Knowledge and Practices of Nurses Regarding Prevention of Surgical Site Infections in Tertiary Care Hospitals Peshawar: Knowledge and Practices of Nurses

Sohail Muhammad; Muhammad Nasir Khan; Sami Ul Haq; Muhammad Rahim

doi:10.54393/pjhs.v6i2.2730

Authors

Sohail Muhammad Department of Surgery, District Head Quarter Hospital, Timergara, Pakistan
Muhammad Nasir Khan Department of Emergency, Category B-Hospital, Timergara, Pakistan
Sami Ul Haq Department of Surgery, District Head Quarter Hospital, Timergara, Pakistan
Muhammad Rahim Department of Surgery, District Head Quarter Hospital, Timergara, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i2.2730

Keywords:

Surgical Site Infections, Nurses' Knowledge, Infection Prevention Practices, Tertiary Care Hospitals

Abstract

Surgical procedures have many complications of which the leading one is post-surgical site infection (SSI), which can be prevented by following appropriate guidelines. SSI may lead to loss of body parts, septicemia and increase hospital bed occupancy. Objective: To assess nurses’ knowledge and practices regarding the prevention of surgical site infections in tertiary care hospitals in Peshawar. Methods: Descriptive cross-sectional study was conducted among 172 nurses recruited through convenient sampling. Study settings were two tertiary care hospitals in Peshawar. Data was collected through an adopted, self-administered questionnaire and were analyzed by SPSS version 26.0. Results: Findings of the study revealed that the knowledge level of the nurses was poor about the prevention of SSI, while their practice levels were also average. A significant difference was found in the knowledge level of the study participants on the basis of their gender with a p value; 0.001, qualification with a p value; 0.000. Years of experience with a p value; 0.007, and attending infection control courses with a p value; 0.03. In addition, a significant difference was found among the practices of nurses regarding the prevention of SSI on the basis of their gender with a p value; 0.012. Conclusion: The study’s findings revealed that nurses had a poor level of knowledge about SSI, while their practices were average according to arbitrary.

References

Carvalho RL, Campos CC, Franco LM, Rocha AD, Ercole FF. Incidence and risk factors for surgical site infection in general surgeries. Revista Latino-Americana De Enfermagem. 2017 Dec; 25: e2848. doi: 10.1590/1518-8345.1502.2848. DOI: https://doi.org/10.1590/1518-8345.1502.2848

Boga SM. Nursing practices in the prevention of post-operative wound infection in accordance with evidence-based approach. International Journal of Caring Sciences. 2019 May; 12(2): 1228.

Patil VB, Raval RM, Chavan G. Knowledge and practices of health care professionals to prevent surgical site infection in a tertiary health care centre. International Surgery Journal. 2018 May; 5(6): 2248-51. doi: 10.18203/2349-2902.isj20182231. DOI: https://doi.org/10.18203/2349-2902.isj20182231

Rahmah MA, Myat Moe Thwe A, Sara Yousef A. Preventive strategies of SSI: nurses' knowledge in pre-operative and post-operative in surgical site care. Journal of Qualitative Social Sciences. 2020 May; 2(1): 7-11.

Ling ML, Apisarnthanarak A, Abbas A, Morikane K, Lee KY, Warrier A et al. APSIC guidelines for the prevention of surgical site infections. Antimicrobial Resistance & Infection Control. 2019 Dec; 8: 1-8. doi: 10.1186/s13756-019-0638-8. DOI: https://doi.org/10.1186/s13756-019-0638-8

Bamoosa E, Idris K, Alsabbah R, Faidah G, Alharbi S, Bar A et al. Awareness and level of knowledge of Surgical Site Infection among Surgical Staff in King Abdullah Medical City in Hajj-2019: A Cross-Sectional Study. 2020 Oct; 4(11): 1873-1878. doi: 10.24911/IJMDC.51-1601213972. DOI: https://doi.org/10.24911/IJMDC.51-1601213972

Mohsen MM, Riad NA, Badawy AI. Compliance and barriers facing nurses with surgical site infection prevention guidelines. Open Journal of Nursing. 2020 Jan; 10(1): 15-33. doi: 10.4236/ojn.2020.101002. DOI: https://doi.org/10.4236/ojn.2020.101002

Albishi W, Albeshri MA, Mortada HH, Alzahrani K, Alharbi R, Aljuhani F et al. Awareness and level of knowledge about surgical site infections and risks of wound infection among medical physicians in King Abdulaziz University Hospital: cross-sectional study. Interactive Journal of Medical Research. 2019 Mar; 8(1): e12769. doi: 10.2196/12769. DOI: https://doi.org/10.2196/12769

Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. Journal of the American Medical Association. 2023 Jan; 329(3): 244-52. doi: 10.1001/jama.2022.24075. DOI: https://doi.org/10.1001/jama.2022.24075

Zucco R, Lavano F, Nobile CG, Papadopoli R, Bianco A. Adherence to evidence-based recommendations for surgical site infection prevention: Results among Italian surgical ward nurses. PLOS One. 2019 Sep; 14(9): e0222825. doi: 10.1371/journal.pone.0222825. DOI: https://doi.org/10.1371/journal.pone.0222825

Desalew G, Geda B, Mengistie B, Demis A, Demis S. Surgical site infection prevention practices and associated factors among nurses working in government hospitals of Harari regional state and Dire Dawa City Administration, Eastern Ethiopia. Eastern Ethiopia. 2019 Nov; 3(6): 214-5. doi: 10.53388/TMRIN20191209. DOI: https://doi.org/10.53388/TMRIN20191209

Mengesha A, Tewfik N, Argaw Z, Beletew B, Wudu M. Practice of and associated factors regarding prevention of surgical site infection among nurses working in the surgical units of public hospitals in Addis Ababa city, Ethiopia: A cross-sectional study. PLOS One. 2020 Apr; 15(4): e0231270. doi: 10.1371/journal.pone.0231270. DOI: https://doi.org/10.1371/journal.pone.0231270

Bhangu A, Ademuyiwa AO, Aguilera ML, Alexander P, Al-Saqqa SW, Borda-Luque G. Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study. The Lancet Infectious Diseases. 2018 May; 18(5): 516-25. doi: 10.1016/S1473-3099(18)30101-4. DOI: https://doi.org/10.1016/S1473-3099(18)30101-4

Sickder HK, Lertwathanawilat W, Sethabouppha H, Viseskul N. Nurses' surgical site infection prevention practices in Bangladesh. Pacific Rim International Journal of Nursing Research. 2017 Jul; 21(3): 244-57.

Shaheen SR and Hawash MA. Assessment of Nurses' Knowledge and Practices Regarding Prevention of Surgical Site Infection. Egyptian Journal of Nursing and Health Sciences. 2021 Sep; 2(2): 176-97. doi: 10.21608/ejnhs.2021.234371. DOI: https://doi.org/10.21608/ejnhs.2021.234371

Teshager FA, Engeda EH, Worku WZ. Knowledge, practice, and associated factors towards prevention of surgical site infection among nurses working in Amhara regional state referral hospitals, Northwest Ethiopia. Surgery Research and Practice. 2015; 2015(1): 736175. doi: 10.1155/2015/736175. DOI: https://doi.org/10.1155/2015/736175

Abd ElKareem Moghazy N, Ahmed Mohammed A, Desoky Saleh Sakr M. Effect of Evidence-Based Measures protocol on Nurses' Performance regarding Prevention of Surgical Site Infection. Egyptian Journal of Health Care. 2021 Jun; 12(2): 242-54. doi: 10.21608/ejhc.2021.181245. DOI: https://doi.org/10.21608/ejhc.2021.181245

Sadia H, Kousar R, Azhar M, Waqas A, Gilani SA. Assessment of nurses' knowledge and practices regarding prevention of surgical site infection. Saudi Journal of Medical and Pharmaceutical Sciences. 2017 Jun; 3(6): 585-95.

Khalid N, Manzoor M, Firdous U, Khan R, Shoukat S, Zafa S. Nurse’s knowledge and practice regarding the prevention of surgical site infection at tertiary care hospitals in lahore. Journal Biological and Clinical Sciences Research [Internet]. 2023 Oct; 30(1): 501. doi: 10.54112/bcsrj.v2023i1.501. DOI: https://doi.org/10.54112/bcsrj.v2023i1.501

Woldegioris T, Bantie G, Getachew H. Nurses' knowledge and practice regarding prevention of surgical site infection in Bahir Dar, Northwest Ethiopia. Surgical Infections. 2019 Jan; 20(1): 71-7. doi: 10.1089/sur.2018.081. DOI: https://doi.org/10.1089/sur.2018.081

Ayamba EV, Namondo LA, Ngek ES, Ngala E. Nurses' Knowledge and Practices on Surgical Site Infections in Sub-Saharan Africa: The Case of Buea Regional Hospital, South West Region in Cameroon. American Journal of Humanities and Social Sciences Research. 2022; 6(1): 105-11.

Jaleta P, Adimasu M, Amentie M. Nurse’s knowledge, practice, and associated factors toward prevention of surgical site infection in Benishangul Gumuz hospitals Northwest Ethiopia 2021. American Journal of Laboratory Medicine. 2021 Aug; 6(4): 58-65. doi: 10.11648/j.ajlm.20210604.12.