Effectiveness of Preventive Nursing Program for Multidrug-Resistant Organism Transmission: A Quasi-experimental Study

IF 0.7 Q4 NURSING
Ketsara Tanseng, Akeau Unahalekhaka, Nongyao Kasatpibal, Nongkran Viseskul
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Abstract

Multidrug-resistant organism infections are a major public health problem. Promoting nurses’ practice in preventing multidrug-resistant infections can reduce hospital transmission. This quasi-experimental study investigated the effectiveness of a preventive nursing program for multidrug-resistant organism transmission. The study was carried out in the Department of Internal Medicine in a tertiary hospital in south Thailand. Participants in this study were registered nurses. Two wards were randomly selected as the experimental ward and two as the control ward, then participants from each ward were purposively selected. Finally, there were 60 participants, n = 31 from the experiment wards and n = 29 from the control wards. The experimental group received a 4-week program, whereas the control group followed the usual practice. Then, the practices in preventing multidrug-resistant organism transmission of the experimental and control groups were assessed 4 and 12 weeks after the program ended. The instruments for data collection included a demographic data form and a preventive practice observation form. Data were analyzed using descriptive statistics and a chi-square test. The results showed that, at 4 and 12 weeks after completion of the program, nurses in the experimental group had a significantly higher proportion of correct practices (hand hygiene, use of personal protective equipment, patient placement, patient transport, patient care equipment management, environmental management, and linen and infectious waste management of multidrug-resistant organism transmission) than before receiving the program and in the control group. The findings suggest that the program effectively improves nurses’ correct practices in preventing multidrug-resistant organism transmission. The program can be applied to promote and support preventive practices among nurses. However, long-term follow-ups with the incidence of multidrug-resistant organism transmission should be further studied. In addition, as this study was conducted with nurses working in the internal medicine wards of a tertiary hospital, it is necessary to evaluate the program's effectiveness with different samples prior to its widerimplementation.
预防护理方案对耐多药细菌传播的有效性:一项准实验研究
耐多药生物感染是一个重大的公共卫生问题。促进护士预防耐多药感染的做法可减少医院传播。这项准实验研究调查了预防护理方案对多药耐药菌传播的有效性。这项研究是在泰国南部一家三级医院的内科进行的。本研究的参与者为注册护士。随机选择两个病房作为实验病房和两个病房作为对照病房,然后有目的地从每个病房中选择参与者。最后,共有60名参与者,n = 31来自实验病房,n = 29来自对照病房。实验组接受为期4周的计划,而对照组则遵循通常的做法。然后,在项目结束后4周和12周,评估实验组和对照组在预防多药耐药菌传播方面的做法。数据收集工具包括人口统计数据表和预防实践观察表。数据分析采用描述性统计和卡方检验。结果显示,在项目完成后的第4周和第12周,实验组护士的正确做法(手卫生、个人防护装备的使用、患者安置、患者运输、患者护理设备管理、环境管理以及耐多药菌传播的床单和感染性废物管理)的比例显著高于接受项目前和对照组。结果表明,该规划有效地提高了护士预防耐多药菌传播的正确做法。该方案可用于促进和支持护士的预防措施。然而,对耐多药菌传播发生率的长期随访还需进一步研究。此外,由于本研究是在三级医院内科病房工作的护士进行的,因此有必要在广泛实施之前用不同的样本评估该计划的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.40
自引率
14.30%
发文量
3
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