Yenidoğan Yoğun Bakım Hemşirelerine Verilen Enfeksiyon Kontrol Eğitiminin Hemşirelerin Bilgi Düzeyi Ve El Hijyeni Uygulamalarına Etkisi
Abstract
Amaç: Bu çalışma, Yenidoğan Yoğun Bakım Ünitesi hemşirelerinin sağlıkla ilişkili enfeksiyonları azaltmaya yönelik önlemler konusundaki farkındalık ve bilgi düzeylerini değerlendirmek, gerekli eğitimleri vermek ve eğitim sonuçlarını değerlendirmek amacıyla yapıldı.
Yöntem: Yarı deneysel çalışma bir kadın doğum hastanesinde gerçekleştirilmiştir. Araştırmanın örneklemini 108 hemşire/ebe oluşturmuştur. Enfeksiyon kontrol önlemlerine yönelik sunum eğitimi öncesi ve sonrasında; El Hijyeni İnanç Ölçeği puanı, El Hijyeni Uygulama Envanteri puanı ve enfeksiyon kontrolüne ilişkin bilgi düzeylerini ölçmeyi amaçlayan yirmi çoktan seçmeli soru yanıtı değerlendirilmiştir. Eğitimöncesi-sonrası karşılaştırmalarında Wilcoxon İşaretli Sıralama Testi kullanılmıştır. Sonuçlar %95 güven aralığında p<.05 anlamlılık düzeyinde değerlendirilmiştir. STROBE kontrol listesi kullanılmılştır.
Bulgular: Araştırma grubunun yaş ortalaması 29,95±7,83 olup %83,3'ü hemşire, %16,7'si ebedir. Eğitim sonrası El Hijyeni İnanç Ölçeği puanında 5,39±13,24 (p<0,001), El Hijyeni Uygulama Envanteri puanında 1,20±6,51 (p=0,014), enfeksiyon kontrol bilgi puanında ise 2,14±2,28 (p<0,001) artış saptanmıştır ve bu artışlar istatistiksel olarak anlamlıdır.
Sonuç: Bu çalışmada enfeksiyon kontrolü konusunda verilen eğitim, sağlık çalışanlarının el hijyeni inanç ve uygulamalarını olumlu yönde etkileyerek bilgi düzeylerini artırmıştır. Hemşirelerin enfeksiyon kontrolüne ilişkin bilgi, tutum ve davranışlarının geliştirilmesinde düzenli eğitimler önemlidir.
Keywords
Yenidoğan Yoğun Bakım Yenidoğan Hemşireliği Hemşirelik Bakımı El Hijyeni Enfeksiyon Kontrolü Hizmetiçi Eğitim
Ethical Statement
Ethical Approval: Approval was obtained from the hospital where the study was conducted and from the Clinical Research Ethics Committee of the hospital (Date: 31.03.2022, Number:2022/34). Informed consent was also obtained from the volunteers.
Supporting Institution
None
References
- REFERENCES Alslaim HS, Chan J, Saleem-Rasheed F, Ibrahim Y, Karabon P, Novotny N. (2022). Discordance among Belief. Practice and the Literature in Infection Prevention in the NICU. Children. 9:492. https://doi.org/10.3390/ children9040492.
- Arda B, Senol S, Isıkgoz Tasbakan M, Yamazhan T, Sipahi OR, Arsu G, Ulusoy S. (2005). Evaluation of Compliance with Hand Hygiene Rules in Ege University Medical Faculty Intensive Care Units. Journal of Intensive Care. 5(3):182-186.
- Cartier V, Inan C, Zingg W, Delhumeau C, Walder B, Savoldelli GL. (2016). Simulation-based medical education training improves short and long-term competency in, and knowledge of central venous catheter insertion: a before and after intervention study. Europ J Anaesthesiology, 33(8):568-574.
- Ceylan B, Gunes U, Baran L, Ozturk H, Sahbudak G. (2020). Examining the Hand Hygiene Beliefs and Practices of Nursing Students and the Effectiveness of their Handwashing Behavior. Journal of Clinical Nursing, doi:10.1111/jocn.15430.
- Clancy C, Delungahawatta T, Dunne CP. (2021). Hand-hygiene-related clinical trials reported between 2014 and 2020: a comprehensive systematic review, Journal of Hospital Infection, 6-26. https://doi.org/10.1016/j.jhin.2021.03.007.
