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Tytuł:
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Knowledge and determinants of infection prevention and control compliance among nurses in Yendi municipality, Ghana.
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Autorzy:
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Mutaru AM; Department of General Nursing, College of Health Sciences, Yendi, Northern Region, Ghana.; Department of Behavioural and Social Change, School of Public Health, University for Development Studies, Tamale, Northern Region, Ghana.
Balegha AN; Department of Behavioural and Social Change, School of Public Health, University for Development Studies, Tamale, Northern Region, Ghana.; Department of Obstetrics and Gynaecology, Upper West Regional Hospital, Wa, Upper West Region, Ghana.
Kunsu R; Department of General Nursing, College of Health Sciences, Yendi, Northern Region, Ghana.
Gbeti C; Department of Health Science Education, University for Development Studies, Tamale, Ghana.
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Źródło:
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PloS one [PLoS One] 2022 Jul 20; Vol. 17 (7), pp. e0270508. Date of Electronic Publication: 2022 Jul 20 (Print Publication: 2022).
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: San Francisco, CA : Public Library of Science
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MeSH Terms:
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Cross Infection*/prevention & control
Guideline Adherence*
Health Knowledge, Attitudes, Practice*
Nurses*
Child ; Clinical Competence ; Cross-Sectional Studies ; Female ; Ghana ; Humans ; Infection Control ; Pregnancy
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References:
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Entry Date(s):
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Date Created: 20220720 Date Completed: 20220722 Latest Revision: 20220726
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Update Code:
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20240105
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PubMed Central ID:
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PMC9299325
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DOI:
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10.1371/journal.pone.0270508
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PMID:
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35857742
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Background: Knowledge of and compliance to infection prevention and control (IPC) guidelines are crucial to curbing hospital acquired infections (HAIs). Globally, about 7-10% of patients suffer HAIs. However, there is limited evidence on nurses' knowledge and adherence to IPC guidelines. Therefore, this study assessed the knowledge and determinants of IPC compliance among nurses in Yendi Municipality, Northern Ghana.
Methods: We conducted a quantitative cross-sectional study among 209 nurses of the Yendi Municipal hospital, using an adapted questionnaire. We collected and analysed data using SPSS version 26. Socio-demographics, knowledge level and compliance to IPC guidelines were assessed using descriptive statistics. The minimum scores for knowledge and compliance were 0 each with maximum scores being 10 and 8 respectively. Using binary multivariate logistic regression, the determinants of IPC compliance were analysed and odds ratios reported at 95% confidence intervals.
Results: The nurses had high mean and standard deviation scores for knowledge (7.26 ± 1.4) and compliance to IPC guidelines (5.41 ± 1.5). Females (aOR: 0.33; 95%CI: 0.17-0.64; p = 0.001) were significantly less likely to comply to IPC guidelines. Nurses working in Maternity/Labour wards (aOR: 8.31; 95%CI: 2.46-28.15; p = 0.001) and Outpatient Department (OPD)/Psychiatry (aOR: 5.00; 95%CI: 1.42-17.62; p = 0.012) were associated with higher odds of complying to IPC guidelines. Availability of IPC guidelines (aOR: 3.48; 95%CI: 1.13-10.72; p = 0.030) in a working department influenced compliance to IPC measures.
Conclusion: The study revealed high knowledge and high compliance regarding IPC among nurses in the Yendi Municipal Hospital. A person's working department and the availability of IPC guidelines were key determinants for high compliance to IPC measures. However, knowledge of IPC did not influence compliance to IPC guidelines. The Municipal and Regional Health directorates, should therefore ensure adequate logistic flow, provision of IPC guidelines and proper supervision to ensure maximum compliance with IPC guidelines, particularly among paediatric, medical and surgical wards nurses as well as degree holding nurses.
Competing Interests: The authors have declared that no competing interest exist.
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