Compliance with the aseptic precautions during intravenous access among the nursing staff at the National Hospital of Sri Lanka (NHSL)

Bataduwaarachchi, Vipula R; Balasubramanium, Marthani; Balasooriya, Damitha; Senerath, Upul

doi:10.3396/ijic.v7i3.021.11

Cited by 7 publications

(9 citation statements)

References 6 publications

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“…Similar to our study, the education level had no association with the adherence to the standard precautions among radiographers in a tertiary care hospital of Sri Lanka [17]. However, a Sri Lankan study conducted among the nursing staff at the same setting concluded that the junior nurses were more compliant on the standard precautions than the senior nursing staff, probably since the former have updated their knowledge recently [18].…”

Section: Discussionsupporting

confidence: 73%

Knowledge and practices regarding standard precautions among supportive staff in the National Hospital of Sri Lanka

et al. 2020

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Introduction Adherence to standard precautions significantly reduces the transmission of hospital-acquired infections. We intended to assess the knowledge and practices regarding standard precautions among supportive staff members in the National Hospital of Sri Lanka (NHSL). Methods A descriptive cross-sectional study was conducted among supportive staff members at NHSL. They were selected using stratified one-stage cluster sampling and their knowledge and practices regarding standard precautions were assessed using an interviewer-administrated questionnaire. Results Of 108 participants, 69 (63.9%) were aged 20-40 years. Onehundred and five (97.2%) were educated up to Ordinary Level and 48 (44.4%) had working experience of more than six years. Twenty-six had at least one needle-stick injury during their career. Six (5.6%) have not been vaccinated for Hepatitis B since their recruitment. Mean knowledge and practice scores were 66.3±12.5% and 70.0±7.7% respectively. There were no differences in knowledge scores based on the level of education (t=1.19, p=0.24) and the total years of service (t=-0.44, p=0.66). Similarly, there were no differences in practising proper precautions based on their educational level (t=0.25, p=0.80) or the duration of service (t=0.87, p=0.39). However, the knowledge score positively correlated with the good practice score (r=0.197, p= 0.04). Conclusions The supportive staff members with good knowledge were more adherent to the correct practice. Neither the level of education nor the experience was associated with their knowledge or good practices. Provided the potential risk of transmission of blood-borne infections, Hepatitis B vaccination and post-vaccination antibody testing could be made mandatory before starting their carrier.

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Section: Discussionsupporting

confidence: 73%

Knowledge and practices regarding standard precautions among supportive staff in the National Hospital of Sri Lanka

et al. 2020

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“…1,13,14 However hand hygiene is a single most effective preventive measure against hospital acquired infections, and can contribute to shorter hospital stay, reduction in patient morbidity and health care costs. 1 It is important to carry out training programmes on hand hygiene regularly for health care workers as it has been associated with increased compliance to hand hygiene practices and reduction of infection.…”

Section: Discussionmentioning

confidence: 99%

“…5,9 In Asia there is a paucity of studies 10,11,12 exploring this subject, although the prevalence of health care associated infections is high in this region. In Sri Lanka, a study 13 conducted at the National Hospital of Sri Lanka (NHSL), showed that more than 60% of the nursing staff had substandard practices when it came to aseptic techniques including hand washing. It was also shown that nursing students, less experienced nurses and those who had recently got their knowledge updated were more likely to have better compliance with aseptic techniques.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices of hand hygiene among final year medical and nursing students at the University of Sri Jayewardenepura

Ariyarathne¹,

Gunasekara²,

Weerasekara³

et al. 2013

Sri Lankan J Infec Dis

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Effective hand hygiene is essential for reducing healthcare associated infections. However, compliance of healthcare workers to hand hygiene guidelines are reportedly poor. It is important therefore to instill adequate knowledge and good attitudes and practices at the time of primary training of the healthcare workers. This study was done to identify gaps in knowledge, attitudes and practices to improve existing training programs and enhance good practices and working ethics in the future. A self-administered questionnaire based cross sectional study was done to compare the knowledge, attitudes, practices and satisfaction (KAPS) of facilities between final year medical and nursing students of the Faculty of Medical Sciences, University of Sri Jayewardenepura. Participants had moderate knowledge (77%) but attitudes, practices and satisfaction of facilities of all the participants was overall poor (<50%). However the nursing students had better knowledge (p=0.023), attitudes (p<0.001), practices (p<0.001) and satisfaction of facilities (p<0.001) compared with the medical students. The knowledge, attitudes, practices and satisfaction of facilities of medical and nursing students are unsatisfactory. The study shows the need for further improvement of the existing hand hygiene training programs to address the gaps in knowledge, attitudes and practices. Further, there is a need to improve the facilities available for hand hygiene and make them readily accessible for students at their training centers to enable them to engage in good practices which will be beneficial for them as doctors and nurses in the future.

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“…12 Furthermore, several studies done to assess the knowledge, attitudes and compliance and reasons for non-adherence to hand hygiene guidelines revealed that compliance with hygiene protocols by health care workers is poor 13 , 14 , 15 due to several constraints, including heavy work load, high number of clinical procedures and skin conditions of health care worker. 16 , 17 It is alarming that compliance with general aseptic guidelines was found to be worse before high risk procedures were done. 14 , 18 Thus, the reported low or outright non-compliance of health care workers with the global best practices on the prevention of spread of hospital acquired infections and its associated morbidity and mortality makes this study a necessity.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, awareness and practice of infection control by health care workers in the intensive care units of a tertiary hospital in Nigeria

Adegboye¹,

Aliyu²,

Ahmed³

et al. 2018

Afr H. Sci.

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BackgroundHospital-acquired infections (HAIs), one of the leading causes of, morbidity and mortality, are common in developing countries. Methicillin-resistant staphylococcus aureus (MRSA), commonest cause of HAIs, has been isolated from the hands of more than half of health care workers. Practice of hand hygiene may help in the control of nosocomial infections. We evaluated the practice of infection control among health care workers in the intensive care unit (ICU) of our hospital.Materials and methodsThis is a descriptive cross-sectional study. Information on knowledge, awareness and practice of infection control in the ICU were obtained from health care workers with the aid of a structured questionnaire.ResultsSixty nine out of the 80 (86%) respondents had good knowledge that a hand is the most common vehicle of transmission of infection. However, 53.8% and 32.5% of the respondents had knowledge of movement of hand hygiene and practiced six steps of the hand washing technique respectively. Though, physicians accounted for 68 (85%) of the respondents, only 28% of them practiced the six steps of the hand washing technique with resident doctors constituting a large proportion of hand washing technique defaulters. Only 13.9% of non-physician and 7.5% of physician respondents had ever attended a training program on infection control respectivelyConclusionKnowledge and awareness of infection control among the health care workers in our ICU is good but the practice is poor. Training workshop on infection control should be organized for all ICU health care workers to reduce noso-comial infections.

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Compliance with the aseptic precautions during intravenous access among the nursing staff at the National Hospital of Sri Lanka (NHSL)

Cited by 7 publications

References 6 publications

Knowledge and practices regarding standard precautions among supportive staff in the National Hospital of Sri Lanka

Knowledge and practices regarding standard precautions among supportive staff in the National Hospital of Sri Lanka

Knowledge, attitudes and practices of hand hygiene among final year medical and nursing students at the University of Sri Jayewardenepura

Knowledge, awareness and practice of infection control by health care workers in the intensive care units of a tertiary hospital in Nigeria

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