, %67.2’si (n=39) 16 yıl ve daha fazla süredir hemşirelik yapmaktadır. Araştırmaya katılan hemşirelerin %37.9’unun (n=22) infeksiyon kontrolü konusunda eğitim aldığı saptandı. Çalışmadan elde edilen verilere göre hemşirelerin “Cerrahi Alan İnfeksiyonu Önleme Bilgi Düzeyi” puan ortalaması 13.1±2.2 (min:7, max: 18), bilgi formunda yer alan ifadeleri doğru yanıtlama oranı ise ortalama %62.2±10.4 olarak hesaplandı. Sonuç: Hemşirelerin cerrahi alan infeksiyonlarını önlemeye ilişkin bilgi puan ortalaması orta seviyenin üstünde saptandı. Hemşirelerin cerrahi alan infeksiyonunun önlenmesi konusundaki yetkinliğini artırmak ve bilgi eksikliğini gidermek için güncel rehberler eşliğinde hizmet içi eğitim programları düzenlenmelidir.

References

  • Allegranzi, B., Bischoff, P., de Jonge, S., Kubilay, N. Z., Zayed, B., Gomes, S. M., . . . Group, W. H. O. G. D. (2016). New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis, 16(12), e276e287. doi:10.1016/S1473-3099(16)30398-X
  • Anderson, D. J., Podgorny, K., Berrios-Torres, S. I., Bratzler, D. W., Dellinger, E. P., Greene, L., Kaye, K. S. (2014). Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol, 35(6), 605-627. doi:10.1086/676022
  • Aytaç, N., Naharcı, H., Öztunç, G.(2008). Adanada eğitim araştırma hastanelerinin yoğun bakım hemşirelerinde hastane enfeksiyonları bilgi düzeyi. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi, 9(3),9-15.
  • Balodimou, S. A., Papageorgiou, E. G., Dokoutsidou, E. E., Papageorgiou, D. E., Kaba, E. P., & Kelesi, M. N. (2018). Greek nurses' knowledge on the prevention of surgical site infection: an investigation. J Wound Care, 27(12), 876-884. doi:10.12968/jowc.2018.27.12.876
  • Berrios-Torres, S. I., Umscheid, C. A., Bratzler, D. W., Leas, B., Stone, E. C., Kelz, R. R., Healthcare Infection Control Practices Advisory, C. (2017). Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg, 152(8), 784-791. doi:10.1001/jamasurg.2017.0904
  • Brisibe SFA, O. B., Gbeneolol PK. (2014). Knowledge, attitude, and infection control practices of two tertiary hospitals in Port-Harcourt, Nigeria. . Niger J Clin Pract 17, 691–695.
  • de Lissovoy, G., Fraeman, K., Hutchins, V., Murphy, D., Song, D., & Vaughn, B. B. (2009). Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control, 37(5), 387-397. doi:10.1016/j.ajic.2008.12.010
  • Dhakal B, Angadi, S., Lopchan M. . (2016). Nurses' knowledge and practice of aseptic technique in the operation theatre at selected hospitals of Bharatpur. Int Arch BioMed Clin Res, 2(2), 32– 34. doi:http://dx.doi.org/10.5958/2454-2660.2016.00050.8
  • Famakinwa, T. T., Bello, B.G., Oyeniran, Y.A., Okhiah, O. and, & R.N., N. (2014). Knowledge and practice of post-operative wound infection prevention among nurses in the surgical unit of a teaching hospital in Nigeria. International Journal of Basic, Applied and Innovative Research, 3(1), 23-28.
  • Gürsoy, B. (2008). Hastane infeksiyonlarında maliyet analizi: Olgu kontrol çalışması. Harran Üniversitesi Tıp Fakültesi Dergisi, 5(1), 15-21.
  • İnfal Kesim, S., Şahin, T.K. (2018). Bir üniversite hastanesinde çalışan hemşirelerin hastane enfeksiyonları konusundaki bilgi düzeyleri. SDÜ Sağlık Bilimleri Enstitüsü Dergisi, 9(3), 16.
  • Kalkan, N., Karadağ, M. . (2017). Cerrahi alan enfeksiyonlarını önlemede güncel yaklaşımlar ve hemşirelere yönelik önleme girişimleri algoritması. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi., 6(4), 280-289.
  • Labeau S.O., Witdouck, S.S., Vandijck, D.M., Claes, B., Rello, J., Vandewoude, K.H., et all. (2010). Nurses' knowledge of evidence basedguidelines for the prevention of surgical site infection. Worldviews Evid Based Nurs., 7(1), 16-24.
  • Labrague, L. J. (2012). Operating room nurses’ knowledge and practice of sterile technique. Journal of Nursing & Care, 01(04). doi:10.4172/2167-1168.1000113
