Multi modality intervention infection control (MIMIC) on knowledge and practice among critical care nursing staff in Hospital USM

Healthcare-Associated Infections (HAIs) are a crucial health problem with significant impacts on healthcare sector worldwide. Studies that focused on the implementation of a multi-modality module tailored to critical care nurses are very limited. The aim of this study was to to determine the Healthc...

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Main Author:	Sabbah, Ahmad Tawfiq S.
Format:	Thesis
Language:	English
Published:	2021
Subjects:	R Medicine
Online Access:	http://eprints.usm.my/51387/1/AHMAD%20TAWFIQ%20S.%20SABBAH-%20FINAL%20THESIS%20P-SKD001118%28R%29%20PWD-24%20pages.pdf
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id	my-usm-ep.51387
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spelling	my-usm-ep.513872022-01-31T07:12:04Z Multi modality intervention infection control (MIMIC) on knowledge and practice among critical care nursing staff in Hospital USM 2021-10 Sabbah, Ahmad Tawfiq S. R Medicine Healthcare-Associated Infections (HAIs) are a crucial health problem with significant impacts on healthcare sector worldwide. Studies that focused on the implementation of a multi-modality module tailored to critical care nurses are very limited. The aim of this study was to to determine the Healthcare-Associated Infections prevalence and impact of “Multi-Modality Intervention Infection Control” module on knowledge and practice among critical care nursing staff in Hospital Universiti Sains Malaysia. This study was conducted in three phases. The first phase involved a retrospective record review to assess the prevalence of HAIs. In addition, a descriptive cross-sectional study was conducted to assess the infection control system applied. The second phase focused on developing a multi-modality intervention infection control using the Intervention Mapping (IM) protocol and Social Cognitive Theory (SCT), as well as validating the developed module using the Fuzzy Delphi Method (FDM). The third phase consisted of a one-group pretest-posttest quasi-experimental study to assess the impact of the developed module. The one-year prevalence of HAIs was 5.84%. In addition, the infection control system assessment identified the areas for improvement. The developed module, which includes three interventions: an infection control education program, an infection control monitoring system, and an infection control supporting environment, was validated by a seven-expert panel. The adult critical care nurses’ knowledge and practice levels were assessed in two points in time: immediately before and three months after intervention (n=121); the pre-intervention assessment revealed that 96.7% of the respondents had a fair level of knowledge, with a mean score of 18.68 out of 30 (SD= 2.255) and 95% CI [18.27, 19.08]. And 79.3% of the respondents had a fair level of practice, with a mean score of 8.79 out of 15 (SD= 1.449) and 95% CI [8.53, 9.05]. The post-intervention assessment showed that 86% of the respondents had a good level of knowledge, with a mean score of 25.83 out of 30 (SD= 2.151) and 95% CI [25.44, 26.21]. And for the practice level, 62% of the respondents had a fair level, with a mean score of 10.83 out of 15 (SD= 1.564) and 95% CI [10.55, 11.11]. The one-way repeated measures ANOVA results indicated a significant improvement in knowledge scores, F(1, 120)= 632.679, p < .001, ηp2= .844. And a significant improvement in practice scores, F(1, 120)= 113.089, p < .001, ηp2= .492. In conclusion, this study contributed to the development of a comprehensive module of integrated interventions that have proven to improve the adult critical care nurses’ knowledge and practice toward HAIs prevention and control. And also helped to provide evidence on the advantage of the IM protocol, SCT, and FDM in developing and validating infection prevention and control interventions. 2021-10 Thesis http://eprints.usm.my/51387/ http://eprints.usm.my/51387/1/AHMAD%20TAWFIQ%20S.%20SABBAH-%20FINAL%20THESIS%20P-SKD001118%28R%29%20PWD-24%20pages.pdf application/pdf en public phd doctoral Universiti Sains Malaysia Pusat Pengajian Sains Kesihatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine
spellingShingle	R Medicine Sabbah, Ahmad Tawfiq S. Multi modality intervention infection control (MIMIC) on knowledge and practice among critical care nursing staff in Hospital USM
