Infection control measures in neonatal units: implementation of change in the Gaza-Strip

Alrumi, N; Aghaalkurdi, M; Habıb, Hamid; Abed, Sa’ed; Böttcher, Bettina

doi:10.1080/14767058.2019.1576168

Cited by 5 publications

(10 citation statements)

References 16 publications

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“…Physicians and nurses in Gaza showed more positive attitudes towards team work than nurses in Lithuania31 or medical students in Hong Kong and Singapore 19. One reason for the positive attitudes in this study might be a recent emergence of undergraduate and postgraduate team training in the local context, such as in trauma care, resuscitation teams or unit teams 14…”

Section: Discussionmentioning

confidence: 66%

“…Within the Arab context, a systematic review by Elmontsri et al , which included a Palestinian study, examined patient safety culture within hospital units and found actual team work culture was rated better within units (71% in the Palestinian study) than across hospitals (44% in Palestine) and this was worse than in most studies from other Arab countries 25. Therefore, to improve efficiency of teams, training has to address existing teams as well as individuals, who will use their skills in different team contexts 14 37–39 41 43…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, improving patient safety attitudes and awareness among staff may contribute significantly to better patient outcomes in Palestine at little additional costs 1 4 5 13. Simple changes in staff behaviour, such as in infection control practices, have been shown to be achievable and can positively affect patient care 14. But increased awareness of their significance and a culture of such practice has yet to be created 15–17.…”

Section: Introductionmentioning

confidence: 99%

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Attitudes of doctors and nurses to patient safety and errors in medical practice in the Gaza-Strip: a cross-sectional study

et al. 2019

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ObjectivesThis study examined the attitudes of nurses and doctors to key patient safety concepts, evaluated differences and similarities between professional groups and assessed positive and negative attitudes to identify target areas for future training.SettingFour major governmental hospitals in the Gaza-Strip.ParticipantsA convenience sample of 424 nurses and 150 physicians working for at least 6 months in the study hospitals.Primary and secondary outcome measuresThe primary outcome measures were mean scores with SD as measured for individual items and nine main patient safety domains assessed by the Attitudes to Patient Safety Questionnaire. Secondary outcome measures were the proportions of doctors and nurses, that gave a positive response to each item, represented as percentage of each group.ResultsNurses and doctors held moderately positive attitudes towards patient safety with five out of nine domain scores >3.5 of 5. Doctors showed slightly more positive attitudes than nurses, despite a smaller proportion of doctors having received patient safety training with 37.5% compared with 41.9% of nurses. Both professions displayed their most positive patient safety attitudes in the same domains (‘team functioning’ and ‘working hours as a cause for error’), as well as their two most negative attitudes (‘importance of patient safety in the curriculum’ and ‘professional incompetence as a cause of error’), demonstrating significant deficits in understanding medical errors. A specific challenge will be the negative attitudes of both professions towards patient safety training for wider dissemination of this content in the postgraduate curriculum.ConclusionPatient safety attitudes were moderately positive in both professional groups. Target of future patient safety training should be enhancing the understanding of error in medicine. Any training has to be motivating and relevant for clinicians, demonstrating its importance in ongoing professional learning.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Attitudes of doctors and nurses to patient safety and errors in medical practice in the Gaza-Strip: a cross-sectional study

et al. 2019

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“…However, in this study more than 80% of surgeries were performed with appropriate antibiotic prophylaxis, although overuse was possibly also expressed in the fact that 30 patients (10.7%) received antibiotics twice; within 120 min before surgery as well as again at the time of incision. Previous studies have shown inappropriate adherence to infection control measures on local neonatal intensive care units, which could be improved after introduction of national guidelines and staff training measures, suggesting deficiencies in awareness of guidelines among local surgeons being a significant factor in poor adherence to SSI preventive measures [40].…”

Section: Surgical Antibiotic Prophylaxismentioning

confidence: 99%

“…Therefore, lack of evidence in this matter, could also be a reason for the Palestinian Ministry of Health not making adequate materials available for these measures, but to prioritise usage of the very limited funds and resources for practices supported by actual evidence. However, clear guidance for clinicians will facilitate common practice and observance of guidelines, which, combined with staff training, could lead to improved adherence to SSI preventive measures and sustained reduction of SSIs [40,[47][48][49].…”

