A study of nurses' observance rate of hygienic principles and nosocomial infections control

Reza Faraji, Samaneh Mirzaei, Adel Eftekhari, Azam Pourghaffari Lahiji, Mohammad Hassan Mondegari Bamakan, Hamid Kabiri Rad


Background: Health-care personnel's familiarity with infection control methods and pathogen transmission channels play a determining role in reducing nosocomial infections. This study aimed at investigating the nurses' performance in observing hygienic principles and nosocomial infections control.

Methods: This descriptive cross-sectional study was conducted on 34 nurses working at Afshar Hospital in Yazd, Iran in 2016. Nurses' performance on infections prevention was surveyed via a checklist using self-reporting by nurses. The gleaned data were analyzed using independent t-test and ANOVA.

Results: Our findings suggested that 69.5% of nurses had moderate performance on nosocomial infections control with regard to themselves, 63.2% had it with regard to patients, and 71.5% had it with regard to hospital setting. Also, there was a significant correlation between performance quality and nurses' working experience (P=0.01), on the one hand, and participation in an orientation workshop (P=0.001), on the other hand.

Conclusions: Based on our findings, it is rendered as mandatory for hospital authorities to provide the required conditions for improving nurses' awareness and performance with regard to observing the hygienic principles and nosocomial infections control.



Nosocomial infections, Nurses, Hygienic principles, Infection control

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Aslesh OP, Ubaid NP, Nagaraja SB, Shewade HD, Padmanabhan KV, Naik BR, et al. Public Health Action. 2015;5:255-60.

Ducel G, Fabry J, Nicolle L. Prevention of hospital-acquired infections. 2nd edition. WHO. 2002, PP. 1-64.

Sethi AK, Acher CW, Kirenga B, Mead S, Donskey CJ, Katamba A. Infection control knowledge, attitudes, and practices among healthcare workers at Mulago Hospital, Kampala, Uganda. Infect Control Hosp Epidemiol. 2012;33:917-23.

Cardo D, Dennehy PH, Halverson P, Fishman N, Kohn M, Murphy CL, et al. Moving toward elimination of healthcare-associated infections: A call to action. Am J Infect Control. 2010;38:671-5.

Ott E, Saathoff S, Graf K, Schwab F, Chaberny IF. The prevalence of nosocomial and community acquired infections in a university hospital: an observational study. Dtsch Arztebl Int. 2013;110:533-40.

Motamed N, BabaMahmodi F, Khalilian A, Peykanheirati M, Nozari M. Knowledge and practices of health care workers and medical students towards universal precautions in hospitals in Mazandaran Province. East Mediterr Health J. 2006;12:653-61.

Klevens RM, Edwards JR, Richards CL Jr, Horan TC, Gaynes RP, Pollock DA. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. 2007;122:160-6.

Nejad SB, Allegranzi B, Syed SB, Ellis B, Pittet D. Health-care-associated infection in Africa: a systematic review. Bull World Health Organ. 2011;89:757-65.

Zimlichman E, Henderson D, Tamir O, Franz C, Song P, Yamin CK, et al. Health care-associated infections a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med. 2013;173:2039-46.

Arefian H, Vogel M, Kwetkat A, Hartmann M. Economic evaluation of interventions for prevention of hospital acquired infections: A systematic review. PLoS One. 2016;11:e0146381.

Lewis KL, Thompson JM. Health care professionals' perceptions and knowledge of infection control practices in a community hospital. Health Care Manag (Frederick). 2009;28:230-8.

Khan HA, Ahmad A, Mehboob R. Nosocomial infections and their control strategies. Asian Pac J Trop Biomed. 2015;5(7):509-14.

Archibald LK. Gram-negative, hospital-acquired infections: a growing problem. Infect Control Hosp Epidemiol. 2004;25:809-11.

Farr BM. Prevention and control of hospital-acquired infections In: Carpenter C.J, Griggs R.C, Loscalzo J. (editors). Cecil Essentials of Medicine. 5th ed. Philadelphia: WB Saunders Company; 2001. pp: 1744-1770.

Stone PW, Clarke SP, Cimiotti J, Correa-de-Araujo R. Nurses' working conditions: implications for infectious disease. Emerg Infect Dis. 2004;10:1984-9.

Vetter L, Schuepfer G, Kuster SP, Rossi M. A hospital-wide outbreak of serratia marcescens, and Ishikawa's "Fishbone" analysis to support outbreak control. Qual Manag Health Care. 2016;25:1-7.

Morgan D. Functions of the hospital infection control committee. Can Hosp. 1972;49:27-8.

Aghakhani N, Nia SH, Ghana S, Zeydi EA, Panah SA, Rahbar N. Surveying prevention of nosocomial infections among nurses in educational hospitals of Uremia in 2009. J Family Health. 2012;1;21-7.

Gould D, Barnett WJ, Ream E. Nurses' infection-control practice: Hand decontamination, the use of gloves and sharp instruments. Int J Nurs Stud. 1996;33:143-60.

Mac Bride A. Health promotion in hospital. The attitudes، beliefs and practice of hospital nurses. J A N. 1994;20:29-100.

Marta C, Heick M, Richards B, Murray J, Lathrop N, Reed S. Program charactristics influencing nurse selection of CE offerng. J Contin Educ Nurs, 1992;23:245-52.

Linden B. Protection in practice. Nursing Times. 1991;87:59-63.

Elliott SK, Keeton A, Holt A. Medical students’ knowledge of sharps injuries. J Hosp Infect. 2005;60:374-7.

Beverly BM. Applying andrology in nursing CE. J Contin Educ Nurs. 1992;23:148-51.

Kim K, Jeong J, Park H. Infection control nurse specialist education in Korea. Am J Infect Control. 2010;38:413-5.