培训与经验在二级或三级患者隔离病房工作的护士生物安全实践中的作用

Role of Training and Experience in Biosafety Practices Among Nurses Working in Level 2 or 3 Patient Containment.

作者信息

Bajjou Tahar, Ennibi Khalid, Amine Idriss Lahlou, Mahassine Fattouma, Sekhsokh Yassine, Gentry-Weeks Claudia

机构信息

Research and Biosafety Laboratory P3, Mohammed V Military Teaching Hospital, Mohammed V University, Rabat, Morocco.

Center of Virology Infectious and Tropical Diseases, Mohammed V Military Teaching Hospital, Mohammed V University, Rabat, Morocco.

出版信息

Appl Biosaf. 2020 Jun 1;25(2):96-103. doi: 10.1177/1535676019899506.

DOI:10.1177/1535676019899506

PMID:36035083

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9387737/

Abstract

INTRODUCTION

This study was conducted to assess the difference in biosafety behaviors among nurses working in a levels 2 and 3 hospital unit in Morocco and the need for additional biosafety training before working in a high-containment facility.

METHODS

A prospective cross-sectional and observational study was conducted among new and experienced nurses in the Center of Virology and Tropical Infectious Diseases of the Military Teaching Hospital Mohammed V of Rabat, Morocco, between December 1, 2017 and February 28, 2018 (3 months). We compared behaviors in biosafety practices (donning gloves, handwashing, etc) between the 2 groups, and data were collected by observing workers directly or via camera.

RESULTS

A total of 31 nurses, 14 newly graduated nurses (45.2%) and 17 experienced and trained (54.8%) nurses, were observed during 89 entries into high-containment hospital rooms. Among the behaviors observed, only donning an inner pair of gloves was observed consistently between the 2 groups. Experienced and trained nurses washed their hands (100%) and observed the antiseptic contact time (71%), whereas recently graduated nurses ignored these activities significantly (79% and 32%, respectively). During handling of the patient, the trained and experienced nurses were significantly better than the new ones in the practices of biosafety and personal protection. Gaps in biosafety were observed more frequently among newly graduated workers, especially donning outer gloves before patient contact, nurses touching their faces, and the act of wearing jewelry while working.

CONCLUSION

Safety training should begin early in the training curriculum with theoretical and practical courses. It must be introduced into the general biosafety policy as part of a safety and standard working culture. It is recommended that personnel be required to pass a proficiency exam in critical biosafety tasks before working with high-risk patients.

摘要

引言

本研究旨在评估摩洛哥一家二级和三级医院科室的护士在生物安全行为方面的差异，以及在进入高隔离设施工作前接受额外生物安全培训的必要性。

方法

2017年12月1日至2018年2月28日（3个月）期间，在摩洛哥拉巴特穆罕默德五世军事教学医院病毒学和热带传染病中心，对新护士和有经验的护士进行了一项前瞻性横断面观察研究。我们比较了两组在生物安全操作（戴手套、洗手等）方面的行为，并通过直接观察工作人员或通过摄像头收集数据。

结果

在89次进入高隔离病房的过程中，共观察了31名护士，其中14名新毕业护士（45.2%）和17名有经验且经过培训（54.8%）的护士。在观察到的行为中，两组之间仅一致观察到戴内层手套的行为。有经验且经过培训的护士洗手（100%）并遵守抗菌接触时间（71%），而刚毕业的护士显著忽视这些行为（分别为79%和32%）。在护理患者期间，经过培训且有经验的护士在生物安全和个人防护操作方面明显优于新护士。刚毕业的工作人员中生物安全方面的差距更频繁地被观察到，尤其是在接触患者前戴外层手套、护士触摸自己的脸以及工作时佩戴首饰的行为。