Type of Article: Original Research

Volume 4; Issue 7: 2017

Page No.: 548-553

DOI: 10.16965/ijims.2017.120

 

NURSES’ ATTITUDE AND EFFECTIVENESS OF SURGICAL HYGIENE TECHNIQUES TRAINING AT DESSIE REFERRAL HOSPITAL, AMHARA REGION, ETHIOPIA

Yemiamrew Getachew *1, Prema Kumara 2, Wondwossen Yimam 3, Delelegn Tsegaye 4.

*1 Head, Department of Comprehensive Nursing, College of Medicine and Health Sciences (CMHS), Wollo University, Ethiopia.

2 Assistant professor, Department of Comprehensive Nursing, CMHS, Wollo University, Ethiopia.

3 Dean, School of Nursing & Midwifery, CMHS, Wollo University, Ethiopia.

4  Lecturer, Department of Comprehensive Nursing, CMHS, Wollo University, Ethiopia.

Corresponding Author Address: Yemiamrew Getachew, Head, Department of Comprehensive Nursing, College of Medicine and Health Sciences (CMHS), Wollo University, Ethiopia. E-Mail: greenwater3020@gmail.com

ABSTRACT

Introduction: Surgical Hygiene is a set of method to prevent the spread of health-care-associated infection. It is very essential to protect patients from pathogens during medical and surgical procedures. Health care forces should use Surgical Hygiene techniques to prevent these infections.

Objectives: To assess the Nurses’ attitude and effectiveness of the Surgical Hygiene Techniques training in Dessie Referral Hospital, Eastern Ethiopia.

Materials and Methods: Institution based one group pre-post-intervention pre-experimental design was used for 51 study subjects using convenient sampling technique. The study samples included nurses working at Operation theatre. Data collection took place between October-November 2016. The collected data were analyzed using descriptive and inferential statistics. Statistical significances for variables were set at p- value less than 0.05.

Results: There were significant differences almost in all attitude related factors under this study before and after the educational program. There were significant median differences in attitude (p = 0.001) and practice scores after the training on Surgical Hygiene Techniques in this study subjects. Sixty-seven % of respondents rated the training program as very good. Seventeen (17) % of respondents had rated as good, and 4% rated as fair and also 4% of the respondents rated as poor.

Conclusion & Recommendation: The training program provided by Wollo University staff was found to be helpful, and credible in attitude on Surgical Hygiene Techniques and which can be scaled up further to other Hospital staff. Periodic training and supportive supervision program shall be provided to nurses who work at operation theatre to update their attitude regarding Surgical Hygiene Techniques.

Key words: Nurses, Attitude, Effectiveness, Training, Surgical Hygiene Techniques.

REFERENCES

  1. Prevention of hospital-acquired infections: a practical guide. Geneva: World Health Organization; 2002.
  2. Burke JP. Infection control – a problem for patient safety. N Engl J Med 2003; 348:651–6.doi: 10.1056/NEJMhpr020557 PMID: 12584377.
  3. Bates DW et al. Global priorities for patient safety research. BMJ 2009;338:b1775. doi: 10.1136 /bmj.b1775).
  4. Lolekha, B. Ratanaubol, P. Manu Nosocomial infection a teaching hospital in Thailand Phil J Microbiol Infect Dis. 1981;10:103-114.
  5. Abdella et al. Hand Hygiene Compliance and Associated Factors among Health Care Provider in Gonder University Hospital. BMC Public Health, 2014;14(96):1-7.
  6. The hospital in rural and urban districts. Report of a WHO Study Group on the functions of hospitals at the first referral level. WHO Technical Report Series, No. 819,1992. ISBN 92 4 120819 8, Order No. 1100819.
  7. W. Obiero, et al. Berkley Empiric treatment of neonatal sepsis in developing countries Pediatr Infect Dis J, 2015;34(6):659-661.
  8. WHO guidelines on hand hygiene in health care. Geneva: World Health Organization; 2009.
  9. Vincent JL, Rello J, Marshall J, Silva E, Anzueto A, Martin CD et al.; EPIC II Group of Investigators. International study of the prevalence and outcomes of infection in intensive care units. JAMA 2009;302:2323–9. doi:10.1001/ jama.2009.1754 PMID:19952319.
  10. Krishna Prakash: Nosocomial infection-an overview [Online] Available from: http://www.researchgate.net/publication/18951524_Nosocomial_infections_an_overview [Accessed on October 16, 2017.
  11. Brusaferro, L. Arnoldo, G. Cattani, E. Fabbro, B. Cookson, R. Gallagher, et al. Harmonizing and supporting infection control training in Europe.J Hosp Infect, 2015;89(4):351-356.
  12. World Health Organization: Prevention of hospital-acquired infections: a practical guide. Geneva (2002) [Online] Available from: http://www.who.int/csr/resources/publications/whocdscsreph200212.pdf [Accessed on October 16, 2017.
  13. Messele G,et al. Common causes of nosocomial infections and their susceptibility patterns in two hospitals in Addis Ababa. Ethiop J Health Biomed Sci 2009;2:3-8.
  14. Kesah CN, et al. Aerobic bacterial nosocomial infections in paediatric surgical patients at a tertiary health institution in Lagos, Nigeria. Niger Postgrad Med J 2004;11: 4-9 pmid: 15254564.
  15. WHO practical guide 2002
  16. Oermann and et al. Deliberate practice of motor skills in nursing education: Nursing education perspectives, 2011;32(5):311-315.
  17. Freedman AM, Simmons S, Lloyd LM, Redd TR, Alperin MM, Salek SS, et al. Public health training center evaluation: a framework for using logic training models to improve practice and educate the public health workforce. Health Promot Pract. 2014;15(1 Suppl):80S–8.
  18. Kim L., Jeffe D., and Evanoff B., Improved Compliance with Universal Precautions in the Delivery Room Following an Educational Intervention. Infection Control and Hospital Epidemiology, 2007;22(8):522-525.
  19. Wissenberg, M., Lippert, F. K., Folke, F., Weeke, P., Hansen, C. M., Christensen, E. F., & Torp-Pedersen, C. Association of national initiatives to improve cardiac arrest management with rates of by stander intervention and patient survival after out-of-hospital cardiac arrest. Jama, 2013;310(13):1377-1384.
  20. Gajic, Z., Rajcevic, S., Đuric, P., Ilic, S., & Dugandzija, T., Knowledge and Attitudes of Health Care Workers from Primary Health Care Centers in India, Serbia on Professional Exposures to Blood–Borne infections. Arh Hig Rada Toksikol; 2013;64:145-151.
  21. Kumar R, Khan EA, Ahmed J, Khan Z, Magan M, Nousheen N, et al. Healthcare waste management in Pakistan: current situation and training options. J Ayub Med Coll Abbottabad. 2010;22(4):101–5.
  22. Ferdowsi A, Ferdosi M, Mehrani Z, Narenjkar P. Certain hospital waste management practices in isfahan, iran. Int J Prev Med. 2012;3 Suppl 1:S176–85.
  23. Brunot A, Thompson C. Health care waste management of potentially infectious medical waste by healthcare professionals in a private medical practice: a study of practices. Sante Publique. 2010; 22(6):605–15.
  24. Larson EL, Wong-McLoughlin J, Ferng YH. Preferences among immigrant Hispanic women for written educational materials regarding upper respiratory infections. J Community Health. 2009;34(3):202–9.
  25. Senareth et al., Effect of training for care providers on practice in hospitals in SiriLanka.JOGNN 2007; 36(6):531.
Download Full Text TOC