{"title":"重复教育对ICU护士MDRO感染控制知识和绩效的影响:前测后测研究","authors":"Kyeongmin Jang","doi":"10.1111/nicc.70123","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Multidrug-resistant organisms (MDROs) pose a serious threat to patient safety in intensive care units (ICUs), where invasive procedures and extensive antibiotic use elevate the risk of transmission. Although educational interventions can enhance infection control compliance, their effects often decline over time.</p><p><strong>Aim: </strong>To evaluate the effectiveness and sustainability of a repeated education programme on ICU nurses' knowledge and performance related to MDRO infection control.</p><p><strong>Study design: </strong>A one-group pretest-posttest study.</p><p><strong>Results: </strong>Forty-three ICU nurses received three monthly 50-min education sessions. Knowledge scores significantly increased from 19.60 (SD = 1.62) at baseline to 21.79 (SD = 1.60) 2 weeks post-intervention and were maintained at 21.42 (SD = 1.40) after 3 months (p < 0.001). Performance scores also improved from 94.65 (SD = 11.69) to 101.49 (SD = 8.29) and remained elevated at 102.63 (SD = 7.26) (p < 0.001). No significant decline was observed between the post-intervention measurements.</p><p><strong>Conclusions: </strong>Repeated education significantly improved and sustained ICU nurses' knowledge and performance in MDRO infection control. The spaced and unit-based format supports routine integration and reinforcement of infection control competencies.</p><p><strong>Relevance to clinical practice: </strong>Brief, structured and repeated education sessions can be feasibly incorporated into ICU training programmes. This approach may strengthen adherence to MDRO prevention protocols and improve patient safety in high-risk clinical settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70123"},"PeriodicalIF":2.6000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301955/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of Repeated Education on ICU Nurses' Knowledge and Performance in MDRO Infection Control: A Pretest-Posttest Study.\",\"authors\":\"Kyeongmin Jang\",\"doi\":\"10.1111/nicc.70123\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Multidrug-resistant organisms (MDROs) pose a serious threat to patient safety in intensive care units (ICUs), where invasive procedures and extensive antibiotic use elevate the risk of transmission. Although educational interventions can enhance infection control compliance, their effects often decline over time.</p><p><strong>Aim: </strong>To evaluate the effectiveness and sustainability of a repeated education programme on ICU nurses' knowledge and performance related to MDRO infection control.</p><p><strong>Study design: </strong>A one-group pretest-posttest study.</p><p><strong>Results: </strong>Forty-three ICU nurses received three monthly 50-min education sessions. Knowledge scores significantly increased from 19.60 (SD = 1.62) at baseline to 21.79 (SD = 1.60) 2 weeks post-intervention and were maintained at 21.42 (SD = 1.40) after 3 months (p < 0.001). Performance scores also improved from 94.65 (SD = 11.69) to 101.49 (SD = 8.29) and remained elevated at 102.63 (SD = 7.26) (p < 0.001). No significant decline was observed between the post-intervention measurements.</p><p><strong>Conclusions: </strong>Repeated education significantly improved and sustained ICU nurses' knowledge and performance in MDRO infection control. The spaced and unit-based format supports routine integration and reinforcement of infection control competencies.</p><p><strong>Relevance to clinical practice: </strong>Brief, structured and repeated education sessions can be feasibly incorporated into ICU training programmes. This approach may strengthen adherence to MDRO prevention protocols and improve patient safety in high-risk clinical settings.</p>\",\"PeriodicalId\":51264,\"journal\":{\"name\":\"Nursing in Critical Care\",\"volume\":\"30 4\",\"pages\":\"e70123\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301955/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing in Critical Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/nicc.70123\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing in Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nicc.70123","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Effect of Repeated Education on ICU Nurses' Knowledge and Performance in MDRO Infection Control: A Pretest-Posttest Study.
Background: Multidrug-resistant organisms (MDROs) pose a serious threat to patient safety in intensive care units (ICUs), where invasive procedures and extensive antibiotic use elevate the risk of transmission. Although educational interventions can enhance infection control compliance, their effects often decline over time.
Aim: To evaluate the effectiveness and sustainability of a repeated education programme on ICU nurses' knowledge and performance related to MDRO infection control.
Study design: A one-group pretest-posttest study.
Results: Forty-three ICU nurses received three monthly 50-min education sessions. Knowledge scores significantly increased from 19.60 (SD = 1.62) at baseline to 21.79 (SD = 1.60) 2 weeks post-intervention and were maintained at 21.42 (SD = 1.40) after 3 months (p < 0.001). Performance scores also improved from 94.65 (SD = 11.69) to 101.49 (SD = 8.29) and remained elevated at 102.63 (SD = 7.26) (p < 0.001). No significant decline was observed between the post-intervention measurements.
Conclusions: Repeated education significantly improved and sustained ICU nurses' knowledge and performance in MDRO infection control. The spaced and unit-based format supports routine integration and reinforcement of infection control competencies.
Relevance to clinical practice: Brief, structured and repeated education sessions can be feasibly incorporated into ICU training programmes. This approach may strengthen adherence to MDRO prevention protocols and improve patient safety in high-risk clinical settings.
期刊介绍:
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice