DOI QR코드

DOI QR Code

An Assessment of the Knowledge, Attitude, and Practice Toward Standard Precautions Among Health Workers From a Hospital in Northern Cyprus

  • Abuduxike, Gulifeiya (Department of Public Health, Faculty of Medicine, Near East University) ;
  • Vaizoglu, Songul Acar (Department of Public Health, Faculty of Medicine, Near East University) ;
  • Asut, Ozen (Department of Public Health, Faculty of Medicine, Near East University) ;
  • Cali, Sanda (Department of Public Health, Faculty of Medicine, Near East University)
  • Received : 2020.04.17
  • Accepted : 2020.09.03
  • Published : 2021.03.30

Abstract

Background: The objective was to assess the knowledge level, attitude, and practice of health care workers towards standard precautions, and to identify the related factors. Furthermore, it was attempted to identify the proportion of having the experience of needle stick injuries (NSIs) and associated factors among participants. Methods: A cross-sectional study was conducted in a teaching hospital among 233 health workers using a self-administrated questionnaire. The questionnaire included eight knowledge items, seven practice items, and five attitude items. Based on the mean score of each category, responses were grouped into "satisfactory" and "unsatisfactory". Univariate, bivariate, and multivariable logistic regression analyses were done. Results: The mean age of the participants 32.95 (SD ± 9.70) and 62.2% of them were women. 57.5% of the staff had a satisfactory level of correct knowledge (>5 correct answers), 37.3% had a satisfactory positive attitude (>3 correct answers), and 30.9% had a satisfactory practice (>3 correct answers) towards standard precautions. The occupation was one of the predictors as doctors were less likely to have satisfactory knowledge and practice compared to nurses (OR = 0.269, 95% CI: 0.10-0.70 and OR = 0.248, 95% CI: 0.08-0.77, respectively). Out of 174 participants, 31.6% of them reported experiencing NSIs and support staff were 71% less likely to experience NSIs compared to nurses & paramedics. Conclusion: The findings revealed a substandard adherence of standard precautions among participants, which highlighted the necessity of the provision of a periodic, tailored training program based on the occupation and risk exposure.

Keywords

Acknowledgement

The study was a part of the intern project of sixth-year medical students in the Near East University. The authors would like to thank all the intern students and study participants for their contributions to this study. We would like to thank Int. Dr. Altan Kamburca, Int. Dr. Osman Yangin, Int. Dr. Kerem Berk Toprak, Int. Dr. Ibrahim Yangin and Int. Dr. Yusuf Abodan for thier contributions during the data collection process.

