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Evaluation of an Infection Control Measures Protocol Application by Nurses on Patients' Safety at Burn Units

Received: 28 January 2016     Accepted: 29 January 2016     Published: 23 March 2016
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Abstract

Introduction: Healthcare-Associated Infection (HAI) has become a major component of the national and international movement to enhance patient safety. Infection is the most common cause of death among burn patients following the burn injury itself. Nurses are at the center of patient care and are the healthcare professionals most likely to intercept errors and prevent harm to patients. The aim of this study was to improve nurses' performance in Burn Units regarding infection control measures with subsequent enhancement of the patients' safety. Subjects and methods: The data were collected using three tools: a self-administered questionnaire, an observation checklist, and a bacteriological culture results form. The results of this study indicated that the percentage of nurses having satisfactory knowledge increased from a pre-intervention level of 17.6%, to a post intervention level of 67.6%. This improvement was statistically significant (p<0.001); as well the percentage of nurses having adequate practice rose from a pre-intervention level of 0.0%, to a post intervention level of 85.3%, with statistically significant difference (p<0.001). There were no any statistically significant correlations between nurses’ knowledge and practice scores before and after the intervention. Moreover, the number of nurses with negative hands' culture results increased from 3(8.8%) to 7(20.6%), but the difference was not statistically significant. The intervention program was identified as the main positive predictor of the change in nurses’ knowledge and practice scores. In conclusion, nurses' knowledge of infection control in burn units and their related practice are very deficient; the educational intervention is successful in improving them. The intervention is also successful in decreasing the Bacillus spp. in nurses’ culture samples. The study recommended different strategies to decrease rates of infection as well as improve patient safety.

Published in Journal of Surgery (Volume 4, Issue 3-1)

This article belongs to the Special Issue Surgical Infections and Sepsis

DOI 10.11648/j.js.s.2016040301.11
Page(s) 1-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Infection Control, Protocol, Nurses, Burn Unit

