No 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.

Background: Professional competence increases productivity. Nursing competency is generally viewed as a complex integration of knowledge skills, values and attitude. In clinical practice, nurses are required to apply their acquired knowledge, skills and individual traits to each situation and be able to adapt in different circumstances. Research aim: Evaluate the effectiveness of nurses' professional competence approach on their productivity in medicalsurgical units. Research Design: A quasi-experimental design was utilized to achieve the aim of this study. Setting: The study was conducted at Benha University Hospital, Egypt in general medical-surgical units. Sample: consisted of convenient sample of (100) nurses who are responsible for providing direct nursing care activities to patients. Tools: three tools were used for data collection; 1-nurses' knowledge questionnaire (50 items), 2-nurses' observational checklist (60 items), and 3-nurses' productivity questionnaire (60 items). These tools were used pre, post, and flow-up three months later. Result: The study indicated there were improvement in nurses' total level of knowledge, performance, and productivity after interventions of professional competence approach both immediately post and follow-up. More than three quarters of nurses their knowledge was unsatisfactory, while in the immediate post and follow-up most of nurses their knowledge improved and became satisfactory. Moreover, more than half of nurses' performance were poor practice in pre-intervention, while after implementation it was improved to and become good in both immediately post and follow-up. Furthermore, most of nurses' productivity level was low in pre-intervention, while it was improved, increased and become high in both immediate post and follow-up. Conclusion: The study concluded that the designed approach illustrated statistical significant improvement in nurses' professional competence knowledge & performance, and increasing of nurses' productivity. The mean scores of all categories slightly decreased in the follow-up after three months of the approach in comparison to immediately post. Also there were statistical significant positive correlation among nurses' knowledge & performance and productivity. Recommendation: the study recommended that the In-service training and education programs must be a continuous process for refreshing and increasing nurses' knowledge and skills about the concept of professional competency approach as well as to emphasize nurses' productivity.

Negligence of personal hygiene and safety practices among healthcare personnel is not only a major risk factor in the spread of infection, but is in many instances an abuse of human rights.Aim: the study aim was to assess the personal hygiene and taking into account the preventive measures and safety among healthcare providers.Tools: An interview questionnaire sheet and personal hygiene and vaccination status.Subject and methods: A descriptive design was used in the current study and all available doctors, nurses and housekeeper in the days of data collection.Results: It was found that the majority of physicians (76.2%) were holders of a bachelor degree of medicine, while the majority of nurses were holders of a diploma /technical of nursing and the majority of housekeepers were holders of a basic education. There were highly statistical significant differences based on study groups, profession, and qualifications.Conclusion: The adherence of the majority of healthcare provider with personal hygiene and safety measures were ranged from poor to fair. There was a relationship between availability of protective equipments barrier and personal hygiene practices and safety measures. Recommendations: A significant efforts are needed to enhance universal precaution compliance among caregivers includes training, strict supervision with disciplinary measures for poor compliance with improve the facilities available and equipments for personal hygiene and safety.