Infection control and management of MRSA: assessing the knowledge of staff in an acute hospital setting
ABSTRACT Much of the recent work in tackling meticillin-resistant Staphylococcus aureus (MRSA) has focused on hygiene in hospitals, but it is unclear how much hospital staff know about the treatment and management of patients who are colonized or infected with MRSA. The aim of this study was to assess the knowledge and perceived practice of staff regarding MRSA and its management in an acute hospital setting. A further aim was to determine what staff felt was needed in terms of information or education on the risks, management and treatment of MRSA. A questionnaire survey was carried out through group administration during a study day and by face-to-face interviews. Subjects included in the questionnaire were infection and colonization, treatment, and the availability of local support and advice. There were 174 responses, divided equally between doctors and nurses. Knowledge on many aspects of MRSA and its management was deficient, although the majority of participants who felt that they required additional information about MRSA acknowledged this. The survey confirmed that assumptions should not be made about adequate knowledge and expertise of staff in relation to MRSA. Gaps in awareness of aspects of care and management were highlighted and information and educational needs identified.
Full-textDOI: · Available from: Charis Marwick, Dec 30, 2013
- SourceAvailable from: Omar M. AL-Rawajfah
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- "While knowledge and understanding of SPs are important in maintaining high standards of SPs practice, there are other important factors that need to be considered and examined (Hinkin and Cutter, 2014). Although different studies have examined healthcare workers' knowledge and practices of standard precautions (Bryce et al., 2007; Easton et al., 2007; Sax et al., 2005), few studies have targeted nursing students (Al-Hussami and Darawad, 2013; Darawad and Al-Hussami, 2013; Labrague et al., 2012; Tavolacci et al., 2008). Although studies have been conducted in Jordan to evaluate healthcare professionals' and students' infection control knowledge and practices (Al-Dwairi, 2007; Al-Hussami and Darawad, 2013; Al-Rawajfah, 2014; Al-Rawajfah et al., 2013; Qudeimat et al., 2006), none of these studies has used web-based methods for data collection. "
ABSTRACT: The main purpose of this web-based survey was to evaluate Jordanian nursing students' knowledge and practice of standard precautions. A cross-sectional, descriptive design was used. Six public and four private Jordanian universities were invited to participate in the study. Approximately, seventeen hundred nursing students in the participating universities were invited via the students' portal on the university electronic system. For schools without an electronic system, students received invitations sent to their personal commercial email. The final sample size was 594 students; 65.3% were female with mean age of 21.2years (SD=2.6). The majority of the sample was 3rd year students (42.8%) who had no previous experience working as nurses (66.8%). The mean total knowledge score was 13.8 (SD=3.3) out of 18. On average, 79.9% of the knowledge questions were answered correctly. The mean total practice score was 67.4 (SD=9.9) out of 80. There was no significant statistical relationship between students' total knowledge and total practice scores (r=0.09, p=0.032). Jordanian nursing educators are challenged to introduce different teaching modalities to effectively translate theoretical infection control knowledge into safe practices. Published by Elsevier Ltd.Nurse education today 05/2015; DOI:10.1016/j.nedt.2015.05.011 · 1.46 Impact Factor
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- "In the first decade of the 21 st century, the control of healthcare acquired infection, most notably the globally problematic Meticillin-resistant Staphylococcus aureus (MRSA), became a major focus of UK health policy as rates of infection were perceived to be too high (National Audit Office (NAO) 2009). Repeated UK government initiatives (DH 2001a, 2001b, 2003, 2004, 2005, 2007, 2008) led to some reported improvements in control (NAO 2009); however evidence suggests that infection spread continues to be poorly understood by healthcare workers and the general population, with practices not underpinned by sound knowledge and evidence (Easton et al 2007, Nichols and Badger 2008, Morrow et al 2011). Furthermore, although the need to understand infection prevention behaviour has been identified as a key factor in improving practice and a significant step towards modifying behaviour (Pittet 2004), little research has been undertaken regarding the motivation behind specific behaviours. "
ABSTRACT: Control of infection and prevention of healthcare associated infections is an ongoing issue worldwide. Yet despite initiatives and strategies to reduce the burden that these infections cause, healthcare workers' practice is still reported as suboptimal and these infections persist. Much of the research to date has primarily focused on predicting infection prevention behaviours and factors associated with guideline compliance. While this has given valuable insight, an investigation aiming to understand and explain behaviours that occur in everyday practice from the perspective of the actors themselves may hold the key to the challenges of effecting behaviour change. This study questioned "How can nurses' infection prevention behaviour be explained?" This paper presents one of three identified themes 'Rationalising dirt-related behaviour'. This interpretative qualitative study uses vignettes, developed from nurses' accounts of practice, to explore nurses' reported infection prevention behaviours. Registered nurses working in an acute hospital setting and had been qualified for over a year. They were recruited while studying part-time at a London University. Twenty semi-structured interviews were undertaken using a topic guide and vignettes. Interviews were transcribed verbatim and analysed using the framework method. The findings demonstrate that participants were keen to give a good impression and present themselves as knowledgeable practitioners, although it was evident that they did not always follow procedure and policy. They rationalised their own behaviour and logically justified any deviations from policy. Deviations in others were criticised as irrational and explained as superficial and part of a 'show' or display. However, participants also gave a presentation of themselves: a show or display that was influenced by the desire to protect self and satisfy patient scrutiny. This study contributes to the identification and explanation of nurses' infection prevention behaviours which are considered inappropriate or harmful. Behaviour is multifaceted and complex, stemming from a response to factors that are outside a purely 'scientific' understanding of infection and not simply understood as a deficit in knowledge. This calls for educational interventions that consider beliefs, values and social understanding of dirt and infection.International journal of nursing studies 07/2013; 51(3). DOI:10.1016/j.ijnurstu.2013.07.002 · 2.25 Impact Factor
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- ")와 비교해볼 때 다약제 내성균에 대한 본 연구 대상자들의 지식수준은 높은 편이라고 할 수 있다. 정답률이 75.54%로 낮았던 환경관리 역시 영국에서 실시한 한 조사연구 (Easton et al., 2007)에서 의사의 25%와 간호사의 7%만이 "
ABSTRACT: This study was done to investigate nurses' knowledge of, and compliance with the multidrug-resistant organism (MDRO) infection control guidelines. A survey questionnaire was developed based on the institutional and national guidelines and was administered to a convenience sample of 306 nurses in a university hospital. The mean score for knowledge was 33.87 (percentage of correct answers: 82.61%). The percentages of correct answers for basic concepts, route of transmission, hand washing/protective devices and environment management were 74.27%, 94.29%, 92.90% and 75.54% respectively. The mean compliance score was 4.15 (range: 1-5). The compliance scores for education, communication, contact precaution, disinfection, surveillance culture, and hand washing were 3.29, 4.05, 4.20, 4.50, 4.40 and 4.48 respectively. Nurses indicated "lack of time (30.06%)", "lack of means (10.78%)" and "lack of knowledge (9.48%)" as reasons for noncompliance. While most educational programs have focused on hand washing or use of protective devices to prevent transmission of MDRO in acute care settings, hospital nurses' knowledge of the basic concepts of MDRO and environmental management has remained insufficient. Nurses are relatively non-compliant to the guidelines in the areas of education (staff, patient, family) and communication. Comprehensive educational programs are needed to decrease hospital infection rates and to improve the health of patients.Journal of Korean Academy of Nursing 05/2009; 39(2):186-97. DOI:10.4040/jkan.2009.39.2.186 · 0.36 Impact Factor