References
[1] Treas LS, Wilkinson JM (2014): Basic nursing: concepts, skills, & reasoning. 1st ed., Davis Company/ Philadelphia, USA, p. p. 604-683.
[2] Tourangeau AE, Cranley LA, Jeffs L Impact of nursing on hospital patient mortality: a focused review and related policy implications. Qual Saf Health Care (2006), 15(1): 48.
[3] Nguyen QV Hospital acquired infections. Emedicine. 2004. http://www.emedicine.com/PED/topic1619.htm. Internet accessed at March 2014.
[4] Saint S, Savel RH, Matthay MA Enhancing the safety of critically ill patients by reducing urinary and central venous catheter-related infections. Am J Respir Crit Care (2015) 165(1): 1475-1479.
[5] Jarvis WR (2014): Bennett and Brachman's hospital infections. 6th ed., Lippincott Williams & Wilkins/ Philadelphia, USA, p. p. 1-752.
[6] Oncul E, Ulkur A, Acar L Prospective analysis of nosocomial infections in a burn care unit, Turkey. Indian Journal of Medical Research (2009), 130(6): 758–764.
[7] Coban YK Infection control in severely burned patients. World J Crit Care Med (2012), 1(4): 94-101.
[8] Azimi L, Motevallian A, Namvar AE, Asghari B, Lari AR Nosocomial Infections in Burned Patients in Motahari Hospital, Tehran, Iran. Dermatology Research and Practice (2011), Volume 2011 (2011), Article ID 436952, 4 pages. Available at Http://Dx.Doi.Org/10.1155/2011/436952. Internet accessed at March 2014.
[9] Hughes RG Patient Safety and Quality: An Evidence-Based Handbook for Nurses: Agency for Healthcare Research and Quality, U. S. Department of Health and Human Services, 540 Gaither Road, 2008, Rockville, MD 20850. Internet accessed at February, 2014.
[10] Kacmarek RM, Stoller JM, Heuer AJ (2014): Fundamentals of Respiratory Care. 10th ed., Elsevir/ Mosby, China, p. p. 62-81.
[11] The Research Committee of the Society of Healthcare Epidemiology of America. Enhancing Patient Safety by Reducing Healthcare-Associated Infections: The Role of Discovery and Dissemination. Infect Control Hosp Epidemiol (2010), 31(1) 118-123.
[12] The National Infection Prevention and Control Policy and Strategy, Republic of South Africa, 2007. pdf. Available at www.cddep.org/sites/.../prof_adriano_duse-1_0.pdf. Internet accessed at February 2014.
[13] Donegan NE (2014) Management of Patients with Infectious Diseases: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing. 10th ed., Mosby/Elsevier, New York, p.p. 2115-2122.
[14] Kinlay J, Flaherty K, Scanlon P, Mehrotra P Barriers to the use of face protection for standard precautions by health care providers. AJIC (2015), 43(2): 169–170.
[15] Dramowski A, Cotton MF, Rabie H, Whitelaw A Trends in paediatric bloodstream infections at a South African referral hospital. BMC Pediatrics (2015), 15(1): 33.
[16] Gilbert C1, Darlow B, Zin A, Sivasubramaniam S, Shah S, Gianini N, Beecroft G, Lopes Moreira ME Educating neonatal nurses in Brazil: a before-and-after study with interrupted time series analysis. Neonatology (2014), 106(3): 201-8.
[17] Liu LM, Curtis J, Crookes PA Identifying essential infection control competencies for newly graduated nurses: a three-phase study in Australia and Taiwan. Journal of Hospital Infection (2014), 86 (2): 100-109.
[18] Ramya KR, Neethu J Effectiveness of self instructional module on nursing management of patients with chest tube drainage for staff nurses working in a selected hospital of Odisha. International Journal of Nursing Education (2013) 5(2): 155-159.
[19] Rozenbojm MD, Nichol K, Spielmann S, Holness D Hospital unit safety climate: relationship with nurses' adherence to recommended use of facial protective equipment. Am J Infect Control (2015), 43(2): 115-20.
[20] The Institute of Medicine (IOM) Considers patient safety “indistinguishable from the delivery of quality health care. Romanian Journal of Bioethics (2010), 8(3): 149-159.
[21] Skees J Continuing education, a bridge to excellence in critical care nursing. Crit Care Nurs Q (2010) 33(1): 104–116.
[22] Arranz P, Vlla S M, Ramos J L, Del-Rincon C, Lopez-Fando T Evaluation of a counseling training program for nursing staff. Patient-Edu. Couns (2007), 56 (2): 233-239.
[23] Barta SK, Stacy RD The effects of a theory-based training program on nurses' self-efficacy and behavior for smoking cessation counseling. J. Contin. Edu. Nurs (2007), 36(3): 117-123.
[24] Garfield R, Mccarthy C F Nursing and nursing education in Iraq: challenges and opportunities. Int. Nurs. Rev (2008), 52 (3): 180-185.
[25] Elkadi JL (2007): health promotion regarding universal precaution HIV/AIDS for midwife of Primary Health Care in Medan municipality. Farmako No. 1, viewed 8/8/2008. Available at http://www.digilib.litbang.depkes.go.d/index.php. Internet accessed at October, 2014.
[26] Taha FA Impact of Universal Precautions Training on Nurse Midwives Knowledge, Attitude and Practices toward Prevention of HIV Transmission in Khartoum State. Teaching Hospitals, 2006-2009, Faculty of Nursing Sciences University of Khartoum. Available at www.davidpublishing.com/DownLoad/?id=16733. Internet accessed at November, 2014.
[27] Ibrahim M. H. (2013): Effect of training program on nurses' performance regarding infection control in caring for patients with peripheral intervenous cannula. Doctorate Dissertation, Faculty of Nursing; Suez Canal University. Egypt.
[28] Mutters NT, Hagele U, Hagenfeld D, Hellwig E, Frank U Compliance with infection control practices in an university hospital dental clinic. GMS Hyg Infect Control (2014), 9(3): 18.
[29] Clinton M, Murrells T, Robinson S Assessing competency in nursing: A comparison of nurses prepared through degree and diploma programmes. J. Clin. Nurs (2006); 14(1): 82-94.
[30] Levett-Jones TL Continuing education for nurses: a necessity or a nicety? J Contin. Edu (2006), 36(5): 229-233.
[31] Jarrett S L, Hummel F, Whitney K L Preparing for the 21st century: graduate nursing education in Vietnam. Nurs. Edu. Perspect (2007), 26(3): 172-175.
[32] Al-Rawajfah OM, Tubaishat A Nursing students' knowledge and practices of standard precautions. A Jordanian web-based survey. Nurse Educ Today (2015), 6917(15) 00228-2.
[33] Sickbert-Bennett EE Comparative efficacy of hand hygiene agents in the reduction of bacteria and viruses. American Journal of Infection Control (2005), 33 (2): 67-77.
[34] Ozkurt Z, Altoparlak I, Yilmaz SI, Kemalettin SE Reducing hospital infection rates in the burn unit by adherence to infection control measures: a six-year experience. Turk J Med Sci (2012), 42 (1): 17-24.
[35] Anderson JL, Warren CA, Perez E, Louis RI, Phillips S, Wheeler J, Cole M, Misra R Gender and ethnic differences in hand hygiene practices among college students. Am J Infect Control (2008), 36(5): 361-8.
[36] Tacconelli E, Cataldo MA, Dancer SJ, De Angelis G ESCMID guidelines for the management of the infection control measures to reduce transmission of multidrug-resistant Gram-negative bacteria in hospitalized patients. Clin Microbiol Infect (2014), 20 (1): 1–55.
Cite This Article
  • APA Style