- Deshommes T, Nagel C, Tucker R, Dorcélus L, Gautier J, Koster MP, Lechner BE. (2020). A Quality Improvement Initiative to Increase Hand Hygiene Awareness and Compliance in a Neonatal Intensive Care Unit in Haiti. Journal of Tropical Pediatrics, 0:1-8. doi:10.1093/tropej/fmaa029
- Doğu O, Tiryaki O. (2017). Job satısfactıon relatıonshıp between use of gloves attıtude and complıance wıth ısolatıon precautıons of nurses ıntensıve care. Journal of Intensive Care Nursing, 21(1):16-21.
- Dramowski A, Aucamp M, Beales E, Bekker A, Cotton MF, Fitzgerald FC, Labi AK, Russell N, Strysko J, Whitelaw A, Coffin S. (2022). Healthcare-Associated Infection Prevention Interventions for Neonates in Resource-Limited Settings. Front Pediatr, Jul 7;10:919403. doi: 10.3389/fped.2022.919403.
- Hocevar SN, Lessa FC, Gallagher L, Conover C, Gorwitz R, Iwamoto M. (2014). Infection Prevention Practices in Neonatal Intensive Care Units Reporting to the National Healthcare Safety Network. Infection Control & Hospital Epidemiology, 35(09):1126–1132. doi:10.1086/677636.
- Infal S, Sahin TK. (2018). Knowledge Levels about Nosocomial Infections of Nurses Working in A University Hospital. Süleyman Demirel Unıversıty Journal of Health Sciences Institute, 9(3):1-6. DOI: https://doi.org/10.22312/sdusbed.330868.
- Karadag M, Yıldırım N, Işeri OP. (2016). The validity and reliability study of Hand Hygiene Belief Scale and Hand Hygiene Practices Inventory. Cukurova Med J., 41(2):271-284. DOI: 10.17826/cutf.206317.
- Karahan E, Dogan S, Celik S. (2020). Evaluation of Hand Hygiene Belief and Applications in Medical Staff. Health Academy Kastamonu, 5(2):91-103.
- Koo E, McNamara S, Lansing B, Olmsted RN, Rye RA, Fitzgerald T, Mody L. (2016). Making infection prevention education interactive can enhance knowledge and improve outcomes: Results from the Targeted Infection Prevention (TIP) Study. American Journal of Infection Control, 44(11):1241–1246. doi:10.1016/j.ajic.2016.03.016 Kumar S, Shankar B, Arya S, Deb M, Chellani H. (2018). Healthcare associated infections in neonatal intensive care unit and its correlation with environmental surveillance. Journal of Infection and Public Health, 11:275–279.
- Nakamura I, Fujita H, Tsukimori A, Kobayashi T, Sato A, Fukushima S, Amano K, Abe Y. (2019). Scenario-based simulation health care education for performance of hand hygiene. Am J Infect Control, 47(2):144-148.
- Oztürk R, Cesur S, Simsek EM, Sen S., Sanal L. (2019). Assessment of knowledge levels of health care professionals working at intensive care units about infection control measures. Turkish Journal of Clinics and Laboratory, 10:235-241.
- Theron M, Botma Y, Heyns T. (2002). Infection prevention and control practices of non-medical individuals in a neonatal intensive care unit: A Donabedian approach. Midwifery, 2;112:103393. doi: 10.1016/j.midw.2022.103393.
- Turan F. (2020). The Influence of Nurses’ Beliefs About Hand Hygiene on Hand Hygiene Practices. Cukurova University Health Sciences Institute. Department of Nursing. Master's Thesis. Adana.
- Ulutasdemir N, Ipekçi N, Dokur M, Daglı Ö. (2008). Evaluation of Nursing Students' Knowledge on Protection from Nosocomial Infections and Behaviors According to Health Belief Theory. Fırat Health Services Journal, 3(9):87-101.
- Ulus A. (2021). Infection control ın newborn ıntensive care unıts. Aydın Adnan Menderes Üniversitesi Institute of Health Sciences. Hospital Infection Control Interdisciplinary Program. Master’s Thesis. Aydın. Uslu S, Bolat F, Can E, Comert S, Nuhoglu A. (2010). Prevention studies of hospital-acquired infections in neonatal intensive care units . Medical Journal of Bakırkoy, 6:1-7.