  • Lin, F., Gillespie, B. M., Chaboyer, W., Li, Y., Whitelock, K., Morley, N., . . . Marshall, A. P. (2019). Preventing surgical site infections: Facilitators and barriers to nurses' adherence to clinical practice guidelines-A qualitative study. J Clin Nurs, 28(9-10), 1643-1652. doi:10.1111/jocn.14766
  • Mangram, A.J., Horan, T.C., Pearson, M.L., Silver, L.J., Jarvis, W.R. (2007). Guideline for prevention of surgical site infection,1999. Hospital Infection Control Practice, 11(4), 1-4.
  • Nakhaei ve Mofrad M, Mofsad, S. (2015). Investigating nurses’ knowledge and self-efficacy regarding the principles of ınfection control in the operating room. Mod Care J., 12(2), 79-83.
  • Parmeggiani, C., Abbate, R., Marinelli, P., & Angelillo, I. F. (2010). Healthcare workers and health care-associated infections: knowledge, attitudes, and behavior in emergency departments in Italy. BMC Infect Dis, 10, 35. doi:10.1186/1471-2334-10-35
  • Patil, V. B., Raval, R. M., & Chavan, G. (2018). Knowledge and practices of health care professionals to prevent surgical site infection in a tertiary health care centre. International Surgery Journal, 5(6), 2248-2251.
  • Qasem, M.N., & Hweidi, I.M. (2017). Jordanian nurses’ knowledge of preventing surgical site ınfections in acute care settings. Open Journal of Nursing, 07(05), 561-582. doi:10.4236/ojn.2017.75043
  • Qvistgaard, M., Lovebo, J., & Almerud-Osterberg, S. (2019). Intraoperative prevention of surgical site infections as experienced by operating room nurses. Int J Qual Stud Health Well-being, 14(1), 1632109. doi:10.1080/17482631.2019.1632109
  • Sadia, H., Kousar, R., Azhar, M., Waqas, A., Gilani, S.A. (2017). Assessment of nurses’ knowledge and practices regarding prevention of surgical site infection. Saudi Journal of Medical and Pharmaceutical Sciences, 3(6B), 585–595. doi:10.21276/sjmps
  • Sickder, H.K., Lertwathanawilat, W., Sethabouppha, H., Viseskul, N. (2017). Nurses’ surgical site infection prevention practices in Bangladesh. Pacific Rim Int J Nurs Res 3(September), 244– 257.
  • Tanner, J., Padley, W., Assadian, O., Leaper, D., Kiernan, M., & Edmiston, C. (2015). Do surgical care bundles reduce the risk of surgical site infections in patients undergoing colorectal surgery? A systematic review and cohort meta-analysis of 8,515 patients. Surgery Journal, 158(1), 6677. doi:10.1016/j.surg.2015.03.009
  • Teshager, F. A., Engeda, E. H., & Worku, W. Z. (2015). Knowledge, practice, and associated factors towards prevention of surgical site ınfection among nurses working in amhara regional state referral hospitals, Northwest Ethiopia. Surg Res Pract., 2015, 736175. doi:10.1155/2015/736175
  • Tschelaut, L., Assadian, O., Strauss, R., Matiasek, J., Beer, M., Angerler, G., . . . Presterl, E. (2018). A survey on current knowledge, practice and beliefs related to preoperative antimicrobial decolonization regimens for prevention of surgical site infections among Austrian surgeons. J Hosp Infect, 100(4), 386-392. doi:10.1016/j.jhin.2018.07.019
  • Tsianti, E., Zougkou, T., Rosenberg, T. (2016). Exploration of nurses knowledge regarding safety policies for surgical infections’ prevention. Perioperative Nursing 5(1), 145–162.
  • Ulu, A. C. (2016). Cerrahi alan enfeksiyonları. Türkiye Klinikleri Infectious Diseases-Special Topics, 9(3), 22-29. Woldegioris, T., Bantie, G., & Getachew, H. (2018). Nurses' knowledge and practice regarding prevention of surgical site infection in Bahir Dar, Northwest Ethiopia. Surg Infect (Larchmt), 20(1), 71-77. doi:10.1089/sur.2018.081
  • World Health Organization. (2016). Global guidelines for the prevention of surgical site infection. Geneva: World Health Organization.
  • Yıldırım Tank, D., Celik, S., Dirimese, E., Tasdemir, N. (2019). Knowledge levels of the operating room nurses related to prevention of surgical site infections. The Journal of Health Sciences and Professions, 6(2), 299-309. doi:10.17681/hsp.458122