    Amany Ibrahim Ezz Eldeen, Magda Abd-Elaziz, Amr Mohamed Moghazy, Eman Saleh Shahin, Amal Bakr Abo El-Ata. (2016). Evaluation of an Infection Control Measures Protocol Application by Nurses on Patients' Safety at Burn Units. Journal of Surgery, 4(3-1), 1-9. https://doi.org/10.11648/j.js.s.2016040301.11

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    ACS Style

    Amany Ibrahim Ezz Eldeen; Magda Abd-Elaziz; Amr Mohamed Moghazy; Eman Saleh Shahin; Amal Bakr Abo El-Ata. Evaluation of an Infection Control Measures Protocol Application by Nurses on Patients' Safety at Burn Units. J. Surg. 2016, 4(3-1), 1-9. doi: 10.11648/j.js.s.2016040301.11

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    AMA Style

    Amany Ibrahim Ezz Eldeen, Magda Abd-Elaziz, Amr Mohamed Moghazy, Eman Saleh Shahin, Amal Bakr Abo El-Ata. Evaluation of an Infection Control Measures Protocol Application by Nurses on Patients' Safety at Burn Units. J Surg. 2016;4(3-1):1-9. doi: 10.11648/j.js.s.2016040301.11

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  • @article{10.11648/j.js.s.2016040301.11,
      author = {Amany Ibrahim Ezz Eldeen and Magda Abd-Elaziz and Amr Mohamed Moghazy and Eman Saleh Shahin and Amal Bakr Abo El-Ata},
      title = {Evaluation of an Infection Control Measures Protocol Application by Nurses on Patients' Safety at Burn Units},
      journal = {Journal of Surgery},
      volume = {4},
      number = {3-1},
      pages = {1-9},
      doi = {10.11648/j.js.s.2016040301.11},
      url = {https://doi.org/10.11648/j.js.s.2016040301.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2016040301.11},
      abstract = {Introduction: Healthcare-Associated Infection (HAI) has become a major component of the national and international movement to enhance patient safety. Infection is the most common cause of death among burn patients following the burn injury itself. Nurses are at the center of patient care and are the healthcare professionals most likely to intercept errors and prevent harm to patients. The aim of this study was to improve nurses' performance in Burn Units regarding infection control measures with subsequent enhancement of the patients' safety. Subjects and methods: The data were collected using three tools: a self-administered questionnaire, an observation checklist, and a bacteriological culture results form. The results of this study indicated that the percentage of nurses having satisfactory knowledge increased from a pre-intervention level of 17.6%, to a post intervention level of 67.6%. This improvement was statistically significant (pIn conclusion, nurses' knowledge of infection control in burn units and their related practice are very deficient; the educational intervention is successful in improving them. The intervention is also successful in decreasing the Bacillus spp. in nurses’ culture samples. The study recommended different strategies to decrease rates of infection as well as improve patient safety.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of an Infection Control Measures Protocol Application by Nurses on Patients' Safety at Burn Units
    AU  - Amany Ibrahim Ezz Eldeen
    AU  - Magda Abd-Elaziz
    AU  - Amr Mohamed Moghazy
    AU  - Eman Saleh Shahin
    AU  - Amal Bakr Abo El-Ata
    Y1  - 2016/03/23
    PY  - 2016
    N1  - https://doi.org/10.11648/j.js.s.2016040301.11
    DO  - 10.11648/j.js.s.2016040301.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 1
    EP  - 9
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2016040301.11
    AB  - Introduction: Healthcare-Associated Infection (HAI) has become a major component of the national and international movement to enhance patient safety. Infection is the most common cause of death among burn patients following the burn injury itself. Nurses are at the center of patient care and are the healthcare professionals most likely to intercept errors and prevent harm to patients. The aim of this study was to improve nurses' performance in Burn Units regarding infection control measures with subsequent enhancement of the patients' safety. Subjects and methods: The data were collected using three tools: a self-administered questionnaire, an observation checklist, and a bacteriological culture results form. The results of this study indicated that the percentage of nurses having satisfactory knowledge increased from a pre-intervention level of 17.6%, to a post intervention level of 67.6%. This improvement was statistically significant (pIn conclusion, nurses' knowledge of infection control in burn units and their related practice are very deficient; the educational intervention is successful in improving them. The intervention is also successful in decreasing the Bacillus spp. in nurses’ culture samples. The study recommended different strategies to decrease rates of infection as well as improve patient safety.
    VL  - 4
    IS  - 3-1
    ER  - 

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Author Information
  • Medical Surgical Nursing Department, Faculty of Nursing, Port Said University, Port-Said, Egypt

  • Medical Surgical Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt

  • Plastic Surgery & Emergency Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

  • Medical Surgical Nursing Department, Faculty of Nursing, Port Said University, Port-Said, Egypt

  • Medical Surgical Nursing Department, Faculty of Nursing, Port Said University, Port-Said, Egypt

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