Perceptions of Infection Control Among Nurses Regarding Barriers: A Qualitative Study

Perceptions of Infection Control Among Nurses


  • Saffora Shoukat Lahore School of Nursing, Faculty of Allied Health & Sciences, The University of Lahore, Pakistan
  • Afsar Ali Lahore School of Nursing, Faculty of Allied Health & Sciences, The University of Lahore, Pakistan
  • Zunaira Aziz Lahore School of Nursing, Faculty of Allied Health & Sciences, The University of Lahore, Pakistan



Barriers, Infection Control Nurses, Infection Prevention, Practices


Infection in healthcare facilities is an alarming public health problem in most growing countries. Hospital infections are the most significant worldwide complication of healthcare delivery.  Objectives:  To acquire a deeper understanding of infection control nurses' perspectives on the barriers regarding the infection control practices at the tertiary care hospitals Lahore. Methods: A qualitative exploratory research approach was utilized. Data was collected from the infection control nurses. Semi-structured interviews were used to collect the data from the 10 study participants through purposive sampling technique. Each interview was transcribed. The data were manually analyzed before being processed by NVIVO. Results:  A thematic analysis was conducted to determine the themes and sub themes through Braun and Clark's (2006) concept of thematic analysis. The researcher identified three major themes and few minor. The major themes were organization related barriers, health care workers related barriers and patients and family related barriers. Organization lack of facilities was among the top barriers to infection prevention and control. Conclusions:  Most of the participants had good and enough information regarding the infection prevention and control programs, but it doesn’t mean that these activities and implementations will be practiced in routine manners. Three major themes with different barriers were identified. Themes well explained regarding barriers in implementing infection control practices in both public and private hospitals.


World Health Organization. Infection prevention and control during health care when coronavirus disease (COVID-19) is suspected or confirmed: interim guidance. World Health Organization; 2021 July.1-23.

Barker AK, Brown K, Siraj D, Ahsan M, Sengupta S, Safdar N. Barriers and facilitators to infection control at a hospital in northern India: a qualitative study. Antimicrobial Resistance & Infection Control. 2017 Dec; 6(1): 1-7. doi: 10.1186/s13756-017-0189-9

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 services research. 2019 Dec; 19(1): 1-6. doi: 10.1186/s12913-019-4172-4

Sahiledengle B, Tekalegn Y, Woldeyohannes D, Quisido BJ. Occupational exposures to blood and body fluids among healthcare workers in Ethiopia: a systematic review and meta-analysis. Environmental health and preventive medicine. 2020 Dec; 25(1): 1-4. doi: 10.1186/s12199-020-00897-y

Paczesny J, Wdowiak M, Ochirbat E. Bacteriophage-Based Biosensors: Detection of Bacteria and Beyond. InNanotechnology for Infectious Diseases 2022 Apr: 439-73 doi: 10.1007/978-981-16-9190-4_20

Apisarnthanarak A, Mundy LM, Tantawichien T, Leelarasamee A. Infection prevention and control in Asia: current evidence and future milestones. Clinical Infectious Diseases. 2017 May ; 64(2): 49-50. doi: 10.1093/cid/cix071

Teerawattanapong N, Panich P, Kulpokin D, Ranong SN, Kongpakwattana K, Saksinanon A, et al. A systematic review of the burden of multidrug-resistant healthcare-associated infections among intensive care unit patients in Southeast Asia: the rise of multidrug-resistant Acinetobacter baumannii. infection control & hospital epidemiology. 2018 May; 39(5): 525-33. doi: 10.1017/ice.2018.58

Riasat R, Malik MA, Yousaf I, Imam KA. Knowledge and practices of infection control among healthcare workers in a tertiary care hospital. Pakistan Journal of Physiology. 2019 Dec; 15(4): 46-8.

Ghauri SK, Javaeed A, Abbasi T, Khan AS, Mustafa KJ. Knowledge and attitude of health workers regarding catheter-associated urinary tract infection in tertiary care hospitals, Pakistan. JPMA. The Journal of the Pakistan Medical Association. 2019 Dec; 69(12): 1843-7. doi: 10.5455/JPMA.8096

Noor A, Ishaq AR, Jafri L, Jabeen F, Rani R, Kiani BH et al. Health Care Associated Infections (HCAIs) a New Threat for World; U-Turn from Recovery to Death. InCampylobacter. 2021 Apr. doi: 10.5772/intechopen.97193

Zandifar A, Badrfam R, Khonsari NM, Mohammadi MR, Asayesh H, Qorbani M. Prevalence and associated factors of posttraumatic stress symptoms and stigma among health care workers in contact with COVID-19 patients. Iranian journal of psychiatry. 2020 Oct; 15(4): 340-50. doi: 10.18502/ijps.v15i4.4303

Tamene A, Afework A, Mebratu L. A qualitative study of barriers to personal protective equipment use among laundry workers in government hospitals, Hawassa, Ethiopia. Journal of Environmental and Public Health. 2020 Sep: 1-8. doi: 10.1155/2020/5146786

Sharma P, Goyal P, Chawla R, Ahuja R, Meena M, Sharma A, et al. Knowledge, compliance and determinants of use of standard precautions for infection control among health care workers-A teaching hospital based study. Indian Journal of Public Health Research & Development. 2020 Jul; 11(7): 601-8.

McCauley L, Kirwan M, Matthews A. The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: a scoping review. International Journal of Nursing Studies Advances. 2021 Nov; 3. doi: 10.1016/j.ijnsa.2021.100039

Bradshaw C, Atkinson S, Doody O. Employing a qualitative description approach in health care research. Global qualitative nursing research. 2017 Nov 21; 4: 1-8. doi: 10.1177/2333393617742282

Polit DF and Beck CT. Nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins; 2008.

Lincoln G and Guba EG. How can the naturalist meet these trustworthiness criteria. National Enquirer. 1985; 301.

Aveling EL, Zegeye DT, Silverman M. Obstacles to implementation of an intervention to improve surgical services in an Ethiopian hospital: a qualitative study of an international health partnership project. BMC health services research. 2016 Dec; 16(1): 1-2. doi: 10.1186/s12913-016-1639-4

Marme GD. Barriers and facilitators to effective tuberculosis infection control practices in Madang Province, PNG-a qualitative study. Rural and remote health. 2018 Sep; 18(3): 1-2. doi: 10.22605/RRH4401

Houghton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, et al. Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews. 2020(4). doi: 10.1002/14651858.CD013582



DOI: 10.54393/pjhs.v4i01.487
Published: 2023-01-31

How to Cite

Shoukat, S. ., Ali, A. ., & Aziz, Z. . (2023). Perceptions of Infection Control Among Nurses Regarding Barriers: A Qualitative Study: Perceptions of Infection Control Among Nurses. Pakistan Journal of Health Sciences, 4(01), 78–83.



Original Article


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