- Ünsar S, Yıldız Çilengiroğlu İ, Meşhur G, Duman E, Özlemiş N. (2022). Determination of nursing students' compliance with ısolation precautions, attitudes and behaviors. Journal of Samsun Health Sciences, 7(3): 871-882.
- Van De Mortel T. (2009). Development of a questionnaire to assess health care students’ hand hygiene knowledge. beliefs and practices. Aust J Adv Nurs., 26. 9-16.
- WHO. (2009). WHO Guidelines on Hand Hygiene in Health Care. https://iris.who.int/bitstream/handle/10665/44102/9789241597906_eng.pdf?sequence=1
The Effect Of Infection Control Training Given to Neonatal Intensive Care Nurses On Nurses' Knowledge Level And Hand Hygiene Practices
Abstract
Objective: This study was conducted to evaluate the awareness and knowledge levels of Neonatal Intensive Care Unit nurses about measures to reduce health care related infections, to provide the necessary training and to evaluate the training results.
Methods: Quasi-experimental study was carried out in a gynecology hospital. The study sample consisted of 108 nurses/midwifes. Before and after presentation training on infection control measures; Hand Hygiene Belief Scale score, Hand Hygiene Practice Inventory score and twenty multiple-choice question answers aiming to measure knowledge levels of infection control were evaluated. Wilcoxon Signed Rank Test was used for before-after training comparisons. The results were evaluated at the level of significance p<.05 at the 95% confidence interval. The STROBE checklist was used.
Results: The mean age of the research group was 29.95±7.83, 83.3% of them were nurses and 16.7% of them were midwifes. There was an increase of 5.39±13.24 (p<.001) in the Hand Hygiene Belief Scale score, 1.20±6.51 (p=.014) in the Hand Hygiene Practice Inventory score, and 2.14±2.28 (p<.001) in the infection control knowledge score and these increases were statistically significant.
Keywords
Neonatal Intensive Care Neonatal nursing Nursing care Hand Hygiene Infection Control Inservice Training
References
- REFERENCES Alslaim HS, Chan J, Saleem-Rasheed F, Ibrahim Y, Karabon P, Novotny N. (2022). Discordance among Belief. Practice and the Literature in Infection Prevention in the NICU. Children. 9:492. https://doi.org/10.3390/ children9040492.
- Arda B, Senol S, Isıkgoz Tasbakan M, Yamazhan T, Sipahi OR, Arsu G, Ulusoy S. (2005). Evaluation of Compliance with Hand Hygiene Rules in Ege University Medical Faculty Intensive Care Units. Journal of Intensive Care. 5(3):182-186.
- Cartier V, Inan C, Zingg W, Delhumeau C, Walder B, Savoldelli GL. (2016). Simulation-based medical education training improves short and long-term competency in, and knowledge of central venous catheter insertion: a before and after intervention study. Europ J Anaesthesiology, 33(8):568-574.
- Ceylan B, Gunes U, Baran L, Ozturk H, Sahbudak G. (2020). Examining the Hand Hygiene Beliefs and Practices of Nursing Students and the Effectiveness of their Handwashing Behavior. Journal of Clinical Nursing, doi:10.1111/jocn.15430.
- Clancy C, Delungahawatta T, Dunne CP. (2021). Hand-hygiene-related clinical trials reported between 2014 and 2020: a comprehensive systematic review, Journal of Hospital Infection, 6-26. https://doi.org/10.1016/j.jhin.2021.03.007.
- Deshommes T, Nagel C, Tucker R, Dorcélus L, Gautier J, Koster MP, Lechner BE. (2020). A Quality Improvement Initiative to Increase Hand Hygiene Awareness and Compliance in a Neonatal Intensive Care Unit in Haiti. Journal of Tropical Pediatrics, 0:1-8. doi:10.1093/tropej/fmaa029
- Doğu O, Tiryaki O. (2017). Job satısfactıon relatıonshıp between use of gloves attıtude and complıance wıth ısolatıon precautıons of nurses ıntensıve care. Journal of Intensive Care Nursing, 21(1):16-21.
- Dramowski A, Aucamp M, Beales E, Bekker A, Cotton MF, Fitzgerald FC, Labi AK, Russell N, Strysko J, Whitelaw A, Coffin S. (2022). Healthcare-Associated Infection Prevention Interventions for Neonates in Resource-Limited Settings. Front Pediatr, Jul 7;10:919403. doi: 10.3389/fped.2022.919403.