Knowledge Levels of Surgical Nurses on Preventing Surgical Site Infections

Year 2022, Volume: 7 Issue: 2, 326 - 339, 01.08.2022
https://doi.org/10.25279/sak.828562

Abstract

Introduction: It is very important for nurses to make correct and fast decisions to prevent SSI and to know the recommendations about evidence-based practices in order to provide quality nursing care. Aim: The aim of this study was to determine the knowledge level of surgical nurses about preventing SSI and relationship with sociodemographic characteristics. Materials and Method: This descriptive study was conducted with 58 nurses working in the surgical clinics of a Training and Research Hospital in the Aegean Region between January and February 2020. The data were collected with “Individual Characteristics Form” and “Information Form for Surgical Site Infection Prevention” prepared according to CDC 2017 guide.. Mann-Whitney U Test, Kruskal Wallis Test, Logistic Regression analysis were used for statistical analysis. Results: It was determined that the mean age of the nurses participating in the study was 40.2±6.1 and the majority of the nurses had a bachelor's degree. It was reported that the participants in our study were 93.1% women, 82.8% (n=48) married, and 67.2% (n=39) worked more than 16 years. The ratio of having course about surgical site infections was found 37.9%. The mean score of knowledge level in prevention surgical site infection was 13.1±2.2 (min:7;max:18) and the ratio of correct response was found 62.2±10.4%. Conclusion: The mean knowledge level of nurses for preventing surgical site infections was found above the middle level. More up-to-date training programs should be organized to increase nurses' competence in preventing surgical site infections and to overcome the lack of knowledge.

