感染控制课程对护生关于标准预防措施的知识及依从性的影响：一项准实验研究。

The Effect of Infection Control Course on Nursing Students' Knowledge of and Compliance With Universal Precautions: A Quasi-experimental Study.

作者信息

Tawalbeh Loai Issa, Al-Rawajfah Omar M, Habiballah Laila

机构信息

Loai Issa Tawalbeh, PhD, RN, is an associate professor in the Faculty of Nursing at Al-AlBayt University, Al-Mafraq, Jordan. Omar M. AL-Rawajfah, PhD, RN, is an associate professor of Acute Care Nursing, College of Nursing-Sultan Qaboos University, Muscat, Oman. Laila Habiballah, PhD, RN, is an assistant professor in the Faculty of Nursing at Irbid National University, Jordan.

出版信息

Dimens Crit Care Nurs. 2019 May/Jun;38(3):137-145. doi: 10.1097/DCC.0000000000000352.

DOI:10.1097/DCC.0000000000000352

PMID:30946121

Abstract

BACKGROUND

Knowledge of and compliance with universal isolation precautions are important issues and were found to be low in many previous studies. However, there were no Jordanian studies that have examined the effect of an infection control teaching course on nursing students' knowledge of and compliance with universal precautions.

PURPOSE

This study aimed to assess knowledge and compliance levels, assess the relationships between knowledge and compliance, and examine the effect of infection control teaching courses on knowledge of and compliance with universal precautions among university nursing students.

METHODS

A quasi-experimental pretest/posttest design using a convenient sample of 130 third-year nursing students was applied. The experimental group (n = 60) were third-year nursing students who registered for infection control clinical course for 3 months. On the other side, the control group (n = 70) were students at the same academic level but did not register for the course and never attended the course.

RESULTS

The mean knowledge of and compliance with universal precaution were quite low, with a mean (SD) of 7.82 (1.98) and 49.36 (11.13) respectively. There was a statistically significant weak positive correlation between knowledge of and compliance with standard precaution (r = 0.28, P = .003). An independent t test indicated a significant effect of the infection control clinical course (t119 = -5.36, P = .01) on knowledge mean score (mean [SD], 15.51 [1.41]) and compliance with universal precaution mean score (mean [SD], 89.00 [10.17]; t119 = 6.26, P = .02) compared to the control group. Paired t test revealed that knowledge and compliance were significantly higher in the posttest than in the pretest in the experimental group compared with the control group.

CONCLUSION

Knowledge of and compliance with universal precautions were relatively low among nursing students. The application of an infection control teaching course helps improve both knowledge of and compliance with universal precautions among university nursing students.

摘要

背景

了解并遵守通用隔离预防措施是重要问题，且在许多先前研究中发现相关水平较低。然而，尚无约旦的研究探讨感染控制教学课程对护生通用预防措施知识及遵守情况的影响。

目的

本研究旨在评估知识水平和遵守情况，评估知识与遵守之间的关系，并检验感染控制教学课程对大学护生通用预防措施知识及遵守情况的影响。

方法

采用准实验性前测/后测设计，选取130名三年级护生作为便利样本。实验组（n = 60）为注册参加为期3个月感染控制临床课程的三年级护生。另一方面，对照组（n = 70）为同一年级但未注册该课程且从未参加过该课程的学生。

结果

通用预防措施的知识和遵守情况平均水平相当低，均值（标准差）分别为7.82（1.98）和49.36（11.13）。标准预防措施的知识与遵守情况之间存在统计学上显著的弱正相关（r = 0.28，P = .003）。独立t检验表明，与对照组相比，感染控制临床课程对知识平均得分（均值[标准差]，15.51[1.41]）和通用预防措施遵守情况平均得分（均值[标准差]，89.00[10.17]）有显著影响（t119 = -5.36，P = .01）。配对t检验显示，与对照组相比，实验组后测中的知识和遵守情况显著高于前测。