Salale University, College of Health Sciences, Department of Nursing, Fitche, Ethiopia.
Salale University, College of Health Sciences, Department of Public Health, Fitche, Ethiopia.
J Environ Public Health. 2020 Oct 30;2020:6021870. doi: 10.1155/2020/6021870. eCollection 2020.
Infection prevention and control practice (IPCP) is essential for healthcare safety and quality service delivery. The Ethiopian government has already put in place programs and initiatives for clean and safe healthcare facilities. However, in the North Showa Zone of the Oromiya Region, the infection prevention and control practice level was not well understood. Therefore, this study aimed to assess the knowledge, attitude, and practice of infection prevention and control practice among the health workforce (HWF) in North Shoa healthcare facilities (NSHCFs) environment.
Healthcare facility-based cross-sectional study design was employed. Structured and pretested self-administered questionnaires were distributed for 373 health workforce. Three hospitals and six health centers were randomly selected, and the study participants were selected by systematic sampling technique. Data were entered into Epi-data version 3.5.2 and then exported to SPSS version 23 for analysis. Multivariable logistic regression was performed to determine the associated factors with infection prevention practice, and a value of less than 0.05 was considered statistically significant.
A total of 361 (96.8%) health workforce responded to self-administered questionnaires. About 55.70% of study participants had good knowledge, 59.3% of them had a positive attitude, and 46.8% had a good infection prevention practice. Age category of 20-29(AOR = 4.08, 95%, CI = (1.97, 8.49)), female participants (AOR = 3.87, 95%, CI = (1.91, 7.86)), single participants (AOR = 3.89, 95%, CI = (1.92, 7.87)), having greater than ten years of working experience (AOR = 3.10, 95% CI = (1.19, 8.10)), positive attitude (AOR = 10.07, 95% CI = (4.82, 21.05)), and availability of water at working area (AOR = 2.27, 95% CI = (1.18, 4.35)) were significantly associated with good infection prevention practice.
In this study, a significant number of health workers had low knowledge, negative attitudes, and poor infection prevention practices. Female participants, higher work experience, a positive attitude, and water availability in the healthcare facilities were positively associated with infection prevention and control practice. Healthcare facilities should be continued capacitating the health workforce on infection prevention and control measures and equipping health facilities with infection prevention materials.
感染预防和控制实践(IPC)对于医疗保健安全和优质服务的提供至关重要。埃塞俄比亚政府已经制定了清洁和安全医疗设施的方案和倡议。然而,在奥罗米亚地区绍阿地区,IPC 实践水平尚未得到充分理解。因此,本研究旨在评估北绍阿医疗保健设施(NSHCFs)环境中卫生工作者(HWF)的 IPC 知识、态度和实践。
采用基于医疗设施的横断面研究设计。为 373 名卫生工作者发放了结构化和预测试的自我管理问卷。随机选择了三家医院和六家保健中心,采用系统抽样技术选择研究参与者。数据输入 Epi-data 版本 3.5.2,然后导出到 SPSS 版本 23 进行分析。采用多变量逻辑回归确定与感染预防实践相关的因素, 值小于 0.05 被认为具有统计学意义。
共有 361 名(96.8%)卫生工作者对自我管理问卷做出了回应。约 55.70%的研究参与者具有良好的知识,59.3%的参与者态度积极,46.8%的参与者有良好的感染预防实践。20-29 岁年龄组(AOR=4.08,95%置信区间(CI)=(1.97,8.49))、女性参与者(AOR=3.87,95% CI=(1.91,7.86))、单身参与者(AOR=3.89,95% CI=(1.92,7.87))、工作经验超过十年(AOR=3.10,95% CI=(1.19,8.10))、积极态度(AOR=10.07,95% CI=(4.82,21.05))和工作区域供水(AOR=2.27,95% CI=(1.18,4.35))与良好的感染预防实践显著相关。
在这项研究中,相当数量的卫生工作者知识水平低、态度消极、感染预防实践差。女性参与者、较高的工作经验、积极的态度以及医疗机构的供水与感染预防和控制实践呈正相关。医疗机构应继续对卫生工作者进行感染预防和控制措施的能力建设,并为卫生设施配备感染预防材料。