Educational Intervention to Improve adherence to Methicillin-Resistant Staphylococcus Aureus Control Practice Among Nurses at Two Hospitals in Egypt
DOI:
https://doi.org/10.47941/ijhmnp.1019Keywords:
Adherence, Educational intervention, Methicillin-Resistant Staphylococcus Aureus, Nurses, PracticeAbstract
Purpose: The aim of this study was to evaluate the effectiveness of an educational intervention to improve adherence to Methicillin-Resistant Staphylococcus Aureus control practice among nurses at two Hospitals in Egypt. Methicillin-resistant Staphylococcus aureus (MRSA) is a major pathogen and the most common multidrug-resistant bacterium which is responsible for nosocomial infections, with elevated morbidity and mortality rate. Nurses need a comprehensive intervention to improve adherence to MRSA control practice in order to decrease the rate of its spread.
Research design: Pre /post-quasi-experimental design was used in this study. This study was carried out at two hospitals in Egypt (Mansoura Chest Disease and Benha University Hospital). A convenient sample of 80 nurses. Tool I- Nurses's Structured Interview Questionnaire in Arabic language. Tool II - Observational Checklist for MRSA and Infection Control Practice. Descriptive statistics such as frequencies, means, and standard deviations were used to summarize the data. Chi-square and r (correlation) were used to correlate between the studied variables.
Methodology: Before the application of educational intervention 32.5% of nurses has poor practice levels and the percentage decreased to 7.5%, 14.5 immediately and 2 months post-educational intervention respectively.
Unique contribution to theory, practice and policy: The educational intervention was effective in improving adherence to Methicillin-Resistant Staphylococcus Aureus control practice among nurses at the two hospitals as there is a statistically significant difference between all phases of the study regarding nurses' practice. Emphasizing the importance of following the latest updated evidence-based approaches to infection control in continuing training programs, and infection prevention with national guidelines (standard precautions) should be provided.
Downloads
References
Abukhader, I., & Abukhader, K. (2020). Effect of Medication Safety Education Program on Intensive Care Nurses' Knowledge regarding Medication Errors. Journal of Biosciences and Medicines, 8(6), 135-147.
Aby, A. R. (2015). A Study to Assess the Effectiveness of Structured Teaching Programme Regarding Knowledge on Nosocomial Infections in Newborns Among the Staff Nurses Working in Labour and Paediatric Units of Selected Hospitals In Tumkur District. International Journal of Healthcare Sciences, 3(1), 110-119."
Ahmed, E. A. E. A., Khalil, N., & Abo Seada, A. (2021). Critical Care Nurses' Knowledge Regarding Methicillin-Resistant Staphylococcus Aureus At Mansoura University Child Hospital. Mansoura Nursing Journal, 8(3), 231-240."
Ahmed, E. F., Gad, G. F., Abdalla, A. M., Hasaneen, A. M., & Abdelwahab, S. F. (2014). Prevalence of methicillin resistant Staphylococcus aureus among Egyptian patients after surgical interventions. Surgical infections, 15(4), 404-411." https://doi.org/10.1089/sur.2013.212
Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G. Y., Rabaan, A. A., ... & Al-Omari, A. (2021). Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrobial Resistance & Infection Control, 10(1), 1-32."
Al-Omari, A., Al Mutair, A., Alhumaid, S., Salih, S., Alanazi, A., Albarsan, H., ... & Al Subaie, M. (2020). The impact of antimicrobial stewardship program implementation at four tertiary private hospitals: results of a five-years pre-post analysis. Antimicrobial Resistance & Infection Control, 9(1), 1-9." https://doi.org/10.1186/s13756-020-00751-4
Asaad, A. M. (2021). Continuous medical education activities; Answers to Case No. 5: Infection control for MRSA transmission. Microbes and Infectious Diseases, 2(3), 597-604." DOI: 10.21608/mid.2021.184415
Coia, J. E., Wilson, J. A., Bak, A., Marsden, G. L., Shimonovich, M., Loveday, H. P., ... & Wilson, A. P. R. (2021). Joint Healthcare Infection Society (HIS) and Infection Prevention Society (IPS) guidelines for the prevention and control of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities. Journal of Hospital Infection, 118, S1-S39." DOI:https://doi.org/10.1016/j.jhin.2021.09.022
Dahal, M., & Schwan, W. R. (2018). Management of methicillin-resistant Staphylococcus aureus mediated ventilator-associated pneumonia. Current trends in microbiology, 12, 95."
EL-Shafey, S. A. E. B., El-Dakhakhny, A. M., & Mohammed, B. M. (2019). Effect of an Educational Training Program for Nurses about Infection Control Precautions in Their Practice in the Pediatric Critical Care. Afro-Egyptian Journal of Infectious and Endemic Diseases, 9(1), 20-30."
Emaneini, M., Jabalameli, F., Rahdar, H., Leeuwen, W. B. V., & Beigverdi, R. (2017). Nasal carriage rate of methicillin resistant Staphylococcus aureus among Iranian healthcare workers: a systematic review and meta-analysis. Revista da Sociedade Brasileira de Medicina Tropical, 50, 590-597."
Fabian, E. C. (2019). Nurse Practitioner Attitudes, Perceptions and Knowledge about Antimicrobial Stewardship.