- Hocevar SN, Lessa FC, Gallagher L, Conover C, Gorwitz R, Iwamoto M. (2014). Infection Prevention Practices in Neonatal Intensive Care Units Reporting to the National Healthcare Safety Network. Infection Control & Hospital Epidemiology, 35(09):1126–1132. doi:10.1086/677636.
- Infal S, Sahin TK. (2018). Knowledge Levels about Nosocomial Infections of Nurses Working in A University Hospital. Süleyman Demirel Unıversıty Journal of Health Sciences Institute, 9(3):1-6. DOI: https://doi.org/10.22312/sdusbed.330868.
- Karadag M, Yıldırım N, Işeri OP. (2016). The validity and reliability study of Hand Hygiene Belief Scale and Hand Hygiene Practices Inventory. Cukurova Med J., 41(2):271-284. DOI: 10.17826/cutf.206317.
- Karahan E, Dogan S, Celik S. (2020). Evaluation of Hand Hygiene Belief and Applications in Medical Staff. Health Academy Kastamonu, 5(2):91-103.
- Koo E, McNamara S, Lansing B, Olmsted RN, Rye RA, Fitzgerald T, Mody L. (2016). Making infection prevention education interactive can enhance knowledge and improve outcomes: Results from the Targeted Infection Prevention (TIP) Study. American Journal of Infection Control, 44(11):1241–1246. doi:10.1016/j.ajic.2016.03.016 Kumar S, Shankar B, Arya S, Deb M, Chellani H. (2018). Healthcare associated infections in neonatal intensive care unit and its correlation with environmental surveillance. Journal of Infection and Public Health, 11:275–279.
- Nakamura I, Fujita H, Tsukimori A, Kobayashi T, Sato A, Fukushima S, Amano K, Abe Y. (2019). Scenario-based simulation health care education for performance of hand hygiene. Am J Infect Control, 47(2):144-148.
- Oztürk R, Cesur S, Simsek EM, Sen S., Sanal L. (2019). Assessment of knowledge levels of health care professionals working at intensive care units about infection control measures. Turkish Journal of Clinics and Laboratory, 10:235-241.
- Theron M, Botma Y, Heyns T. (2002). Infection prevention and control practices of non-medical individuals in a neonatal intensive care unit: A Donabedian approach. Midwifery, 2;112:103393. doi: 10.1016/j.midw.2022.103393.
- Turan F. (2020). The Influence of Nurses’ Beliefs About Hand Hygiene on Hand Hygiene Practices. Cukurova University Health Sciences Institute. Department of Nursing. Master's Thesis. Adana.
- Ulutasdemir N, Ipekçi N, Dokur M, Daglı Ö. (2008). Evaluation of Nursing Students' Knowledge on Protection from Nosocomial Infections and Behaviors According to Health Belief Theory. Fırat Health Services Journal, 3(9):87-101.
- Ulus A. (2021). Infection control ın newborn ıntensive care unıts. Aydın Adnan Menderes Üniversitesi Institute of Health Sciences. Hospital Infection Control Interdisciplinary Program. Master’s Thesis. Aydın. Uslu S, Bolat F, Can E, Comert S, Nuhoglu A. (2010). Prevention studies of hospital-acquired infections in neonatal intensive care units . Medical Journal of Bakırkoy, 6:1-7.
- Ünsar S, Yıldız Çilengiroğlu İ, Meşhur G, Duman E, Özlemiş N. (2022). Determination of nursing students' compliance with ısolation precautions, attitudes and behaviors. Journal of Samsun Health Sciences, 7(3): 871-882.
- Van De Mortel T. (2009). Development of a questionnaire to assess health care students’ hand hygiene knowledge. beliefs and practices. Aust J Adv Nurs., 26. 9-16.
- WHO. (2009). WHO Guidelines on Hand Hygiene in Health Care. https://iris.who.int/bitstream/handle/10665/44102/9789241597906_eng.pdf?sequence=1
Details
| Primary Language | English |
|---|---|
| Subjects | Obstetrics and Gynocology Nursing, ICU Nursing |
| Journal Section | Araştırma Makele |
| Authors | |
| Publication Date | November 30, 2023 |
| Submission Date | October 11, 2023 |
| Acceptance Date | November 28, 2023 |
| Published in Issue | Year 2023 Volume: 9 Issue: 3 |