References

  • Allegranzi, B., Bischoff, P., de Jonge, S., Kubilay, N. Z., Zayed, B., Gomes, S. M., . . . Group, W. H. O. G. D. (2016). New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis, 16(12), e276e287. doi:10.1016/S1473-3099(16)30398-X
  • Anderson, D. J., Podgorny, K., Berrios-Torres, S. I., Bratzler, D. W., Dellinger, E. P., Greene, L., Kaye, K. S. (2014). Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol, 35(6), 605-627. doi:10.1086/676022
  • Aytaç, N., Naharcı, H., Öztunç, G.(2008). Adanada eğitim araştırma hastanelerinin yoğun bakım hemşirelerinde hastane enfeksiyonları bilgi düzeyi. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi, 9(3),9-15.
  • Balodimou, S. A., Papageorgiou, E. G., Dokoutsidou, E. E., Papageorgiou, D. E., Kaba, E. P., & Kelesi, M. N. (2018). Greek nurses' knowledge on the prevention of surgical site infection: an investigation. J Wound Care, 27(12), 876-884. doi:10.12968/jowc.2018.27.12.876
  • Berrios-Torres, S. I., Umscheid, C. A., Bratzler, D. W., Leas, B., Stone, E. C., Kelz, R. R., Healthcare Infection Control Practices Advisory, C. (2017). Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg, 152(8), 784-791. doi:10.1001/jamasurg.2017.0904
  • Brisibe SFA, O. B., Gbeneolol PK. (2014). Knowledge, attitude, and infection control practices of two tertiary hospitals in Port-Harcourt, Nigeria. . Niger J Clin Pract 17, 691–695.
  • de Lissovoy, G., Fraeman, K., Hutchins, V., Murphy, D., Song, D., & Vaughn, B. B. (2009). Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control, 37(5), 387-397. doi:10.1016/j.ajic.2008.12.010
  • Dhakal B, Angadi, S., Lopchan M. . (2016). Nurses' knowledge and practice of aseptic technique in the operation theatre at selected hospitals of Bharatpur. Int Arch BioMed Clin Res, 2(2), 32– 34. doi:http://dx.doi.org/10.5958/2454-2660.2016.00050.8
  • Famakinwa, T. T., Bello, B.G., Oyeniran, Y.A., Okhiah, O. and, & R.N., N. (2014). Knowledge and practice of post-operative wound infection prevention among nurses in the surgical unit of a teaching hospital in Nigeria. International Journal of Basic, Applied and Innovative Research, 3(1), 23-28.
  • Gürsoy, B. (2008). Hastane infeksiyonlarında maliyet analizi: Olgu kontrol çalışması. Harran Üniversitesi Tıp Fakültesi Dergisi, 5(1), 15-21.
  • İnfal Kesim, S., Şahin, T.K. (2018). Bir üniversite hastanesinde çalışan hemşirelerin hastane enfeksiyonları konusundaki bilgi düzeyleri. SDÜ Sağlık Bilimleri Enstitüsü Dergisi, 9(3), 16.
  • Kalkan, N., Karadağ, M. . (2017). Cerrahi alan enfeksiyonlarını önlemede güncel yaklaşımlar ve hemşirelere yönelik önleme girişimleri algoritması. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi., 6(4), 280-289.
  • Labeau S.O., Witdouck, S.S., Vandijck, D.M., Claes, B., Rello, J., Vandewoude, K.H., et all. (2010). Nurses' knowledge of evidence basedguidelines for the prevention of surgical site infection. Worldviews Evid Based Nurs., 7(1), 16-24.
  • Labrague, L. J. (2012). Operating room nurses’ knowledge and practice of sterile technique. Journal of Nursing & Care, 01(04). doi:10.4172/2167-1168.1000113
  • Lin, F., Gillespie, B. M., Chaboyer, W., Li, Y., Whitelock, K., Morley, N., . . . Marshall, A. P. (2019). Preventing surgical site infections: Facilitators and barriers to nurses' adherence to clinical practice guidelines-A qualitative study. J Clin Nurs, 28(9-10), 1643-1652. doi:10.1111/jocn.14766
  • Mangram, A.J., Horan, T.C., Pearson, M.L., Silver, L.J., Jarvis, W.R. (2007). Guideline for prevention of surgical site infection,1999. Hospital Infection Control Practice, 11(4), 1-4.
  • Nakhaei ve Mofrad M, Mofsad, S. (2015). Investigating nurses’ knowledge and self-efficacy regarding the principles of ınfection control in the operating room. Mod Care J., 12(2), 79-83.
  • Parmeggiani, C., Abbate, R., Marinelli, P., & Angelillo, I. F. (2010). Healthcare workers and health care-associated infections: knowledge, attitudes, and behavior in emergency departments in Italy. BMC Infect Dis, 10, 35. doi:10.1186/1471-2334-10-35