Haggag, M. G., Aboelnour, A. E., & Al-Kaffas, M. (2019). MRSA screening and spa gene detection in isolates from healthcare workers at ophthalmology hospital in Egypt. Bulletin of the National Research Centre, 43(1), 1-7." https://doi.org/10.1186/s42269-019-0253-0
Hefzy, E. M., Hassan, G. M., & Abd El Reheem, F. (2016). Detection of Panton-Valentine leukocidin-positive methicillin-resistant Staphylococcus aureus nasal carriage among Egyptian health care workers. Surgical infections, 17(3), 369-375." https://doi.org/10.1089/sur.2015.192
Khalifa, S. M. A., & Farghally, S. M. (2020). Nurses' Perception of Safety Culture, Medication Errors Occurrence and Reporting. IOSR Journal of Nursing and Health Science (IOSR-JNHS), 8 (3), 08-15.
Khalil, N. S. & Abdel-Fattah Hassan, A.D.( 2019). Effectiveness of structured teaching programme regarding prevention and control of methicillin-resistant Staphylococcus aureus on nurses' knowledge and attitude in Egypt." Research Article - Clinical Practice (2019) Volume 16, Issue 2
Kilpatrick, M., Hutchinson, A., Manias, E., & Bouchoucha, S. L. (2020). Paediatric nurses', children's and parents' adherence to infection prevention and control and knowledge of antimicrobial stewardship: a systematic review. American Journal of Infection Control."
Lloyd-Price, J., Abu-Ali, G., & Huttenhower, C. (2016). The healthy human microbiome. Genome medicine, 8(1), 1-11."
Mello, D. D., Latha, T., Alva, J., & Barnini Banarjee, V. K. (2019). Methicillin Resistant Staphylococcus Aureus (MRSA) Infection: Knowledge, Preventive Practices and Colonisation among Healthcare Professionals of Surgical Units. Indian Journal of Public Health, 10(12), 587."
Mohamed, E. I. E., Mohamed, E. M. H., & ELmetwaly, A. A. M. (2021). Effect of educational Guidelines Intervention regarding COVID-19 on nurses knowledge and precautionary practices in gastrointestinal endoscopes. Egyptian Journal of Health Care, 12(4), 318-331
Mohamed, N. I., Ahmed, S. M., & Tawfik, A. H. (2020). Assessment of pediatric nurses' performance regarding intravenous Therapy. Minia Scientific Nursing Journal, 8(1), 3-14."
Moqbel, A. A., Shebl, A. M., & Soliman, H. M. (2015). Effectiveness of planned health education program on nurses' knowledge and practice for preventing infection in gastrointestinal endoscopy units at major hospitals in Yemen. Journal of Nursing and Health Science,(IOSR-JNHS) e-ISSN, 2320-1959."
Mulcahy, M. E., & McLoughlin, R. M. (2016). Host-bacterial crosstalk determines Staphylococcus aureus nasal colonization. Trends in microbiology, 24(11), 872-886."
Nguemeleu, E. T., Beogo, I., Sia, D., Kilpatrick, K., Sguin, C., Baillot, A., ... & Boivin, S. (2020). Economic analysis of healthcare-associated infection prevention and control interventions in medical and surgical units: systematic review using a discounting approach. Journal of Hospital Infection, 106(1), 134-154."
Palacios-Ceña, D., Fernández-de-Las-Peñas, C., Palacios-Ceña, M., de-la-Llave-Rincón, A. I., & Florencio, L. L. (2021). Working on the frontlines of the COVID-19 pandemic: A qualitative study of physical therapists' experience in Spain. Physical Therapy, 101(4), pzab025.
Prabhoo, R., Chaddha, R., Iyer, R., Mehra, A., Ahdal, J., & Jain, R. (2019). Overview of methicillin resistant Staphylococcus aureus mediated bone and joint infections in India. Orthopedic reviews, 11(2)."
Ruotsalainen, I. (2021). Preventing the spread of MRSA in home care." Available
Sikora, A., & Zahra, F. (2021). Nosocomial infections. In StatPearls [Internet]. StatPearls Publishing.
Suss. (2017). Nurse Knowledge , Attitude , and Compliance Related to Methicillin Resistant Staphylococcus aureus. Retrieved from http://aquila.usm.edu/honors_thes es.
Waramlah, R., & Huda, B. Z. (2019). The Interventions To Improve Standard Precautions (Sp) Knowledge And Practice Among Healthcare Workers (Hcws): A Systematic Review. International Journal of Public Health and Clinical Sciences, 6(3), 53-66.
World health Organization (2022). https://www.who.int/campaigns/world-hand-hygiene-day
World Health Organization. (2016). Improving infection prevention and control at the health facility: interim practical manual supporting implementation of the WHO Guidelines on Core Components of Infection Prevention and Control Programmes (No. WHO/HIS/SDS/2018.10). World Health Organization.
World Health Organization. 2021. About AMR. Retrieved on 6 November 2021. Available
at https://www.euro.who.int/en/health-topics/disease-prevention/antimicrobial-resistance/about-amr .
Zeigheimat, F., Ebadi, A., Rahmati najarkolaei, F., & Ghadamgahi, F. (2016). An investigation into the effect of health belief model based education on healthcare behaviors of nursing staff in controlling nosocomial infections. Journal of Education and Health Promotion, 5(23), 1-8. https://doi.org/10.4103/2277-9531.184549.
Downloads
Published
How to Cite
Issue
Section
License
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.