Infection Disease Division, icddr,b, Dhaka, Bangladesh.
Department of Public Health, Daffodil International University, Dhaka, Bangladesh.
PLoS One. 2022 Dec 1;17(12):e0278413. doi: 10.1371/journal.pone.0278413. eCollection 2022.
Hospital-acquired infections endanger millions of lives around the world, and nurses play a vital role in the prevention of these infections. Knowledge of infection prevention and control (IPC) best practices among nurses is a prerequisite to maintaining standard precautions for the safety of patients.
The study aims to assess knowledge, attitudes, and practices (KAP) towards IPC including associated factors among the nurses of a tertiary care hospital in Bangladesh.
We conducted this hospital-based cross-sectional study from October 2017 to June 2018 at Dhaka Medical College Hospital among 300 nurses working in all departments. We calculated three KAP scores for each participant reflecting their current state of knowledge and compliance towards IPC measures. Descriptive, bivariate and multivariable analyses were conducted to determine KAP scores among nurses and their associated factors.
Average scores for knowledge, attitudes, and practices were 18.6, 5.4, and 15.5 (out of 26, 7, and 24), respectively. The study revealed that the majority (85.2%) of the nurses had a good to moderate level of knowledge, half (51%) of them showed positive attitudes, and only one fifth (17.1%) of the nurses displayed good practices in IPC. The respondents' age, education, monthly income and years of experience were found to have statistical associations with having moderate to adequate level of KAP scores. Aged and experienced nurses were found more likely to have poor knowledge and unfavorable attitude toward IPC practices.
The majority of nurses had good IPC knowledge, but their practices did not reflect that knowledge. In particular, nurses needed to improve the proper IPC practice for better patient care and to protect themselves. Regular IPC training and practice monitoring can enhance the IPC practice among nurses.
医院获得性感染危及全球数百万人的生命，护士在预防这些感染方面发挥着至关重要的作用。护士对感染预防和控制（IPC）最佳实践的了解是为患者安全维持标准预防措施的前提。
本研究旨在评估孟加拉国一家三级护理医院护士的 IPC 知识、态度和实践（KAP），包括相关因素。
我们于 2017 年 10 月至 2018 年 6 月在达卡医学院医院进行了这项基于医院的横断面研究，共有 300 名在所有科室工作的护士参与。我们为每位参与者计算了三个 KAP 分数，反映他们目前对 IPC 措施的知识和遵守情况。进行描述性、双变量和多变量分析，以确定护士的 KAP 分数及其相关因素。
知识、态度和实践的平均得分分别为 18.6、5.4 和 15.5（满分 26、7 和 24）。研究表明，大多数（85.2%）护士具有良好到中等水平的知识，其中一半（51%）表现出积极的态度，只有五分之一（17.1%）的护士在 IPC 方面表现出良好的实践。受访者的年龄、教育、月收入和工作年限与具有中等至充分 KAP 分数水平有统计学关联。年龄较大和经验丰富的护士更有可能对 IPC 实践缺乏知识和不利的态度。
大多数护士具有良好的 IPC 知识，但他们的实践并未反映出这一知识。特别是，护士需要改进适当的 IPC 实践，以提供更好的患者护理并保护自己。定期的 IPC 培训和实践监测可以提高护士的 IPC 实践水平。
