Publication: Adherence to infection prevention and control guidelines among nurses in Thika level 5 hospital, Kiambu county, Kenya
Total Views 14
total viewsTotal Downloads 19
total downloadsDate
2023-03
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Mount Kenya University
Cite this Item
Abstract
Hospital acquired infections (Nosocomial) refer to when a patient gets an infection within
the healthcare facility which was not the primary reason for admission. The commonest
modes of transmission are body contact, airborne and droplet. The study sought to determine factors influencing compliance to infection prevention and control guidelines
among nurses in Thika level 5 Hospital . A cross-sectional analytical design was adopted.
It utilized self- administered questionnaire for data collection among nurses working at
Thika level 5 Hospital, the regional referral hospital. Data was presented using
percentages for quantitative data, Frequency distribution tables and histograms. The
significance statistical association between independent and dependent variables was
determined by use of Chi –Square statistics. The relationship between the dependent and
independent variables to control confounding bias was determined by multivariate
regression analysis. The significance statistical association between independent and
dependent variables was determined by use of Chi –Square statistics. A total of 110
questionnaires were distributed to the participants according to the calculated sample
size. a response rate of at least 50% was adequate for data analysis, in a descriptive cross-
sectional kind of study. majority of the participants were female, representing 87.5%
(n=56), while males were 12.5% (n=8). Majority of the participants were married i.e.
68.8% (n=44), 25% (n=16) were single, 1.6% (n=1) were divorced and 4.7% (n=3) were
widowed. Regarding the professional qualifications of the participants, majority were
diploma holders, which represented 78.1% (n=50), further shows that, majority of the
participants (78.1%, n=50), had trained in government institutions, 17.2% (n=11). The
participants were working in different departments at the time of data collection
whereby18.8% (n=12) were in maternity department. There was a weak association
between gender of the participants, and compliance to IPC guidelines at Cramers V of
0.025, and a negative Pearson’s correlation, r (62) =-.09, p=.481. The male participants
were 0.946 times more likely to have good compliance compared to their female
counterparts (OR=0.946, CI [0.536-1.670]). However, these results were not statistically
significant at χ 2 (1, N=64) =0.040, p=0.842. Results of the Spearman correlation
indicated that, there was a positive association between ages of the participants and
compliance to IPC guidelines, r (62) = 0.19, p=0.126. Nonetheless, chi squared tests
found no statistically significant association between ages of participants and compliance
to IPC guidelines at χ 2 (3, N=64) =7.836, p=0.076. Marital status and the departments
where participants worked were significant influencers of compliance to IPC guidelines.
The study found that the availability of IPC supplies significantly affected compliance
to IPC guidelines The findings shall be useful to public health stakeholders in
formulating policies to promote compliance to infection prevention and control policies.
Description
Keywords
Nosocomial, Chi –Square, qualifications, public health