Document Type : Original Article


1 Community Health Nursing, School of Nursing, Babcock University, Ogun State,

2 Department of Nursing, University of Lagos, Lagos, Nigeria


BACKGROUND: Infection control has become a major concern in the health‑care system and
health‑care workers, particularly nurses are at high risk of infection. This study, therefore, examined
the effect of a training program on attitude and practice of infection control among nurses in two
tertiary hospitals in Ogun State, Nigeria.
MATERIALS AND METHODS: This study adopted a pretest–posttest quasi‑experimental design.
The sample consisted of 87 participants. The experimental group consisted of 42 registered
nurses from Babcock University Teaching Hospital, Ogun state, Nigeria, while the control group
consisted of 45 registered nurses from Olabisi Onabanjo University Teaching Hospital, Sagamu,
Nigeria. The instrument for data collection was attitude toward components of infection control
questionnaire (r = 72) and practice of infection control questionnaire (r = 76). Data were analyzed
using SPSS version 21.0 (SPSS Inc. Chicago IL, USA).
RESULTS: Findings showed that the mean age in the experimental group was 34.92 ± 8.9 while the
control group was 47.43 ± 6.6. The average years of experience for the experimental group were
10.42 ± 9.9 while that of the control group were 21.89 ± 8.7. Responses on attitude showed that 30
participants (69%) had positive attitude in the experimental group compared to 21 participants (46.7%)
in the control group. The mean difference was 4.02. Significant difference was observed between
mean attitude score of participants in the experimental group and control group (P = 0.03), between
mean practice score (P = 0.001), and between self‑reported and observed practices (P = 0.000).
CONCLUSION: The training was effective in improving attitude and practice of infection control.
Adequate provision of structured training programs on infection control measures is recommended.


1. World Health Organization. Safe Management of Wastes from
Health‑Care Activities. Hospital Hygiene and Infection Control.
World Health Organization; 2011. Available from: http://www. [Last accessed on 2017 Feb 18].
2. World Health Organization. Guidelines on Hand Hygiene in
Health Care. Geneva: World Health Organization; 2009.
3. Vincent JL, Rello J, Marshall J, Silva E, Anzueto A, Martin CD, et al.
International study of the prevalence and outcomes of infection
in Intensive Care Units. JAMA 2009;302:2323‑9.
4. Oli AN, Okoli KC, Ujam NT, Adje DU, Ezeobi I. Health
professionals’ knowledge about relative prevalence of
hospital‑acquired infections in delta state of Nigeria. Pan Afr
Med J 2016;24:148.
5. JainM, Dogra V, Mishra B, Thakur A, Loomba PS. Infection control
practices among doctors and nurses in a tertiary care hospital.
Ann Trop Med Public Health 2012;529‑33. Available from: http:// 2012/5/1/29/92877.
[Last accessed on 2017 Feb 16].
6. Sharma BK, George S. Role of knowledge in practicing universal
precautions among staff nurses. Int J Med Sci Res Pract 2014;1:44‑9.
Available from:‑49_sharma. [Last
accessed on 2016 Dec 11].
7. van der Berg LS, Daniels FM. Do nursing students know and
practise the universal precautions to prevent transmission of
infectious agents? Curationis 2013;36:E1‑7.
8. Kotwal A, Taneja D. Health care workers and universal
precautions: Perceptions and determinants of non‑compliance.
Indian J Community Med 2010;35:526‑8.
9. Adejumo OP, Olatunji TB. Exposure to work‑related sharp injuries
among nurses in Nigeria. J Nurs Educ Pract 2014;4:229.
10. Green L, Kreuter M, Deeds S, Partridge K. Health Education
Planning: A Diagnostic Approach. Palo Alto, CA: Mayfield; 1980.
11. Polit DF, Beck CT. Essentials of nursing research; appraising
evidence for nursing pr compliance with standard precautions.
Am J Infect Control 2014;44:4‑7.
12. Askarian M, McLaws ML, Meylan M. Knowledge, attitude
and practices related to standard precautions of surgeons and
physicians in university‑ affiliated hospitals of shiraz, Iran. Int
Journal of Infectious Diseases 2007; 11:213‑221
13. Wang H. Protection for occupational health investigation. Chinese
Nursing Research 2002; 16:331‑ 334.
14. LiX, WangL. Standard precaution investigation and the knowledge
counter‑measures. Journal of Nursing Science 2005; 20:63‑68.
15. Rezaee R, Danaei M, Askarian M. The Efficacy of Teaching
hand Hygiene to Medical students: An Interventional Study.
International Journal of Academic Research in Business and Social
Sciences 2014;9 (4):151–159.
16. Hong SY, Jang HJ. The effect of hand washing education
programme on knowledge, attitude and performance of hand
washing in pre‑practicum nursing students. Adv Sci Technol Lett
17. Taha A. Impact of universal precautions training programme
on nurse midwives performance during labor in Khartoum
state – Sudan 2006‑2009. J US China Med Sci 2014;11:94‑107.
18. Temesgen C, Demissie M. Knowledge and practice of tuberculosis
infection control among health professionals in Northwest
Ethiopia; 2011. BMC Health Serv Res 2014;14:593.
19. Nwozichi CU, Ojewole FO, Farotimi AA, Ojediran TD. Effect of
self‑instructional module on knowledge about ebola virus disease
among Nigerian university students in Bengaluru, India. J Educ
Health Promot 2016;5:4.
20. 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
21. Nwozichi CU. Effect of video‑based teaching module on
knowledge about testicular cancer and testicular self‑examination
among male undergraduate students. Arch Med Health Sci