description	Healthcare-Associated Infections (HAIs) are a crucial health problem with significant impacts on healthcare sector worldwide. Studies that focused on the implementation of a multi-modality module tailored to critical care nurses are very limited. The aim of this study was to to determine the Healthcare-Associated Infections prevalence and impact of “Multi-Modality Intervention Infection Control” module on knowledge and practice among critical care nursing staff in Hospital Universiti Sains Malaysia. This study was conducted in three phases. The first phase involved a retrospective record review to assess the prevalence of HAIs. In addition, a descriptive cross-sectional study was conducted to assess the infection control system applied. The second phase focused on developing a multi-modality intervention infection control using the Intervention Mapping (IM) protocol and Social Cognitive Theory (SCT), as well as validating the developed module using the Fuzzy Delphi Method (FDM). The third phase consisted of a one-group pretest-posttest quasi-experimental study to assess the impact of the developed module. The one-year prevalence of HAIs was 5.84%. In addition, the infection control system assessment identified the areas for improvement. The developed module, which includes three interventions: an infection control education program, an infection control monitoring system, and an infection control supporting environment, was validated by a seven-expert panel. The adult critical care nurses’ knowledge and practice levels were assessed in two points in time: immediately before and three months after intervention (n=121); the pre-intervention assessment revealed that 96.7% of the respondents had a fair level of knowledge, with a mean score of 18.68 out of 30 (SD= 2.255) and 95% CI [18.27, 19.08]. And 79.3% of the respondents had a fair level of practice, with a mean score of 8.79 out of 15 (SD= 1.449) and 95% CI [8.53, 9.05]. The post-intervention assessment showed that 86% of the respondents had a good level of knowledge, with a mean score of 25.83 out of 30 (SD= 2.151) and 95% CI [25.44, 26.21]. And for the practice level, 62% of the respondents had a fair level, with a mean score of 10.83 out of 15 (SD= 1.564) and 95% CI [10.55, 11.11]. The one-way repeated measures ANOVA results indicated a significant improvement in knowledge scores, F(1, 120)= 632.679, p < .001, ηp2= .844. And a significant improvement in practice scores, F(1, 120)= 113.089, p < .001, ηp2= .492. In conclusion, this study contributed to the development of a comprehensive module of integrated interventions that have proven to improve the adult critical care nurses’ knowledge and practice toward HAIs prevention and control. And also helped to provide evidence on the advantage of the IM protocol, SCT, and FDM in developing and validating infection prevention and control interventions.
format	Thesis
qualification_name	Doctor of Philosophy (PhD.)
qualification_level	Doctorate
author	Sabbah, Ahmad Tawfiq S.
author_facet	Sabbah, Ahmad Tawfiq S.
author_sort	Sabbah, Ahmad Tawfiq S.
title	Multi modality intervention infection control (MIMIC) on knowledge and practice among critical care nursing staff in Hospital USM
title_short	Multi modality intervention infection control (MIMIC) on knowledge and practice among critical care nursing staff in Hospital USM
title_full	Multi modality intervention infection control (MIMIC) on knowledge and practice among critical care nursing staff in Hospital USM
title_fullStr	Multi modality intervention infection control (MIMIC) on knowledge and practice among critical care nursing staff in Hospital USM
title_full_unstemmed	Multi modality intervention infection control (MIMIC) on knowledge and practice among critical care nursing staff in Hospital USM
title_sort	multi modality intervention infection control (mimic) on knowledge and practice among critical care nursing staff in hospital usm
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Kesihatan
publishDate	2021
url	http://eprints.usm.my/51387/1/AHMAD%20TAWFIQ%20S.%20SABBAH-%20FINAL%20THESIS%20P-SKD001118%28R%29%20PWD-24%20pages.pdf
_version_	1747822068731215872

Multi modality intervention infection control (MIMIC) on knowledge and practice among critical care nursing staff in Hospital USM

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