Ahsan Ahsan, Dewi Elvira S, Suharsono Tony, Setyoadi Setyoadi, Soplanit Venny G, Ekowati Shilfi I, Syahniar Nabila P, Sirfefa Ratna S, Kartika Annisa W, Ningrum Evi H, Noviyanti Linda W, Laili Nurul
Management Nursing Department, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
Basic Nursing Department, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
SAGE Open Nurs. 2021 Oct 5;7:23779608211044601. doi: 10.1177/23779608211044601. eCollection 2021 Jan-Dec.
Knowledge management-based nursing care has a positive effect in preventing healthcare associated infections (HAIs). Therefore, nursing professionals can utilize key strategies of knowledge management to support clinical decision making, reorganize nursing actions, and maximize patient outcomes.
The aim of this study was to determine the effect of knowledge management-based nursing care educational training on HAI prevention behavior at the High Care Unit (HCU) of Saiful Anwar Hospital Malang.
A quasiexperimental design with a pretest, educational training intervention, and posttest were conducted on 15 nurses in the HCU of Saiful Anwar Hospital Malang, which lasted for 16 days. Furthermore, observation of nursing care documentation, nurses' handwashing compliance, and presence of infection-causing bacteria in the HCU staff and environment (hands rub handle, medical record, and patient's bed) was carried out pre (day 1-7) and post training (day 10-16). Subsequently, educational training related to knowledge management-based nursing care was conducted for 2 days (day 8-9) by the Doktor Mengabdi Team of Universitas Brawijaya.
The knowledge level and completeness of the nursing care documentation in the HCU room significantly increased after the training (< .05). Also, compliance to the six steps five moments of nurses' handwashing increased after the training (> .05). Infection-causing bacteria were found in the HCU environment and staff before and after the training involving , , , , , , and . Therefore, increased knowledge of HCU nurses and complete documentation ( = .890; = .054), increased knowledge of HCU nurses and handwashing compliance ( = .770; = .086), and handwashing compliance and bacterial presence ( = .816; = .084) all had a positive correlation.
Knowledge management-based nursing care educational training increased infection prevention behavior in the HCU of Saiful Anwar Hospital Malang.
基于知识管理的护理在预防医疗相关感染（HAIs）方面具有积极作用。因此，护理专业人员可以利用知识管理的关键策略来支持临床决策、重新组织护理行动并最大化患者治疗效果。
本研究旨在确定基于知识管理的护理教育培训对玛琅赛富安瓦尔医院高护理单元（HCU）预防HAIs行为的影响。
对玛琅赛富安瓦尔医院HCU的15名护士进行了一项带有前测、教育培训干预和后测的准实验设计研究，为期16天。此外，在培训前（第1 - 7天）和培训后（第10 - 16天）对HCU的护理记录文件、护士洗手依从性以及HCU工作人员和环境（手部揉搓把手、病历和患者病床）中致病细菌的存在情况进行了观察。随后，由布拉维贾亚大学的“博士援助团队”进行了为期2天（第8 - 9天）的基于知识管理的护理教育培训。
培训后，HCU病房护理记录文件的知识水平和完整性显著提高（<0.05）。同时，培训后护士洗手六步五时刻的依从性也有所提高（>0.05）。在培训前后的HCU环境和工作人员中均发现了致病细菌，涉及……。因此，HCU护士知识增加与完整记录（r = 0.890；p = 0.054）、HCU护士知识增加与洗手依从性（r = 0.770；p = 0.086）以及洗手依从性与细菌存在情况（r = 0.816；p = 0.084）均呈正相关。
基于知识管理的护理教育培训增加了玛琅赛富安瓦尔医院HCU的感染预防行为。
