Journal of Education and Health Promotion

Educating nursing staff regarding infection control practices and assessing its impact on the incidence of hospital‑acquired infections

Document Type : Original Article

Authors

. Sunil Kumar Kakkar
. Manju Bala 1
. Vikramjeet Arora 2

1 Department of Microbiology, Dr. Y S Parmar Government Medical College, Nahan, Himachal Pradesh, India

2 Department of Anaesthesia, Dr. Y S Parmar Government Medical College, Nahan, Himachal Pradesh, India

Abstract
CONTEXT: Hospital‑acquired infections (HAIs) are a global problem. One of the common causes of
HAI is through the health‑care workers, mainly because of failure to comply with the recommended
infection control guidelines.
AIMS: The aim of our study was to educate and train the nurses regarding infection control practices
and assess the impact of training and assess whether this training actually made any change in the
incidence of catheter‑associated urinary tract infection (CAUTI) and intravenous (IV) line‑related
infections.
MATERIALS AND METHODS: Baseline knowledge, attitude, and practices study of willingly
participating 105 nurses regarding infection control was done. The incidence of CAUTI and IV
line‑related infection was calculated in the areas of their postings. They were trained via an educational
module regarding infection control practices. We again assessed the incidence of CAUTI and IV
line‑related infections in the same areas 2 months after training. Data analysis was done using SPSS
version 20.0. Student’s t‑test was used to analyze the difference in the prevalence of CAUTI and IV
line‑associated HAIs pre intervention and post intervention.
RESULTS: There was reduction in the incidence of IV line‑related infection, though it was not
significant (P 0.15) and no change in the incidence of CAUTI after intervention.
CONCLUSION: Single educational module though improved nurses’ knowledge and attitude regarding
infection control but failed to result in significant improvement in practices and incidence of HAIs.

Keywords

Catheter‑related infections
infection control
nosocomial infections
1. Singh G. Hospital Infection Control Guidelines: Principles and
Practice. New Delhi, India Jaypee Brothers Medical Publishers
Private Limited ; 2012.
2. Ducel G, Fabry J and Nicolle L. Prevention of hospital acquired
infections: A practical guide. Available from https://apps.who.
int/iris/handle/10665/67350.
3. Plowman R, Graves N, Griffin MA, Roberts JA, Swan AV,
Cookson B, et al. The rate and cost of hospital‑acquired infections
occurring in patients admitted to selected specialties of a district
general hospital in England and the national burden imposed.
J Hosp Infect 2001;47:198‑209.
4. Yalcin AN. Socioeconomic burden of nosocomial infections.
Indian J Med Sci 2003;57:450‑6.
5. Engemann JJ, Friedman JY, Reed SD, Griffiths RI,
Szczech LA, Kaye KS, et al. Clinical outcomes and costs due
to Staphylococcus aureus bacteremia among patients receiving
long‑term hemodialysis. Infect Control Hosp Epidemiol
2005;26:534‑9.
6. Jarvis WR. Selected aspects of the socioeconomic impact of
nosocomial infections: Morbidity, mortality, cost, and prevention.
Infect Control Hosp Epidemiol 1996;17:552‑7.
7. Lam BC, Lee J, Lau YL. Hand hygiene practices in a neonatal
intensive care unit: A multimodal intervention and impact on
nosocomial infection. Pediatrics 2004;114:e565‑71.
8. Horn WA, Larson EL, McGinley KJ, Leyden JJ. Microbial flora on
the hands of health care personnel: Differences in composition
and antibacterial resistance. Infect Control Hosp Epidemiol
1988;9:189‑93.
9. Albert RK, Condie F. Hand‑washing patterns in medical
intensive‑care units. N Engl J Med 1981;304:1465‑6.
10. Kristensen MS, Wernberg NM, Anker‑Møller E. Healthcare
workers’ risk of contact with body fluids in a hospital: The effect
of complying with the universal precautions policy. Infect Control
Hosp Epidemiol 1992;13:719‑24.
11. Meengs MR, Giles BK, Chisholm CD, Cordell WH, Nelson DR.
Hand washing frequency in an emergency department.
J Emerg Nurs JEN Off Publ Emerg Dep Nurses Assoc
1994;20:183‑8.
12. Askarian M, Shiraly R, McLaws ML. Knowledge, attitudes, and
practices of contact precautions among Iranian nurses. Am J Infect
Control 2005;33:486‑8.
13. Paudyal P, Simkhada P, Bruce J. Infection control knowledge,
attitude, and practice among Nepalese health care workers. Am
J Infect Control 2008;36:595‑7.
14. .Liu JE, Mok E, Wong T, Xue L, Xu B. Evaluation of an integrated
communication skills training program for nurses in cancer care
in Beijing, China. Nurs Res 2007;56:202‑9.
15. 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;10:35.
16. Klevens RM, Edwards JR, Richards CL Jr., Horan TC,
Gaynes RP, Pollock DA, et al. Estimating health care‑associated
infections and deaths in U.S. hospitals, 2002. Public Health Rep
2007;122:160‑6.
17. Stone PW, Kunches L, Hirschhorn L. Cost of hospital‑associated
infections in Massachusetts. Am J Infect Control 2009;37:210‑4.
18. Zhan C, Miller MR. Excess length of stay, charges, and mortality
attributable to medical injuries during hospitalization. JAMA
2003;290:1868‑74.
19. ScottRD. Others. The Direct Medical Costs of Healthcare‑Associated
Infections in US Hospitals and the Benefits of Prevention; 2009.
Available from: http://stacks.cdc.gov/view/cdc/11550/. [Last
accessed on 2015 Oct 11].
20. Continuing Nursing Education: Best Practice Initiative in Nursing
Practice Environment. Available from: http://www.sciencedirect.
com/science/article/pii/S1877042812038608.
21. 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;25:181‑7.
22. Amine AE, Helal MO, Bakr WM. Evaluation of an intervention
program to prevent hospital‑acquired catheter‑associated urinary
tract infections in an ICU in a rural Egypt hospital. GMS Hyg
Infect Control 2014;9(2): Doc15 Available From: http://www.
ncbi.nlm.nih.gov/pmc/articles/PMC4141633/.
23. Yilmaz G, Caylan R, Aydin K, Topbas M, Koksal I. Effect of
education on the rate of and the understanding of risk factors
for intravascular catheter‑related infections. Infect Control Hosp
Epidemiol 2007;28:689‑94.
24. Aiken LH, Clarke SP, Cheung RB, Sloane DM, Silber JH.
Educational levels of hospital nurses and surgical patient
mortality. JAMA 2003;290:1617‑23.
Journal of Education and Health Promotion
Volume 11, Issue 1
January 2021
Pages 1-6

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