Knowledge, Practice, and Associated Factors towards Prevention of Surgical Site Infection among Nurses Working in Amhara Regional State Referral Hospitals, Northwest Ethiopia

Freahiywot Aklew Teshager, Eshetu Haileselassie Engeda, Workie Zemene Worku, Freahiywot Aklew Teshager, Eshetu Haileselassie Engeda, Workie Zemene Worku

Abstract

Knowledge and practice of nurses about surgical site infections (SSIs) are not well studied in Ethiopia. This paper contains findings about Northwest Ethiopian nurses' knowledge and practice regarding the prevention of SSIs. The main objective of the study was to assess knowledge, practice, and associated factors of nurses towards the prevention of SSIs. The study was done using a questionnaire survey on randomly selected 423 nurses who were working in referral hospitals during the study period. The study showed that more than half of the nurses who participated in the survey had inadequate knowledge about the prevention of SSIs. Moreover, more than half of them were practicing inappropriately. The most important associated factors include lack of training on evidence based guidelines and sociodemographic variables (age, year of service, educational status, etc.). Training of nurses with the up-to-date SSIs guidelines is recommended.

References

    1. Bagheri Nejad S., Allegranzi B., Syed S. B., Ellisc B., Pittetd D. Health-care-associated infection in Africa: a systematic review. Bulletin of the World Health Organization. 2011;89(10):757–765. doi: 10.2471/blt.11.088179.
    1. Menegueti M. G., Canini S. R., Bellissimo-Rodrigues F., Laus A. M. Evaluation of Nosocomial Infection Control Programs in health services. Revista Latino-Americana de Enfermagem. 2015;23(1):98–105. doi: 10.1590/0104-1169.0113.2530.
    1. Aiken A. M., Karuri D. M., Wanyoro A. K., Macleod J. Interventional studies for preventing surgical site infections in sub-Saharan Africa—a systematic review. International Journal of Surgery. 2012;10(5):242–249. doi: 10.1016/j.ijsu.2012.04.004.
    1. Danzmann L., Gastmeier P., Schwab F., Vonberg R.-P. Health care workers causing large nosocomial outbreaks: a systematic review. BMC Infectious Diseases. 2013;13(1, article 98) doi: 10.1186/1471-2334-13-98.
    1. Ott E., Saathoff S., Graf K., Schwab F., Chaberny I. F. The prevalence of nosocomial and community acquired infections in a university hospital: an observational study. Deutsches Arzteblatt International. 2013;110(31-32):533–540. doi: 10.3238/arztebl.2013.0533.
    1. Smith M. A., Dahlen N. R. Clinical practice guideline surgical site infection prevention. Orthopaedic Nursing. 2013;32(5):242–248. doi: 10.1097/nor.0b013e3182a39c6b.
    1. Lee K. Y., Coleman K., Paech D., Norris S., Tan J. T. The epidemiology and cost of surgical site infections in Korea: a systematic review. Journal of the Korean Surgical Society. 2011;81(5):295–307. doi: 10.4174/jkss.2011.81.5.295.
    1. Amenu D., Belachew T., Araya F. Surgical site infection rate and risk factors among obstetric cases of Jimma University Specialized Hospital, Southwest Ethiopia. Ethiopian Journal of Health Sciences. 2011;21(2):91–100. doi: 10.4314/ejhs.v21i2.69049.
    1. Korol E., Johnston K., Waser N., et al. A systematic review of risk factors associated with surgical site infections among surgical patients. PLoS ONE. 2013;8(12) doi: 10.1371/journal.pone.0083743.e83743
    1. Petrosillo N., Drapeau C. M. J., Nicastri E., et al. Surgical site infections in Italian Hospitals: a prospective multicenter study. BMC Infectious Diseases. 2008;8, article 34 doi: 10.1186/1471-2334-8-34.
    1. Cha K.-S., Cho O.-H., Yoo S.-Y. Risk factors for surgical site infections in patients undergoing craniotomy. Journal of Korean Academy of Nursing. 2010;40(2):298–305. doi: 10.4040/jkan.2010.40.2.298.
    1. McHugh M. D., Stimpfel A. W. Nurse reported quality of care: a measure of hospital quality. Research in Nursing & Health. 2012;35(6):566–575. doi: 10.1002/nur.21503.
    1. Brisibe S. F. A., Ordinioha B., Gbeneolol P. K. Knowledge, attitude, and infection control practices of two tertiary hospitals in Port-Harcourt, Nigeria. Nigerian Journal of Clinical Practice. 2014;17(6):691–695. doi: 10.4103/1119-3077.144379.
    1. Mitchell B. G., Say R., Wells A., Wilson F., Cloete L., Matheson L. Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: a cross-sectional study. BMC Nursing. 2014;13(1, article 43) doi: 10.1186/s12912-014-0043-9.
    1. Daud-Gallotti R. M., Costa S. F., Guimarães T., et al. Nursing workload as a risk factor for healthcare associated infections in ICU: a prospective study. PLoS ONE. 2012;7(12) doi: 10.1371/journal.pone.0052342.e52342
    1. Famakinwa T. T., Bello B. G., Oyeniran Y. A., Okhiah O., Nwadike R. N. Knowledge and practice of post-operative wound infection prevention among nurses in the surgical unit of a teaching hospital in Nigeria. International Journal of Basic, Applied and Innovative Research. 2014;3(1):23–28.
    1. Andersson A. E., Bergh I., Karlsson J., Eriksson B. I., Nilsson K. The application of evidence-based measures to reduce surgical site infections during orthopedic surgery—report of a single-center experience in Sweden. Patient Safety in Surgery. 2012;6, article 11 doi: 10.1186/1754-9493-6-11.
    1. World Health Organization (WHO) WHO guidelines for safe surgery: 2009: safe surgery saves lives. November 2015, .
    1. Fry D. E., Fry R. V. Surgical site infection: the host factor. AORN Journal. 2007;86(5):801–814. doi: 10.1016/j.aorn.2007.06.022.
    1. Labeau S. O., Witdouck S. S., Vandijck D. M., et al. Nurses' knowledge of evidence-based guidelines for the prevention of surgical site infection. Worldviews on Evidence-Based Nursing. 2010;7(1):16–24. doi: 10.1111/j.1741-6787.2009.00177.x.
    1. Fashafsheh I., Ayed A., Eqtait F., Harazneh L. Knowledge and practice of nursing staff towards infection control measures in the Palestinian hospitals. Journal of Education and Practice. 2015;6(4):79–90.
    1. El-Enein N. Y. A., El Mahdy H. M. Standard precautions: a KAP study among nurses in the dialysis unit in a University Hospital in Alexandria, Egypt. Journal of the Egyptian Public Health Association. 2011;86(1-2):3–10. doi: 10.1097/01.epx.0000395430.92943.69.

Source: PubMed

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