Bansal Akanksha, Rastogi Aayushi, Chauhan Sapna, Varshney Mohit, Prakash Arun, Kumar Ashish, Syed Sabin
Project ECHO and PRAKASH, Institute of Liver and Biliary Sciences, Delhi, India.
Department of Epidemiology, Institute of Liver and Biliary Sciences, Delhi, India.
J Family Med Prim Care. 2021 Aug;10(8):3021-3028. doi: 10.4103/jfmpc.jfmpc_264_21. Epub 2021 Aug 27.
Nursing fraternity are at an increased risk of acquiring hepatitis B and hepatitis C infections mainly attributable to occupational risk and close contact with the patients while treatment. However, unawareness and negligence about the severity, mode of transmission and preventive measures about the disease can further predispose the nursing fraternity to a higher risk of infection. To overcome these lacunae in knowledge, a training program named Project PRAKASH was initiated for in-service nurses across the country. The objective of the program was to impart up-to-date knowledge to the nursing professionals in the management of viral hepatitis and to assess the effectiveness of the training program through pre-post-knowledge assessment survey.
One-day training program titled 'Hepatitis Induction Program' was conducted for a period of 2 years (2018-2020) among nursing professionals. It was accompanied by administration of 54-item knowledge, attitude and practice (KAP) questionnaire with four sections: demographic details, knowledge (30 items), attitude (11 items) and practice (13 items), followed by post-knowledge assessment. An Impact Assessment Survey (IAS) was also administered to assess the change in attitude and practice among 10% of the attendees, at least 6 months post training.
A total of 32 one-day training programmes were organised which witnessed the training of 5,253 nursing professionals from 292 institutions across 12 states. A data of 4,474 participants were included in the final analysis: improvement in the knowledge score was significant (-value < 0.001) with mean knowledge score of 19.3 ± 4.4 in pre-test and 25.7 ± 3.9 in the post-test.
The one-day training resulted in improvement of knowledge and significant changes in the attitude and practices of the nursing professionals.
护理行业人员感染乙型肝炎和丙型肝炎的风险增加，主要归因于职业风险以及治疗期间与患者的密切接触。然而，对该疾病的严重性、传播方式和预防措施缺乏认识以及疏忽，可能会使护理行业人员面临更高的感染风险。为了弥补这些知识空白，针对全国在职护士启动了一个名为“PRAKASH项目”的培训项目。该项目的目标是向护理专业人员传授病毒性肝炎管理方面的最新知识，并通过培训前后的知识评估调查来评估培训项目的效果。
在两年（2018 - 2020年）期间，为护理专业人员举办了为期一天的“肝炎入门培训项目”。培训同时发放了一份包含54个项目的知识、态度和实践（KAP）问卷，问卷分为四个部分：人口统计学细节、知识（30个项目）、态度（11个项目）和实践（13个项目），随后进行培训后的知识评估。还进行了一项影响评估调查（IAS），以评估至少在培训后6个月的10%的参与者的态度和实践变化。
共组织了32次为期一天的培训项目，来自12个邦292个机构的5253名护理专业人员参加了培训。最终分析纳入了4474名参与者的数据：知识得分有显著提高（p值<0.001），培训前平均知识得分为19.3±4.4，培训后为25.7±3.9。
为期一天的培训提高了护理专业人员的知识水平，并使其态度和实践发生了显著变化。
