Impact of Educational and Training Programs on Knowledge of Healthcare Students Regarding Nosocomial Infections, Standard Precautions and Hand Hygiene: A Study at Tertiary Care Hospital
Hand hygiene, Knowledge, Nosocomial infections, Standard precautions
Citation Information :
Goyal M. Impact of Educational and Training Programs on Knowledge of Healthcare Students Regarding Nosocomial Infections, Standard Precautions and Hand Hygiene: A Study at Tertiary Care Hospital. Indian J Crit Care Med 2019; 23 (5):227-231.
Background and Objectives: Nosocomial infections are significant public health problems in developed as well as developing countries. To tackle this problem, it is vital to sensitize healthcare students (HCSs) at early period of their clinical practise. Thus, this study was conducted to access the existing knowledge among HCSs and determine the impact of educational and training programs regarding nosocomial infections, standard precautions, and hand hygiene.
Methods: This was a cross-sectional cum interventional, questionnaire based, single center study. Total 728 MBBS, BDS and BSC nursing students were targeted for workshop on nosocomial infections, standard precautions, and hand hygiene based on the Centers for Disease Control and prevention (CDC) and World Health Organization (WHO) guidelines. Infection control standardized questionnaire (ICSQ) was administered as a pretest and posttest. Results were analyzed by SPSS software.
Results: A paired-samples t-test was conducted to access the impact of educational and training programs on knowledge of HCS. There was a significant difference in the scores of pretests (M = 37.30, SD = 4.81) and posttests (M = 42.03, SD = 4.55); t (727) = 22.162, p ≤0.005 and also statistically significant difference in scores of all 3 domains- 1. Nosocomial infections: Pretest (M = 6.61, SD = 1.57) and Posttest (M = 7.98, SD = 4.65); t (727) = 20.589, p ≤ 0.005; 2. Standard Precautions: Pretest (M = 20.81, SD = 3.06) and Posttest (M = 41.88, SD = 4.30); t (727) = 4.584, p ≤ 0.005; 3. Hand Hygiene: Pretest (M = 9.88, SD = 2.68) and Posttest (M = 12.54, SD = 2.92); t (727) = 19.527, p ≤ 0.005. The results suggest that educational and training programs have positive impact on knowledge of HCS.
Conclusion: This study highlighted the need for regular educational and training programs in primary training time for retention of knowledge regarding nosocomial infections and reinforcement of the principals of standard precautions and hand hygiene.
Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36:309–332. doi: 10.1016/j.ajic.2008.03.002.
Ducel G, Fabry J, Nicolle L. World Health Organization. Prevention of hospital-acquired infections: a practical guide. Geneva, Switzerland [cited 2018 Sep 10]. Available from: http://www.who.int/csr/resources/publications/whocdscsreph200212.pdf
Samuel SO, Kayode OO, Musa OI, Nwigwe GC, Aboderin AO, Salami TAT, et al. Nosocomial infections and the challenges of control in developing countries. Afr J Clin Exp Microbiol. 2010;11:102–110. doi: 10.4314/ajcem.v11i2.53916
Taneja N, Emmanuel R, Chari PS, Sharma M. A prospective study of hospital-acquired infections in burn patients at a tertiary care referral centre in North India. Burns. 2004;30:665–669. doi: 10.1016/j. burns.2004.02.011
Mathur P, Kapil A, Das B. Nosocomial bacteraemia in intensive care unit patients of a tertiary care centre. Indian J Med Res. 2005;122:305– 308.
Kamat U, Ferreira A, Savio R, Motghare D. Antimicrobial resistance among nosocomial isolates in a teaching hospital in goa. Indian J Community Med. 2008;33:89–92. doi: 10.4103/0970-0218.40875
Weinstein RA. Controlling antimicrobial resistance in hospitals: infection control and use of antibiotics. Emerg Infect Dis. 2001;7:188–192. doi: 10.3201/eid0702.700188
Standard precautions in health care [Internet]. 1st ed. Geneva: WHO; 2016 [cited 2018 Sep 10]. Available from: http://www.who.int/csr/ resources/publications/EPR_AM2_E7.pdf#
Boyce JM, Pittet D. Healthcare Infection Control Practices Advisory Committee.; HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/ Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep. 2002;51:1–45
Tavolacci MP, Ladner J, Bailly L, Merle V, Pitrou I, Czernichow P. Prevention of nosocomial infection and standard precautions: knowledge and source of information among healthcare students. Infect Control Hosp Epidemiol. 2008;29:642–647. doi: 10.1086/588683
Bello AI, Asiedu EN, Adegoke BO, Quartey JN, Appiah-Kubi KO, Owusu-Ansah B. Nosocomial infections: knowledge and source of information among clinical health care students in Ghana. Int J Gen Med. 2011;4:571–574. doi: 10.2147/IJGM.S16720
Tenna A, Stenehjem EA, Margoles L, Kacha E, Blumberg HM, Kempker RR. Infection control knowledge, attitudes, and practices among healthcare workers in Addis Ababa, Ethiopia. Infect Control Hosp Epidemiol. 2013;34:1289–1296. doi: 10.1086/673979
Suchitra JB, Lakshmi Devi N. Impact of education on knowledge, attitudes and practices among various categories of health care workers on nosocomial infections. Indian J Med Microbiol. 2007;25:181–187.
Hand Hygiene in Healthcare Settings: An Overview [Internet]. 1st ed. CDC; 2002 [cited 2018 Sep 10]. Available from: http://www.cdc.gov/HandHygiene/download/hand_hygiene_core.pdf
WHO Guidelines on Hand Hygiene in Health Care [Internet]. 1st ed. WHO; 2016 [cited 2018 Sep 10]. Available from: http://apps.who.int/ iris/bitstream/10665/44102/1/9789241597906_eng.pdf