Section: Use Of Anti-septic Agentsmentioning

confidence: 99%

Determinants of surgeons’ adherence to preventive intraoperative measures of surgical site infection in Gaza Strip hospitals: a multi-centre cross-sectional study

et al. 2020

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Background: Surgical site infection (SSI) is one of the most common hospital-acquired infections and is associated with serious impact on the rates of morbidity, mortality as well as healthcare costs. This study examined factors influencing the application of several intraoperative preventive measures of SSI by surgeons and surgical residents in the Gaza Strip. Methods: A cross-sectional study was conducted from December 2016 to February 2017 at the operation rooms of the three major hospitals located in the Gaza-Strip, Palestine. Inclusion criteria for patients were being adult (aged ≥18 years), no history of wound infection at time of operation and surgical procedure under general anaesthesia with endotracheal intubation. The association between different patient-and procedure-related SSI risk factors and adherence to several intraoperative SSI preventive measures was tested. Results: In total, 281 operations were observed. The mean patient age ± standard deviation (SD) was 38.4 ± 14.6 years and the mean duration of surgery ± SD was 58.2 ± 32.1 minutes. A hundred-thirty-two patients (47.0%) were male. Location and time of the operation were found to have significant associations with adherence to all SSI preventive measures except for antibiotic prophylaxis. Type of operation had a significant association with performing all measures except changing surgical instruments. Patient age did not have a statistically significant association with adherence to any measure. Conclusion: The results suggest that the surgeon could be a major factor that can lead to a better outcome of surgical procedures by reducing postoperative complications of SSI. Operating department professionals would benefit from clinical guidance and continuous training, highlighting the importance of persistent implementation of SSI preventive measures in everyday practice to improve the quality of care provided to surgical patients.

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Treating patients in a safe environment: a cross-sectional study of patient safety attitudes among doctors in the Gaza Strip, Palestine

Alfaqawi¹,

Böttcher²,

Abuowda

et al. 2020

BMC Health Serv Res

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Background Patient safety is important, as in increasingly complex medical systems, the potential for unintended harm to patients also increases. This study assessed the attitudes of doctors in the Gaza Strip towards patient safety and medical error. It also explored variables that impacted their attitudes. Methods Doctors, working for at least 6 months in one of the four major government hospitals of the Gaza Strip, were invited to complete a 28-item, self-administered Arabic version of the Attitudes to Patient Safety Questionnaire III (APSQ-III); which assessed patient safety attitudes over nine domains, independent of the workplace. Results A total of 150 doctors from four government hospitals participated in this study, representing 43.5% of all 345 doctors working in the four study hospitals at the time of the study. The mean age was 36.6 (±9.7) years. The majority (72.7%) were males, 28.7% worked in surgical, 26.7% in pediatric, 23.3% in medical, 16.7% in obstetrics and gynecology, and 4.7% in other departments. Most participants (62.0%) had never received patient safety training. The overall APSQ score was 3.58 ± 0.3 (of a maximum of 5). The highest score was received by the domain “Working hours as a cause of errors” (4.16) and the lowest score by “Importance of Patient Safety in the Curriculum” (3.25). Older doctors with more professional experience had significantly higher scores than younger doctors (p = 0.003), demonstrating more positive attitudes toward patient safety. Furthermore, patient safety attitudes became more positive with increasing years of experience in some domains. However, no significant impact on overall APSQ scores was found by workplace, specialty or whether the participants had received previous training about patient safety. Conclusion Doctors in Gaza demonstrated relatively positive patient safety attitudes in areas of “team functioning” and “working hours as a cause for error”, but neutral attitudes in understanding medical error or patient safety training within the curriculum. Patient safety concepts appear to be acquired by doctors via informal learning over time in the job. Inclusion of such concepts into formal postgraduate curricula might improve patient safety attitudes among younger and less experienced doctors, support behaviour change and improve patient outcomes.

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Infection control measures in neonatal units: implementation of change in the Gaza-Strip

Cited by 5 publications

References 16 publications

Attitudes of doctors and nurses to patient safety and errors in medical practice in the Gaza-Strip: a cross-sectional study

Attitudes of doctors and nurses to patient safety and errors in medical practice in the Gaza-Strip: a cross-sectional study

Determinants of surgeons’ adherence to preventive intraoperative measures of surgical site infection in Gaza Strip hospitals: a multi-centre cross-sectional study

Treating patients in a safe environment: a cross-sectional study of patient safety attitudes among doctors in the Gaza Strip, Palestine

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