Hemşirelerin İzolasyon ve Standart Önlemlere Uyumunun Artırılması: Bir Eğitim Müdahalesi

Yıl 2024, Cilt: 34 Sayı: 5, 727 - 732, 31.10.2024

Aylin Kurt , Samet Günan , Ayça Nur Yıldız , Ebrar Artar

https://doi.org/10.54005/geneltip.1464699

Öz

Amaç: Bu çalışmada hemşirelerin standardizasyon ve izolasyon önlemlerine uyumu üzerine eğitimin etkisinin araştırılması amaçlandı.
Yöntem: Çalışma ön test son test tasarımlı bir çalışmadır. Çalışma bir devlet hastanesinin COVID-19 hastalarının kabul edildiği yoğun bakım ve izolasyon ünitelerinde 100 hemşire ile Eylül 2022 ve Eylül 2023 tarihleri arasında gerçekleştirildi. Veriler Standart Önlemlere Uyum Ölçeği (SPCS) ve İzolasyon Önlemlerine Uyum Ölçeği (IPCS) kullanılarak toplandı. Hemşirelerin standart ve izolasyon yöntemlerine uyumu her iki zaman diliminde de incelendi.
Bulgular: İzolasyon Önlemlerine Uyum Ölçeği toplam puan ortalaması eğitim sonrasında daha yüksekti (T1=55.39±7.39, T2=77.50±9.68; t=8.372, p<0.001). Standart Önlemlere Uyum Ölçeği toplam puan ortalaması eğitim sonrasında daha yüksektir (T1=10.38±2.46, T2=14.43±4.29; t=6.298, p<0.001).
Sonuç: Kişisel koruyucu ekipman kullanımının önemi, izolasyon ve standart önlemlere uyum konularında verilen eğitim, hemşirelerin koruyucu ekipman çeşitliliğinde ve kullanım oranlarında artışa neden oldu.

Anahtar Kelimeler

Ektopik gebelik, Heterotropik gebelik, Laparoskopi, Transvajinal ultrasonografi

Proje Numarası

1919B012106508

Improving Nurses’ Compliance with Isolation and Standard Precautions: An Educational Intervention

Öz

Aim: This study aimed to investigate the impact of education on nurses' compliance with standardization and isolation precautions.
Methods: The study covered two different time periods, before and after the training. The compliance of the nurses with standard and isolation methods was examined in both time periods.
Results: The mean total score of the Compliance to Isolation Measures Scale was higher after the education (T1=55.39±7.39, T2=77.50±9.68; t=8.372, p<0.001). The mean total score of the Compliance to Standard Precautions Scale was higher after the education (T1=10.38±2.46, T2=14.43±4.29; t=6.298, p<0.001)
Conclusion: Education on the importance of using personal protective equipment, isolation, and compliance with standard precautions led to an increase in the variety and usage rates of nurses' protective equipment.

Anahtar Kelimeler

Nurses, infection prevention, education, COVID-19

Destekleyen Kurum

Scientific and Technical Research Council of Turkey (TUBITAK) 2209-A University Students Research Projects Support Program

Proje Numarası

1919B012106508

Kaynakça

• Dobrina R, Donati D, Giangreco M, De Benedictis A, Schreiber S, Bicego L, et al. Nurses’ compliance to standard precautions prior to and during COVID-19. Int Nurs Rev. 2023; 71(1):20-27.
• Yılmaz Kurt F, Alankaya N, Atay S, Efil S. The correlation between nursing students’ levels of fear and stress related to the COVID-19 pandemic and their compliance with standard precautions. Eur J Clin Exp Med. 2023;21(3):492–9.
• Anelli F, Leoni G, Monaco R, Nume C, Rossi RC, Marinoni G, et al. Italian doctors call for protecting healthcare workers and boosting community surveillance during covid-19 outbreak. BMJ. 2020;368(March):1–2. http://dx.doi.org/doi:10.1136/bmj.m1254
• Sevilay Ş, Çelik K, Üniversitesi H, Fakültesi TZ, Türk İ, Derneği H, et al. COVID-19 pandemic in the international year of the nurses: turkish nursing association studies. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilim Fakültesi Derg. 2021;6(1):23–7.
• Reeves BC, Gaus W. Guidelines for reporting non-randomised studies. Forschende Komplementarmedizin und Klass Naturheilkd. 2004;11(SUPPL. 1):46–52.
• Tayran N, Ulupınar S. Development of a scale study: validity and reliability of a scale compliance with isolation precautions. J Florence Nightingale Nurs. 2011;19(2):89-98–98.
• Samur M, Seren Intepeler S, Lam SC. Adaptation and validation of the Compliance with Standard Precautions Scale amongst nurses in Turkey. Int J Nurs Pract. 2020;26(3):1–13.
• Pakdemirli A. Suse of personal protective equipment for healthcare workers. J Gyneco - Obstet and Neo Med. 2021;18(2):834–9.
• Xiong P, Zhang J, Wang X, Wu TL, Hall BJ. Effects of a mixed media education intervention program on increasing knowledge, attitude, and compliance with standard precautions among nursing students: A randomized controlled trial. Am J Infect Control. 2017;45(4):389–95.
• Angeloni NLN, Silva MHDN, Valle LAR, Sousa ÁFL, Valim MD, Andrade D de, et al. Impact of an educational intervention on standard precautions during the COVID-19 pandemic. Rev Bras Enferm. 2023;76(4):1–4.
• Sommerstein R, Fux CA, Vuichard-Gysin D, Abbas M, Marschall J, Balmelli C, et al. Risk of SARS-CoV-2 transmission by aerosols, the rational use of masks, and protection of healthcare workers from COVID-19. Antimicrob Resist Infect Control. 2020;9(1):1–8.
• Ganczak M, Szych Z. Surgical nurses and compliance with personal protective equipment. J Hosp Infect. 2007;66(4):346–51.
• Luo Y, He GP, Zhou JW, Luo Y. Factors impacting compliance with standard precautions in nursing, China. Int J Infect Dis. 2010;14(12):e1106–14. http://dx.doi.org/10.1016/j.ijid.2009.03.037
• AL-Rawajfah OM, Tubaishat A. Nursing students’ knowledge and practices of standard precautions: A Jordanian web-based survey. Nurse Educ Today. 2015;35(12):1175–80. http://dx.doi.org/10.1016/j.nedt.2015.05.011
• Jansson MM, Syrjälä HP, Ohtonen PP, Meriläinen MH, Kyngäs HA, Ala-Kokko TI. Simulation education as a single intervention does not improve hand hygiene practices: A randomized controlled follow-up study. Am J Infect Control. 2016;44(6):625–30. http://dx.doi.org/10.1016/j.ajic.2015.12.030
• Zeigheimat F, Ebadi A, Rahmati-Najarkolaei F, Ghadamgahi F. An investigation into the effect of health belief model-based education on healthcare behaviors of nursing staff in controlling nosocomial infections. J Educ Health Promot. 2016;5(1):23.
• Stock S, Tebest R, Westermann K, Samel C, Strohbücker B, Stosch C, et al. Implementation of an innovative hands-on training to improve adherence to hygiene rules: A feasibility Study. Nurse Educ Today. 2016;36:407–11. http://dx.doi.org/10.1016/j.nedt.2015.10.012
• Gomarverdi S, Khatiban M, Bikmoradi A, Soltanian AR. Effects of a multi-component educational intervention on nurses’ knowledge and adherence to standard precautions in intensive care units. J Infect Prev. 2019;20(2):83–90.