A survey of doctors' and nurses' knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals

Stein, A.; Makarawo, T.P; Ahmad, Mehtab

doi:10.1016/s0195-6701(03)00074-4

Cited by 209 publications

(208 citation statements)

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“…A study done by Knight and Bodsworth shows that the good practices were also found among nurses in Australia as they put on gloves when handling blood/ blood equipment, urine and feces 13 . Results of current study were disagreement with the result of study done by Stein et al that shows the Australian nurses also wash hands before and after putting on the gloves 14 . This study indicated that there was a positive significant statistical correlation between age and knowledge and practices of nurses' staff pre test (increase The study concludes that if a need based health education program is developed for different levels of nurses, it definitely leads to improvement in the knowledge and practices of nurses regarding hepatitis B virus.…”

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confidence: 99%

Effect of an educational program on nurses' knowledge and practices toward Hepatitis B virus in emergency hospitals in Erbil City

Abdulla

2014

ZJMS

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Background and objective: Nurses have major role in prevention and management of hepatitis B. Aim of the study was to find out the effect of an educational program on nurse' knowledge and practices concerning hepatitis B virus. Methods: A quasi-experimental study was conducted in emergency hospitals, Erbil city, Iraq from 15th of January to 15th of June 2012 involving 50 nurses. Assessment of the knowledge and practices of nurses was carried out by using a questionnaire developed by the researchers. An educational program was designed, constructed and oriented in order to improve the nurses' knowledge and practices towards hepatitis B virus. Post-test was carried out after the educational program using the same (pre program) questionnaire. Results: The mean (±SD) score of pre test knowledge was 6.96±1.6, while the mean (±SD) score of post test knowledge was 8.4±1.5 (P<0.001). The educational program has significant effects on nurses' knowledge about main function of liver (P<0.001), complications of renal failure (P=0.002), and avoiding sharing needles and syringes (P=0.013). The post test means (±SD) scores for practices (47±2.46) were significantly higher than the pretest mean score (43.7±5.16). The educational program had effects on advising practice of hand washing before and after using gloves (P=0.01), using solution for hand washing (P=0.003), risk of contamination with patients' bloods and fluids (P=0.04), removing of gown and washing hands (P=0.012). Conclusion:The educational program played a significant role in some items which could raise the level of knowledge and practices toward prevention of hepatitis B virus.

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confidence: 99%

Effect of an educational program on nurses' knowledge and practices toward Hepatitis B virus in emergency hospitals in Erbil City

Abdulla

2014

ZJMS

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“…Evidence suggests this is affected by many factors, including perception of one's own practice and intention, motivation, perception of threat and social or peer pressure (Chan et al 2002, Stein et al 2003, Pittet 2004, Akyol et al 2006. Additionally, knowledge does not necessarily correlate with good practice; low compliance with standard precautions has been noted in those who reported a high level of conflict between providing patient care and the need to protect themselves (Gould 2004).…”

Section: Introductionmentioning

confidence: 99%

Infection prevention as “a show”: A qualitative study of nurses’ infection prevention behaviours

Jackson

Lowton

Griffiths

2014

International Journal of Nursing Studies

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This is a pre-print version of a paper published as:Jackson, C., Lowton, K., Griffiths, P., 2013. Infection prevention as "a show": A qualitative study of nurses' infection prevention behaviours. International Journal of Nursing Studies online early http://dx.doi.org/10.1016/j.ijnurstu.2013.07.002.Copyright is vested in the publisher of the paper. You may not copy or redistribute this work in any way without their permission. Infection prevention as "a show": A qualitative study of nurses' infection prevention behavioursBackground; Control of infection and prevention of healthcare associated infections is an ongoing issue worldwide. Yet despite initiatives and strategies to reduce the burden that these infections cause, healthcare workers' practice is still reported as suboptimal and these infections persist. Much of the research to date has primarily focused on predicting infection prevention behaviours and factors associated with guideline compliance. While this has given valuable insight, an investigation aiming to understand and explain behaviours that occur in everyday practice from the perspective of the actors themselves may hold the key to the challenges of effecting behaviour change. This study questioned "How can nurses' infection prevention behaviour be explained?" This paper presents one of three identified themes 'Rationalizing dirt-related behaviour'.Design; This interpretative qualitative study uses vignettes, developed from nurses' accounts of practice, to explore nurses' reported infection prevention behavioursParticipants; Registered nurses working in an acute hospital setting and had been qualified for over a year. They were recruited while studying part-time at a London University.Methods; Twenty semi-structured interviews were undertaken using a topic guide and vignettes. Interviews were transcribed verbatim and analysed using the framework method.Results; The findings demonstrate that participants were keen to give a good impression and present themselves as knowledgeable practitioners, although it was evident that they did not always follow procedure and policy. They rationalized their own behaviour and logically justified any deviations from policy. Deviations in others were criticised as irrational and explained as superficial and part of a 'show' or display. However, participants also gave a presentation of themselves: a show or display that was influenced by the desire to protect self and satisfy patient scrutiny.Conclusions; this study contributes to the identification and explanation of nurses' infection prevention behaviours which are considered inappropriate or harmful. Behaviour is multifaceted and complex, stemming from a response to factors that are outside a purely 'scientific' understanding of infection and not simply understood as a deficit in knowledge. This calls for educational interventions that consider beliefs, values and social understanding of dirt and infection.Key words-infection prevention, healthcare associated infection, qualitative research, compliance, nurse, G...

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“…3,4 However, these policies are only effective if consistently practiced by HCWs and compliance has been shown to be suboptimal in numerous international studies. [5][6][7] Compliance rates from as low as 30% for facemask use and 38% for use of eye protection have been reported. 8 Hand washing, the most basic of infection control measures, has been reported to be adhered to only approximately 40% of the time.…”

Section: Introductionmentioning

confidence: 99%

Leadership in Surgery for Public Sector Hospitals in Jamaica: Strategies for the Operating Room

Cawich

Harding²,

Crandon³

et al. 2013

TPJ

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Surgical operations provide opportunities for the transmission of infection between patients and healthcare workers (HCWs) and between patients. This risk may increase in under-developed and developing countries by low compliance with infection control (IC) policies and precautions. This study investigated HCWs attitude and compliance with infection control practices in the operating department (OD) of a Jamaican teaching hospital, with the objective of obtaining data to design evidence-based interventions. A single-centre, cross-sectional, descriptive study, using a self-administered questionnaire, was conducted between March and May 2009. Ninety doctors and forty-two nurses, representing 73% and 75% respectively of their total OD population, participated in the study. Reported compliance was low: only 17% of all participants were compliant with all of the seven infection control policies inquired into. The results also showed that HCWs were selective in what practices they adhered to: reported rates of compliance were high for hand-washing (100%), use of gloves (98%), use of gowns (83%) and facemasks (87%); but low for use of eye protection mask (56%), not re-sheathing needles (46%) and changing clothes when exiting and re-entering the OD (55%). Discrepancies were observed between attitude and compliance rates in such cases as 'use of facemasks'-low favourableattitude (68%) but high compliance; 'use of eye protection masks'-high favourable-attitude (100%) but low Corresponding Author

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A survey of doctors' and nurses' knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals

Cited by 209 publications

References 20 publications

Effect of an educational program on nurses' knowledge and practices toward Hepatitis B virus in emergency hospitals in Erbil City

Effect of an educational program on nurses' knowledge and practices toward Hepatitis B virus in emergency hospitals in Erbil City

Infection prevention as “a show”: A qualitative study of nurses’ infection prevention behaviours

Leadership in Surgery for Public Sector Hospitals in Jamaica: Strategies for the Operating Room

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