The Effect of Evidence-Based Guidelines on Nurses, Performance in Respect to Nosocomial Infection at Medical-Surgical and Obstetrician Departments

Mageda A. S. Arafat¹, Abeer Yahia Mahdy² and Mirfat M. L. El-Kashif^3,

¹Nursing Administration, Faculty of Nursing / Benha University, Egypt

²Medical Surgical Nursing departement, Faculty of Nursing / Benha University, Egypt

³Maternity, Obstetrics &Gynecology, Faculty of Nursing / Port Said University, Egypt

Cite this paper:
Mageda A. S. Arafat, Abeer Yahia Mahdy and Mirfat M. L. El-Kashif. The Effect of Evidence-Based Guidelines on Nurses, Performance in Respect to Nosocomial Infection at Medical-Surgical and Obstetrician Departments. American Journal of Nursing Research. 2018; 6(6):507-514. doi: 10.12691/ajnr-6-6-19

Abstract

Background: Nurses are healthcare workers that play an essential role in the control of hospital infection, protect patients from hospital required infection and leads to better control of diseases. As long as, nurses, midwives, and healthcare support workers. Healthcare staff should have an adequate level of performance regarding hospital infection. Aim: Assess the effect of evidence-based guidelines on Nurse's performance in respect to nosocomial infection at medical-surgical and obstetrician department. Subjects and Methods: A pretest-posttest questionnaire design was used in this study to assess the effect of evidence-based guidelines on performance among nurses for infection control at Benha University Hospital. Sample: the total 110 nurses enrolled in this study (60) nurses in the internal medicine department, (30) nurses in the surgical department and (20) nurses in the obstetric department, nurses who their experience at least one year. With different, Age 20- 50 years old had been selected .Results: The present study showed that there were statistically significant differences in the level of knowledge, the practice of infection control methods, nurses attitude regarding nosocomial infection control before and immediately after induction of the guidelines,( MH7.220, P<0.0001*), (MH=5.555, P=0.003* and MNP=0.012*) subsequently. The current study demonstrated that before the induction of guidelines, there were statistically significant differences regarding and attitude was (r=0.547, p<0.0001). After the induction of the guidelines, the results indicated that the association the association between; knowledge and practice was (r=0.308, p<0.0001), knowledge and attitude was (0.207, p<0.05), practice between; knowledge and practice was (r=0.170, p>0.05), knowledge and attitude were (0.012, p>0.05), practice and attitude were (r=0.324, p<0.0001). The current study revealed to (91.8% and 81.8 %) conducted not enough medical tests on a regular basis and received not enough vaccinations regarding infection control and prevention respectively. Conclusions: Nurses who received evidence-based guidelines regarding infection prevention showed statistically significant improvement in their performance after the implementation of evidence-based guidelines compared with before implementation. There was the highly significant correlation between before the implementation of evidence-based guidelines but after the implementation of evidence-based practice guidelines; there was non-significant correlation occurred.

Keywords:
Evidence-Based Guidelines (EBG) nosocomial infection healthcare-associated infection (HAI)

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