  • Patil, V. B., Raval, R. M., & Chavan, G. (2018). Knowledge and practices of health care professionals to prevent surgical site infection in a tertiary health care centre. International Surgery Journal, 5(6), 2248-2251.
  • Qasem, M.N., & Hweidi, I.M. (2017). Jordanian nurses’ knowledge of preventing surgical site ınfections in acute care settings. Open Journal of Nursing, 07(05), 561-582. doi:10.4236/ojn.2017.75043
  • Qvistgaard, M., Lovebo, J., & Almerud-Osterberg, S. (2019). Intraoperative prevention of surgical site infections as experienced by operating room nurses. Int J Qual Stud Health Well-being, 14(1), 1632109. doi:10.1080/17482631.2019.1632109
  • Sadia, H., Kousar, R., Azhar, M., Waqas, A., Gilani, S.A. (2017). Assessment of nurses’ knowledge and practices regarding prevention of surgical site infection. Saudi Journal of Medical and Pharmaceutical Sciences, 3(6B), 585–595. doi:10.21276/sjmps
  • Sickder, H.K., Lertwathanawilat, W., Sethabouppha, H., Viseskul, N. (2017). Nurses’ surgical site infection prevention practices in Bangladesh. Pacific Rim Int J Nurs Res 3(September), 244– 257.
  • Tanner, J., Padley, W., Assadian, O., Leaper, D., Kiernan, M., & Edmiston, C. (2015). Do surgical care bundles reduce the risk of surgical site infections in patients undergoing colorectal surgery? A systematic review and cohort meta-analysis of 8,515 patients. Surgery Journal, 158(1), 6677. doi:10.1016/j.surg.2015.03.009
  • Teshager, F. A., Engeda, E. H., & Worku, W. Z. (2015). Knowledge, practice, and associated factors towards prevention of surgical site ınfection among nurses working in amhara regional state referral hospitals, Northwest Ethiopia. Surg Res Pract., 2015, 736175. doi:10.1155/2015/736175
  • Tschelaut, L., Assadian, O., Strauss, R., Matiasek, J., Beer, M., Angerler, G., . . . Presterl, E. (2018). A survey on current knowledge, practice and beliefs related to preoperative antimicrobial decolonization regimens for prevention of surgical site infections among Austrian surgeons. J Hosp Infect, 100(4), 386-392. doi:10.1016/j.jhin.2018.07.019
  • Tsianti, E., Zougkou, T., Rosenberg, T. (2016). Exploration of nurses knowledge regarding safety policies for surgical infections’ prevention. Perioperative Nursing 5(1), 145–162.
  • Ulu, A. C. (2016). Cerrahi alan enfeksiyonları. Türkiye Klinikleri Infectious Diseases-Special Topics, 9(3), 22-29. Woldegioris, T., Bantie, G., & Getachew, H. (2018). Nurses' knowledge and practice regarding prevention of surgical site infection in Bahir Dar, Northwest Ethiopia. Surg Infect (Larchmt), 20(1), 71-77. doi:10.1089/sur.2018.081
  • World Health Organization. (2016). Global guidelines for the prevention of surgical site infection. Geneva: World Health Organization.
  • Yıldırım Tank, D., Celik, S., Dirimese, E., Tasdemir, N. (2019). Knowledge levels of the operating room nurses related to prevention of surgical site infections. The Journal of Health Sciences and Professions, 6(2), 299-309. doi:10.17681/hsp.458122
There are 30 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original research articles
Authors

Cemile Çelebi 0000-0001-9960-7205

Ali Balkan 0000-0002-3597-7415

Ercan Saruhan 0000-0001-6416-1442

Early Pub Date August 30, 2022
Publication Date August 1, 2022
Submission Date November 19, 2020
Acceptance Date March 9, 2021
Published in Issue Year 2022 Volume: 7 Issue: 2

Cite

APA Çelebi, C., Balkan, A., & Saruhan, E. (2022). Cerrahi Hemşirelerinin Cerrahi Alan İnfeksiyonlarını Önlemeye Yönelik Bilgi Düzeyleri. Health Academy Kastamonu, 7(2), 326-339. https://doi.org/10.25279/sak.828562

Health Academy Kastamonu is included in the class of 1-b journals (journals scanned in international indexes other than SCI, SSCI, SCI-expanded, ESCI) according to UAK associate professorship criteria. HEALTH ACADEMY KASTAMONU Journal cover is registered by the Turkish Patent Institute.