Knowledge and Practice of Nurses Towards the Prevention of Postoperative Infection

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DOI: 10.21522/TIJNR.2015.05.02.Art007

Authors : Ahmed Abdalla

Abstract:

Objectives: This study was carried out to determine the level of nurse’s knowledge and practice regarding postoperative infection prevention who work in the surgical departments of the military hospital in Sudan.

Background: Postoperative infection is known worldwide as one of the five several causes of harm to patients and preventable patient safety problem, also frequently described as a sign of the quality of care provided by health care organizations.

Methods: An institution-based cross-sectional survey was conducted among 122 nurses. A structured self-administered questionnaire was used for data collection. Data analysis was done using SPSS version 23. Statistical package. Descriptive statistics were used to describe the study population in relation to related variables.

The results: The analysis of knowledge scores of the total sample showed the participant knowledge level regarding postoperative infection prevention was poor based on their results only (37.6%) of the participants give correct answers. Regarding a practice, was found the nurses has a good practice about postoperative infection prevention, 63.2%. Some barriers have been found, such as insufficient knowledge, Staff shortage, inadequate facilities, equipment, and lack of a surveillance system.

Conclusion: Concluded that the nurse's working in a military hospital in Sudan that their knowledge regarding postoperative infection was found to be inadequate. Should the higher educational status, tending approved practice, being further encountered showed a positive and significant connection with knowledge. Whereas staff shortage, inadequate facilities, were found to be affected by the practice of postoperative infection prevention.

The study recommended In-service practicing updating programs and ensuring the availability of the required equipment are some of the important steps to improve nurses' knowledge and practice.

Keywords: Knowledge, Practice, Postoperative, Infection, Prevention.

References:

[1].     Anderson DJ, Podgomy K, Berrios S, et al. Strategies to prevent surgical site infection in an acute care hospital: Infection Control Hospital Epidemiology. 2014 Jun;35(6):605-27.

[2].     Labeau SO, Witdouck SS, Vandijck DM, et al. Nurses’ Knowledge of Evidence-Based Guidelines for the Prevention of Surgical Site Infection. 2010 Mar;7(1):16-24.

[3].     Bours GJ, Halfens RJ, Abu-Saad HH, et al. Prevalence, prevention, and treatment of pressure ulcers: a descriptive study in 89 institutions in the Netherlands. Research 2002 Apr;25(2):99-110.

[4].     Cicolini G, Simonetti V, Comparcini D, et al. Nurses' knowledge of evidence-based guidelines on the prevention of peripheral venous catheter-related infections. Journal of clinical Nursing. 2014 Sep;23(17-18):2578-88.

[5].     Fry DE, Fry RV. Surgical site infection: the host factor. AORN Journal. 2007 Nov;86(5):801-10; quiz 811-4.

[6].     Famakinwa TT, Bello BG, Oyeniran YA, et al. Knowledge and Practice of Postoperative Wound Infection Prevention among Nurses in the Surgical Unit of a Teaching Hospital in Nigeria. Jan 2014; 23-28.

[7].     Fogerty MD, Abumrad NN, Nanney L, et al. Risk factors for pressure ulcers in acute care hospitals. Wound Repair Regen.2008; 16(1):11-8.

[8].     Ilesanmi RE, Ofi BA, Adejumo PO. Nurses' knowledge of pressure ulcer prevention in Ogun state, Nigeria: results of a pilot survey. Ostomy. 2012 Feb;58(2):24-32.

[9].     Joshi, RA. Study to assess the Knowledge and Practice of Staff Nurses Regarding Prevention of Surgical Site Infection. 2014.

[10]. de Lissovoy G, Fraeman K, Hutchins V, et al. Surgical infection: Incidence and impact on hospital utilization and treatment cost. Amirian Journal of Infection Control. 2009 Jun;37(5):387-397.

[11]. Mangram AJ, Horan TC, Pearson ML, et al. Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Amirian Journal of Infection Control. 2011; 27(2):97-132.

[12]. Moore Z, Price P. Nurses' attitudes, behaviors and perceived barriers towards pressure ulcer prevention. Journal of Clinical Nursing. 2004 Nov;13(8):942-51.

[13]. Mockridge J, Anthony D. Nurses' knowledge about pressure sore treatment and healing. Nursing standard (royal college of nursing. 2014; 7-13;13(29):66, 69-72.

[14]. Nichols, R.L. Postoperative infections in the age of drug-resistant gram-positive bacteria. Amirian Journal of Medicine. 2012;104(5A):11S-16S.

[15]. Parvin, A., Mondol. Begum. Project on reduction in hospital surgical wound infection.2001.

[16]. Pancorbo-Hidalgo PL, García-Fernández FP, López-Medina IM, et al. Pressure ulcer care in Spain: nurses' knowledge and clinical practice. Journal of Advanced Nursing. 2007;58(4):327-38.

[17]. Petrosillo N, Drapeau CM, Nicastri E, et al. Surgical site infections in Italian Hospitals: a prospective multicenter study. BMC Infectious Disease. 2014; 8:34.

[18]. Robinson, Maureen. Australian Council on Healthcare Standards: Primary Intention the Australian Journal of Wound Management.13. 3, Aug 2005: 104.

[19]. Acaroglu R, Sendir M. Pressure ulcer prevention and management strategies in Turkey. Journal of Wound Ostomy Continence Nurses Society. 2005 Jul-Aug;32(4):230-7.

[20]. Sicker HK, Sea Sia, W. Nurses Knowledge and Practice Regarding Prevention of Surgical Site Infection. 2014.

[21]. Tanner J, Dumville JC, Norman G, et al. Surgical hand antisepsis to reduce surgical site infection. Cochrane Database of Systematic Reviews. 2016 Jan 22;(1):CD004288.

[22]. Teshager FA, Engeda EH, Worku WZ2.Knowledge, Practice, and Associated Factors towards Prevention of Surgical Site Infection among Nurses Working in Amhara Regional State Referral Hospitals, Northwest Ethiopia. Surgical Research and Practice. 2015;736175.