Educational Intervention to Improve adherence to Methicillin-Resistant Staphylococcus Aureus Control Practice Among Nurses at Two Hospitals in Egypt

Mahmoud Elboraey Elsayed Wafaa, Mohamed Shebl Amany, Abd El Kader Ali Heba, Sobh Eman
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Abstract

Purpose: The aim of this study was to evaluate the effectiveness of an educational intervention to improve adherence to Methicillin-Resistant Staphylococcus Aureus control practice among nurses at two Hospitals in Egypt. Methicillin-resistant Staphylococcus aureus (MRSA) is a major pathogen and the most common multidrug-resistant bacterium which is responsible for nosocomial infections, with elevated morbidity and mortality rate. Nurses need a comprehensive intervention to improve adherence to MRSA control practice in order to decrease the rate of its spread. Research design: Pre /post-quasi-experimental design was used in this study. This study was carried out at two hospitals in Egypt (Mansoura Chest Disease and Benha University Hospital). A convenient sample of 80 nurses. Tool I- Nurses’s Structured Interview Questionnaire in Arabic language. Tool II - Observational Checklist for MRSA and Infection Control Practice. Descriptive statistics such as frequencies, means, and standard deviations were used to summarize the data. Chi-square and r (correlation) were used to correlate between the studied variables. Methodology: Before the application of educational intervention 32.5% of nurses has poor practice levels and the percentage decreased to 7.5%, 14.5  immediately and 2 months post-educational intervention respectively. Unique contribution to theory, practice and policy: The educational intervention was effective in improving adherence to Methicillin-Resistant Staphylococcus Aureus control practice among nurses at the two hospitals as there is a statistically significant difference between all phases of the study regarding nurses' practice. Emphasizing the importance of following the latest updated evidence-based approaches to infection control in continuing training programs, and infection prevention with national guidelines (standard precautions) should be provided.
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教育干预提高埃及两家医院护士对耐甲氧西林金黄色葡萄球菌控制实践的依从性
目的:本研究的目的是评估教育干预的有效性,以提高埃及两家医院护士对耐甲氧西林金黄色葡萄球菌控制实践的依从性。耐甲氧西林金黄色葡萄球菌(MRSA)是院内感染的主要病原体和最常见的多重耐药细菌,发病率和死亡率均较高。护士需要一个全面的干预,以提高遵守MRSA控制实践,以减少其传播率。研究设计:本研究采用准前/准后实验设计。这项研究是在埃及的两家医院(曼苏拉胸病医院和本哈大学医院)进行的。一个方便的80名护士样本。工具一-阿拉伯语护士结构化访谈问卷。工具二- MRSA观察检查表和感染控制实践。使用频率、平均值和标准差等描述性统计来总结数据。使用卡方和r(相关)来确定研究变量之间的相关性。方法:实施教育干预前,32.5%的护士执业水平较差,教育干预后即刻和2个月分别降至7.5%、14.5%和14.5%。在理论、实践和政策方面的独特贡献:教育干预在提高两家医院护士对耐甲氧西林金黄色葡萄球菌控制实践的依从性方面是有效的,因为在研究的各个阶段之间,护士的实践有统计学上的显著差异。应强调在持续培训规划中遵循最新更新的循证感染控制方法的重要性,并应提供国家指南(标准预防措施)预防感染。
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