Knowledge and Compliance among Staff Nurses in Collecting Urine Culture from Patients on Indwelling Catheter in A Medical Ward

Norliza Binti Arifin, Regidor III Dioso, Santhna Letchmi Panduragan
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Abstract

Urine specimens can easily be contaminated by microbes in the genital area, which often leads to false positive results and antibiotic over-prescriptions. This study aimed to evaluate nurses’ knowledge and compliance regarding urine collection with an indwelling catheter in a medical ward. A total of 101 registered nurses participated in this study from September 2020 to January 2021 at the Hospital Raja Perempuan Zainab II (HRPZII). A total of 118 nurses participated in this study. Generally, the nurses had sufficient knowledge of the correct urine specimen handling. Cramer’s V analysis showed a moderate association between hand hygiene knowledge and practice among the nurses (φc: 0.273, p = 0.046). In addition, the knowledge and practice of decontaminating continuous bladder drainage areas displayed a relatively moderate association (p = 0.01). While most nurses showed knowledge of the contamination preventive measures, initiatives should be taken so that all nurses would be more likely to comply with the recommended procedure and reduce specimen contamination.
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A病房留置导尿患者收集尿培养知识及依从性分析
尿液样本很容易被生殖器区域的微生物污染,这往往导致假阳性结果和抗生素处方过量。本研究旨在评估内科病房护士对留置导尿收集的知识及依从性。2020年9月至2021年1月,共有101名注册护士在Raja Perempuan Zainab II医院(HRPZII)参加了这项研究。共有118名护士参与本研究。一般来说,护士对正确处理尿液标本有足够的了解。Cramer 's V分析显示,护士的手卫生知识与实践有中等程度的相关性(φc: 0.273, p = 0.046)。此外,持续膀胱引流区去污的知识和实践显示出相对中度的相关性(p = 0.01)。虽然大多数护士对污染预防措施有所了解,但应采取主动措施,使所有护士更有可能遵守推荐的程序并减少标本污染。
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