References

  1. World Health Organization. The joint WHO-ILO-UNAIDS policy guidelines on improving health workers' access to HIV and TB prevention, treatment, care and support services. Geneva; 2010.
  2. World Health Organization (WHO). Health workers. Geneva Switzerland: World Health Orgaization; 2020.
  3. Wilburn SQ, eijkemans Gerry. Preventing needlestick injuries among healthcare workers: a WHOeICN collaboration. Int J Occup Env Heal [Internet] 2004;53(10):451-6 [cited 2020 Feb 13]. Available from: www.ijoeh.com. https://doi.org/10.1179/oeh.2004.10.4.451
  4. World Health Organization and International Labour Organization. Occupational safety and health in public health emergencies: a manual for protecting health workers and responders [Internet]. Geneva Switzerland; 2018 [cited 2020 Feb 13]. Available from: http://apps.who.int/bookorders.
  5. Aluko OO, Adebayo AE, Adebisi TF, Ewegbemi MK, Abidoye AT, Popoola BF. Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers. BMC Res Notes [Internet] 2016;9(71):14 [cited 2019 Sep 22]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26852406. https://doi.org/10.1186/s13104-015-1797-1
  6. Giardina M, Cantone MC, Tomarchio E, Veronese I. A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy [Internet]. Lippincott Williams and Wilkins. Health Phys 2016;111:317-26 [cited 2020 Jul 8]. Available from: http://journals.lww.com/00004032-201610000-00001. https://doi.org/10.1097/HP.0000000000000536
  7. Hosoglu S, Akalin S, Sunbul M, Otkun M, Ozturk R. Healthcare workers' compliance with universal precautions in Turkey. Med Hypotheses 2011;77(6):1079-82. https://doi.org/10.1016/j.mehy.2011.09.007
  8. Asmr Y, Beza L, Engida H, Bekelcho T, Tsegaye N, Aschale Y. Assessment of knowledge and practices of standard precaution against blood borne pathogens among doctors and nurses at adult emergency room in Addis Ababa, Ethiopia. Emerg Med Int [Internet] 2019:1-8. https://doi.org/10.1155/2019/2926415 [cited 2020 Feb 19]. Available from:.
  9. Hanafi MI, Mohamed AM, Kassem MS, Shawki M. Needlestick injuries among health care workers of University of Alexandria hospitals. East Mediterr Heal J 2011;17(1):26-35. https://doi.org/10.26719/2011.17.1.26
  10. De Carli G, Abiteboul D, Puro V. The importance of implementing safe sharps practices in the laboratory setting in Europe [Internet]. Biochem Med 2014;24(1):45-56. https://doi.org/10.11613/BM.2014.007.
  11. NHS Foundation Trust. Infection prevention and control policies and procedures [Internet]. London, UK; 2018 [cited 2019 Sep 23]. Available from: https://www.candi.nhs.uk/sites/default/files/InfectionPreventionandControl_PolicyandProcedures_CL05_Jan2018.pdf.
  12. Nemcov J, Jf N, Cu MED. Infection control in the health care settings: Part 1dprinciples of infection control ImportantIn Infection control in the health care setting [Internet]; 2012. 51 p [cited 2019 Sep 23]. Available from: https://www.ilo.org/wcmsp5/groups/public/-ed_protect/-protrav/-ilo_aids/documents/legaldocument/wcms_115837.pdf.
  13. Nugmanova Z, Patel N, Nurbakhyt A, Akhmetova GM, Kovtunenko N, Trumova Z, McNutt L-A. Universal precautions in Central Asia: the need for multiple strategies in this window of opportunity. J Hosp Infect 2015;89(3): 197-201. https://doi.org/10.1016/j.jhin.2014.11.011
  14. Stein AD, Makarawo TP, Ahmad MFR. A survey of doctors' and nurses' knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals. J Hosp Infect 2003;54(1):68-73. https://doi.org/10.1016/S0195-6701(03)00074-4
  15. Hesse AAJ, Adu-Aryee NA, Entsua-Mensah K, Wu L. Knowledge, attitude and practice universal basic precautions by medical personnel in a teaching hospital. Ghana Med J 2006;40(2):61-4.
  16. Powers D, Armellino D, Dolansky M, Fitzpatrick J. Factors influencing nurse compliance with Standard Precautions. Am J Infect Control [Internet] 2016;44(1):4-7. https://doi.org/10.1016/j.ajic.2015.10.001. Available from:.
  17. Balkhy HH, El Beltagy KE, El-Saed A, Sallah M, Jagger J. Benchmarking of percutaneous injuries at a teaching tertiary care center in Saudi Arabia relative to United States hospitals participating in the Exposure Prevention Information Network. Am J Infect Control [Internet] 2011;39(7):5-560. https://doi.org/10.1016/j.ajic.2010.10.022 [cited 2020 Feb 12]. Available from:.
  18. Alemie GA. Exploration of healthcare workers' perceptions on occupational risk of HIV transmission at the University of Gondar Hospital, Northwest Ethiopia. BMC Res Notes [Internet] 2012;5(704):4 [cited 2020 Feb 12]. Available from: http://www.biomedcentral.com/1756-0500/5/704. https://doi.org/10.1186/1756-0500-5-4
  19. Arinze-Onyia SU, Ndu AC, Aguwa EN, Modebe I, Nwamoh UN. Knowledge and practice of standard precautions by health-care workers in a tertiary health institution in Enugu, Nigeria. Niger J Clin Pract [Internet] 2018;21(2):149-55 [cited 2019 Sep 23]. Available from: www.njcponline.com.
  20. Darawad Muhammad W, Al-Hussami Mahmoud. Jordanian nursing students' knowledge of, attitudes towards, and compliance with infection control precautions. Nurse Educ Today [Internet] 2013;33(6):580-3. https://doi.org/10.1016/j.nedt.2012.06.009 [cited 2020 Feb 12]. Available from:.
  21. Kuwabara T, Chayama K, Tanaka S, Oka S, Hiyama T, Yoshihara M. Compliance with standard precautions among gastrointestinal endoscopists and endoscopy nurses in Japan. Am J Infect Control 2012;40:80-9. https://doi.org/10.1016/j.ajic.2011.09.004
