Training to prevent healthcare associated infections

Abstract

Objectives. Aim of this study was to investigate pre-education information level, efficiency of training, persistence of acquired information, and factors affecting information level of recently employed nurses about healthcare associated infections. Methods. One hundred and thirty-two nurses who have just started work were trained about “healthcare associated infections and infection control measures”. Tests were performed pre, post training and one year after training. Factors affecting test success were investigated. Results. Nurses who continued education after high school were more successful (p=0.002). Duration of work-hours, unit where they work and presence of previous training didn't affect test success (p=0.705, p=0.040, p=0.105; respectively). Test results were assessed over 100 points. Mean score before the training was 67.95±10.5 and it increased to 85.06±7.6 after the training (p=0.000). Mean test score at test repeated one year later was 80.04±8.77. Unit where they have worked during previous year, application of isolation in their unit and presence of training didn't affect general success in the test (p=0.344, p=0.316, p=0.259; respectively). Conclusions. Training programs using individualized, regularly repeated and approved training methods should be conducted in accordance with needs determined by these studies. Next target after knowledge increase will be reflection of this increase to daily practice and behaviour change.

Keywords

• Healthcare associated infections,education,nurse

References

1. Burke JP. Infection control - a problem for patient safety. N Engl J Med. 2003 Feb 13;348(7):651-6.
2. Lin CF, Yang CY, Lu MS, Kao CC. Effectiveness of a nosocomial infection control training in improving knowledge in patient-hired attendants and outsourced workers in Taiwan. J Nurs Res. 2008 Sep;16(3):187-94.
3. Suchitra JB, Lakshmi Devi N. Impact of education on knowledge, attitudes and practices among various categories of health care workers on nosocomial infections. Indian J Med Microbiol. 2007 Jul;25(3):181-7.
4. Parmeggiani C, Abbate R, Marinelli P, Angelillo IF. Healthcare workers and health care-associated infections: knowledge, attitudes, and behavior in emergency departments in Italy. BMC Infect Dis. 2010 Feb 23;10:35.
5. Defez C, Fabbro-Peray P, Cazaban M, Boudemaghe T, Sotto A, Daurès JP. Additional direct medical costs of nosocomial infections: an estimation from a cohort of patients in a French university hospital. J Hosp Infect. 2008 Feb;68(2):130-6.
6. Apisarnthanarak A, Danchaivijitr S, Khawcharoenporn T, Limsrivilai J, Warachan B, Bailey TC, et al. Effectiveness of education and an antibiotic-control program in a tertiary care hospital in Thailand. Clin Infect Dis. 2006 Mar 15;42(6):768-75.
7. Pittet D, Allegranzi B, Storr J, Bagheri Nejad S, Dziekan G, Leotsakos A, et al. Infection control as a major World Health Organization priority for developing countries. J Hosp Infect. 2008 Apr;68(4):285-92.
8. Harbarth S, Sax H, Gastmeier P. The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect. 2003 Aug;54(4):258-66.

9. Ciofi degli Atti ML, Tozzi AE, Ciliento G, Pomponi M, Rinaldi S, Raponi M. Healthcare workers' and parents' perceptions of measures for improving adherence to hand-hygiene. BMC Public Health. 2011 Jun 13;11:466.
10. Safdar N, Abad C. Educational interventions for prevention of healthcare-associated infection: a systematic review. Crit Care Med. 2008 Mar;36(3):933-40.
11. Marjadi B, McLaws ML. Rural Indonesian health care workers' constructs of infection prevention and control knowledge. Am J Infect Control. 2010 Jun;38(5):399-403.
12. Farrington M. Infection control education: how to make an impact--tools for the job. J Hosp Infect. 2007 Jun;65(Suppl 2):128-32.
13. Tvedt C, Bukholm G. Healthcare workers' self-reported effect of an interventional programme on knowledge and behaviour related to infection control. Qual Saf Health Care. 2010 Dec;19(6):e7.
14. Celen O, Karaalp T, Kaya S, Demir C, Teke A, Akdeniz A. Expectations of the nurses who work in ICUs of Gulhane Military Medical Faculty Training Hospital from in-house training programs and their opinions about these programs. Gulhane Med J. 2007;49:25-31.
15. Babcock HM, Zack JE, Garrison T, Trovillion E, Jones M, Fraser VJ, et al. An educational intervention to reduce ventilator-associated pneumonia in an integrated health system: a comparison of effects. Chest. 2004 Jun;125(6):2224-31.
16. Warren DK, Zack JE, Mayfield JL, Chen A, Prentice D, Fraser VJ, et al. The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU. Chest. 2004 Nov;126(5):1612-8.
17. Kanouff AJ, DeHaven KD, Kaplan PD. Prevention of nosocomial infections in the intensive care unit. Crit Care Nurs Q. 2008 Oct-Dec;31(4):302-8.
18. Coopersmith CM, Rebmann TL, Zack JE, Ward MR, Corcoran RM, Schallom ME, et al. Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit. Crit Care Med. 2002 Jan;30(1):59-64.
19. Zack JE, Garrison T, Trovillion E, Clinkscale D, Coopersmith CM, Fraser VJ, et al. Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia. Crit Care Med. 2002 Nov;30(11):2407-12.
20. Rosenthal VD, Guzman S, Safdar N. Reduction in nosocomial infection with improved hand hygiene in intensive care units of a tertiary care hospital in Argentina. Am J Infect Control. 2005 Sep;33(7):392-7.
21. Yamazhan T, Tasbakan MI, Calik Ş, Pullukcu H, Sipahi OR, Ulusoy S. Evaluation of the knowledge of hospital cleaning staff about prevention of nosocomial infections. Turk J Med Sci. 2009;39(1):77-80.
22. Sessa A, Giuseppe GD, Albano L, Angelillo IF; the Collaborative Working Group. An Investigation of nurses' knowledge, attitudes, and practices regarding disinfection procedures in Italy. BMC Infect Dis. 2011 May 25;11:148.
23. Akgun S, Azap A, Timurkaynak F, Arslan H. The role of in-house trainings on knowledge, attitudes and behaviours of nurses who work in a university hospital about nosocomial infections. Clin Sci Physician J. 2003;9:396-400.
24. Reime MH, Harris A, Aksnes J, Mikkelsen J. The most successful method in teaching nursing students infection control - E-learning or lecture? Nurse Educ Today. 2008 Oct;28(7):798-806.
25. Aytac N, Naharci H, Oztunc G. Knowledge level on ICU nurses of research and training hospitals in Adana about nosocomial infections. Adnan Menderes Univ Tip Fak Derg. 2008;9(3):9-15.
26. McDermott J, Beck D, Buffington ST, Annas J, Supratikto G, Prenggono D, et al. Two models of in-service training to improve midwifery skills: how well do they work? J Midwifery Womens Health. 2001 Jul-Aug;46(4):217-25.
27. Angelillo IF, Mazziotta A, Nicotera G. Nurses and hospital infection control: knowledge, attitudes and behaviour of Italian operating theatre staff. J Hosp Infect. 1999 Jun;42(2):105-12.