Picheansatian Wilawan, Moongtui Wanchai, Soparatana Poonsap, Chittreecheur Jittaporn, Apisarnthanarak Anucha, Danchaivijitr Somwang
Faculty of Nursing, Chiang Mai University, Chiang Mai.
J Med Assoc Thai. 2005 Dec;88 Suppl 10:S171-6.
To evaluate the effectiveness of a training course in infection control for nurses.
A quasi-experimental study was performed from November 1, 2001 to December 31, 2002. The study was divided into three phases; 1) pre-intervention (November 1-30, 2001) to survey baseline data among participants, 2) intervention (January 1-31, 2002) to establish, develop and conduct the training course, 3) post-intervention (February 1, 2002 to December 31, 2002) to evaluate the effectiveness of the training program, and conduct a workshop for infection control project presentations. The research instruments consisted of questionaires and a focus group discussion guide.
Forty-six nurses who had experience of working as infection control nurses (ICN) for more than one year and 46 hospital administrators were enrolled in the pre-interventional phase. Major problems identified among ICNs were inadequate knowledge, multiple simultaneous job descriptions, overwork and lack of collaboration from colleagues. After intervention, significant improvement was observed on their knowledge and confidence among ICNs (rating scale, 4.09 vs. 3.43; p< 0.001). All administrators agreed that the training course was beneficial to ICNs and believed that the problems in practices of IC would be solved. More satisfaction of ICNs among hospital administrators was also observed (97.7% vs. 28.3%; p< 0.001).
The present study suggested that the training course to provide practical knowledge for ICNs be effective and should be conducted periodically to keep up with the advance in medical technology. An ICN network with other academic institutions should be established.
评估针对护士的感染控制培训课程的效果。
于2001年11月1日至2002年12月31日进行了一项准实验研究。该研究分为三个阶段:1)干预前阶段(2001年11月1日至30日),调查参与者的基线数据;2)干预阶段(2002年1月1日至31日),设立、开发并开展培训课程;3)干预后阶段(2002年2月1日至12月31日),评估培训项目的效果,并举办感染控制项目展示研讨会。研究工具包括问卷和焦点小组讨论指南。
46名有一年以上感染控制护士(ICN)工作经验的护士和46名医院管理人员参与了干预前阶段。ICN中发现的主要问题包括知识不足、多项同时进行的工作职责、工作过度以及同事缺乏协作。干预后,ICN的知识和信心有了显著提高(评分量表,4.09对3.43;p<0.001)。所有管理人员都认为培训课程对ICN有益,并相信感染控制实践中的问题将得到解决。医院管理人员对ICN的满意度也更高(97.7%对28.3%;p<0.001)。
本研究表明,为ICN提供实践知识的培训课程是有效的,应定期开展以跟上医学技术的进步。应建立一个与其他学术机构的ICN网络。