  22. Giard Marine, Laprugne-Garcia Elisabeth, Caillat-Vallet Emmanuelle, Russell Eng Ian, Verjat-Trannoy Delphine, Ertzscheid Marie-Alix, et al., the French Group for Infection Control Practice Assessment. Compliance with standard precautions: results of a French national audit. Am J Infect Control [Internet] 2016;44(1):8-13 [cited 2019 Sep 23]. Available from: https://linkinghub.elsevier.com/retrieve/pii/S019665531500807X. https://doi.org/10.1016/j.ajic.2015.07.034
  23. Gulifeiya Abuduxike, Rahmah Mohd Amin. Nurses awareness and attitude towards hiv/aids and universal precautions: a cross-sectional study in UKMMC. J Community Health 2008;14.
  24. Lam SC. Universal to standard precautions in disease prevention: preliminary development of compliance scale for clinical nursing. Int J Nurs Stud [Internet] 2011;48(12):9-1533 [cited 2019 Sep 23]. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0020748911002641.
  25. Nagao Yoshimasa, Baba Hisashi, Torii Keizo, Nagao Miki, Hatakeyama Kazuhito, Iinuma Yoshitsugu, et al. A long-term study of sharps injuries among health care workers in Japan. Am J Infect Control 2007;35(6): 407-11. https://doi.org/10.1016/j.ajic.2006.03.015
  26. Sodhi K, Shrivastava A, Arya M, Kumar M. Knowledge of infection control practices among intensive care nurses in a tertiary care hospital. J Infect Public Health [Internet] 2013;6(4):75-269. https://doi.org/10.1016/j.jiph.2013.02.004 [cited 2019 Sep 22]. Available from:.
  27. Centers for Disease Control and Prevention. Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis [Internet]; 2005 [cited 2020 Feb 26]. Available from: https://www.cdc.gov/mmwr/PDF/rr/rr5409.pdf.
  28. Cutter J, Jordan S. Inter-professional differences in compliance with standard precautions in operating theatres: a multi-site, mixed methods study. Int J Nurs Stud [Internet] 2012;49(8):68-953 [cited 2019 Sep 23]. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0020748912000867.
  29. Tsang S, Royse CF, Terkawi AS. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine [Internet]. Medknow Publications. Saudi J Anaesth 2017;11 [cited 2020 Jul 8]. p. S80e 9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463570/.
  30. West KH, Cohen ML. Standard precautions e a new approach to reducing infection transmission in the hospital setting [Internet]. J Intraven Nurs 1997;20 [cited 2020 Feb 28]. p. S7-10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9423396.
  31. Pruss-ustun A, Rapiti E, Hutin Y. Sharps injuries: global burden of disease from sharps injuries to health-care workers. Geneva; 2003.
  32. Ugoni A, Walker BF. The Chi square test: an introduction. COMSIG Rev [Internet] 1995;4(3):61-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17989754%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC2050386.
  33. Mehta CR, Patel NR. Exact Tests [Internet]. SPSS exact test 7.0 for windows; 1996. p. 11-37. Available from: http://www.spss.com.
  34. Askarian M, McLaws ML, Meylan M. Knowledge, attitude, and practices related to standard precautions of surgeons and physicians in university-affiliated hospitals of Shiraz, Iran. Int J Infect Dis 2007;11(3):213-9. https://doi.org/10.1016/j.ijid.2006.01.006
  35. Nichol K, McGeer A, Bigelow P, O'Brien-Pallas L, Scott J, Holness DL. Behind the mask: determinants of nurse's adherence to facial protective equipment. Am J Infect Control 2013;41(1):8-13. https://doi.org/10.1016/j.ajic.2011.12.018
  36. Motamed N, BabaMahmoodi F, Khalilian A, Peykanheirati M, Nozari M. Knowledge and practices of health care workers and medical students towards universal precautions in hospitals in Mazandaran Province. East Mediterr Heal J 2006;12(5):653-61.
  37. Yenesew MA, Fekadu GA. Occupational exposure to blood and body fluids among health care professionals in Bahir Dar Town, Northwest Ethiopia. Saf Health Work 2014;5(1):17-22. https://doi.org/10.1016/j.shaw.2013.11.003
  38. Hakim SA, Mohsen A, Bakr I. Knowledge, attitudes and practices of health-care personnel towards waste disposal management at Ain Shams university hospitals, Cairo. East Mediterr Heal J [Internet] 2014;20(5):347-54 [cited 2019 Sep 23]. Available from: https://apps.who.int/iris/bitstream/handle/10665/250606/EMHJ_2014_20_5_347_354.pdf?sequence=1&isAllowed=y. https://doi.org/10.26719/2014.20.5.347
  39. Beyamo A, Dodicho T, Facha W. Compliance with standard precaution practices and associated factors among health care workers in Dawuro Zone, South West Ethiopia, cross sectional study. BMC Health Serv Res [Internet] 2019;19(381):1-6. https://doi.org/10.1186/s12913-019-4172-4 [cited 2020 Mar 4].
  40. Fayaz SH, Higuchi M, Hirosawa T, Sarker MAB, Djabbarova Z, Hamajima N. Knowledge and practice of universal precautions among health care workers in four national hospitals in Kabul, Afghanistan. J Infect Dev Ctries [Internet] 2014;8(4):535-42 [cited 2020 Feb 12]. Available from: https://jidc.org/index.php/journal/article/view/4143. https://doi.org/10.3855/jidc.4143
  41. Martins A, Coelho AC, Vieira M, Matos M, Pinto ML. Age and years in practice as factors associated with needlestick and sharps injuries among health care workers in a Portuguese hospital. Accid Anal Prev 2012;47:11-5. https://doi.org/10.1016/j.aap.2012.01.011

Cited by

  1. Knowledge, Attitude and Practice of Standard Infection Control Precautions among Health-Care Workers in a University Hospital in Qassim, Saudi Arabia: A Cross-Sectional Survey vol.18, pp.22, 2021, https://doi.org/10.3390/ijerph182211831