Improving universal precautions and client teaching for rural health workers: a peer-group intervention

Jere, Diana; Kaponda, Chrissie P. N.; Chimwaza, Angela; Crittenden, Kathleen S.; Kachingwe, Sitingawawo I.; McCreary, Linda L.; Norr, James L.; Norr, Kathleen F.

doi:10.1080/09540120903311458

Cited by 4 publications

(3 citation statements)

References 26 publications

(36 reference statements)

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“…QUALITY MGMT: (on-site supervision was provided for 9-months to HCWs, whereby mentorship and extra training were provided)1. FEASIBILITY: Relative risk ratios comparing intervention to control relative risk showed no difference in improvements in screening, diagnosis, and therapy initiationNone15Jere et al [61]Universal precautions AND HIV prevention associated with universal precautions1. EDUCATE: (provided training for HCWs on universal precautions and HIV preventions; trainings were made dynamic in that they incorporated rehearsal of key skills with feedback)2.…”

Section: Resultsmentioning

confidence: 99%

Implementation strategies for infection prevention and control promotion for nurses in Sub-Saharan Africa: a systematic review

et al. 2019

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BackgroundDespite impressive reductions in infectious disease burden within Sub-Saharan Africa (SSA), half of the top ten causes of poor health or death in SSA are communicable illnesses. With emerging and re-emerging infections affecting the region, the possibility of healthcare-acquired infections (HAIs) being transmitted to patients and healthcare workers, especially nurses, is a critical concern. Despite infection prevention and control (IPC) evidence-based practices (EBP) to minimize the transmission of HAIs, many healthcare systems in SSA are challenged to implement them. The purpose of this review is to synthesize and critique what is known about implementation strategies to promote IPC for nurses in SSA.MethodsThe databases, PubMed, Ovid/Medline, Embase, Cochrane, and CINHAL, were searched for articles with the following criteria: English language, peer-reviewed, published between 1998 and 2018, implemented in SSA, targeted nurses, and promoted IPC EBPs. Further, 6241 search results were produced and screened for eligibility to identify implementation strategies used to promote IPC for nurses in SSA. A total of 61 articles met the inclusion criteria for the final review. The articles were evaluated using the Joanna Briggs Institute’s (JBI) quality appraisal tools. Results were reported using PRISMA guidelines.ResultsMost studies were conducted in South Africa (n = 18, 30%), within the last 18 years (n = 41, 67%), and utilized a quasi-experimental design (n = 22, 36%). Few studies (n = 14, 23%) had sample populations comprising nurses only. The majority of studies focused on administrative precautions (n = 36, 59%). The most frequent implementation strategies reported were education (n = 59, 97%), quality management (n = 39, 64%), planning (n = 33, 54%), and restructure (n = 32, 53%). Penetration and feasibility were the most common outcomes measured for both EBPs and implementation strategies used to implement the EBPs. The most common MAStARI and MMAT scores were 5 (n = 19, 31%) and 50% (n = 3, 4.9%) respectively.ConclusionsAs infectious diseases, especially emerging and re-emerging infectious diseases, continue to challenge healthcare systems in SSA, nurses, the keystones to IPC practice, need to have a better understanding of which, in what combination, and in what context implementation strategies should be best utilized to ensure their safety and that of their patients. Based on the results of this review, it is clear that implementation of IPC EBPs in SSA requires additional research from an implementation science-specific perspective to promote IPC protocols for nurses in SSA.

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Section: Resultsmentioning

confidence: 99%

Implementation strategies for infection prevention and control promotion for nurses in Sub-Saharan Africa: a systematic review

et al. 2019

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“…Studies have revealed that training and the use of safety cannulas for IV administration could lower the incidence of NSI 4 . A 30-month training and teaching program leads to an increase of overall knowledge from 55.61% to 63.47% and leads to less NSI incidents 10 .…”

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confidence: 99%

Needle Stick Injuries and Compliance among Doctors and Nurses

Matlab¹,

Cowman²,

Al-Shagag³

2017

BMB

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Background: Needle stick injuries (NSI) as an occupational hazard is a concern to employers and health professionals. The literature shows that NSI although a common incident, it is preventable through proper training and routine vaccinations of all hospital employees. Objectives: To determine the incidence of NSI among doctors and nurses in a teaching hospital and the contributing factors towards these injuries. Design: A Cross-Sectional Study. Setting: King Hamad University Hospital, Bahrain. Method: Two data collection approaches were employed in the study: a retrospective review of records and a survey instrument. Result: One hundred fifty questionnaires were distributed, 91 responded; 30 had NSI. Fifteen (50%) were nurses, and 15 (50%) were doctors. Only 16 (53%) of the NSI respondents attended an annual training program on infection prevention and control; 14 (47%) nurses and 2 (7%) doctors attended an annual training program on infection prevention and control. Thirteen (43%) nurses and 8 (27%) doctors reported that 'I should not recap a needle', P-value 0.030. Conclusion: NSI continues to be a problem for health and safety. Sharps tools management training should be mandatory for all staff, particularly to staff in high risk area.

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“…This paper reports the process evaluation of a peer group intervention for human immunodeficiency virus (HIV) prevention which had positive outcomes for three different target groups in Malawi's Central Region [11][12][13][14][15]. Malawi, with a population of 13.9 million, is one of the poorest countries in the world, with 80% of Malawians living in rural communities characterized by subsistence agriculture, low education and high poverty [16].…”

Section: Introductionmentioning

confidence: 99%

Process evaluation of HIV prevention peer groups in Malawi: a look inside the black box

McCreary¹,

Kaponda²,

Kafulafula³

et al. 2010

Health Education Research

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This paper reports the process evaluation of a peer group intervention for human immunodeficiency virus (HIV) prevention which had positive outcomes for three target groups in Malawi: rural adults, adolescents and urban hospital workers. The six-session intervention was delivered to small groups of 10-12 participants by 85 trained volunteer peer leaders working in pairs. A descriptive, observational mixed methods design was used with a convenience sample of 294 intervention sessions. Using project records and a conceptually based observation guide, we examined five aspects of the implementation process. The context was favorable, but privacy to discuss sensitive issues was a concern for some groups. In study communities, program reach was 58% of rural adults, 70% of adolescents and nearly all hospital workers. Session records confirmed that all peer groups received the intended six sessions (dose delivered). The dose received was high, as evidenced by high participant engagement in peer group activities. Peer leaders were rated above the median for three indicators of peer group content and process fidelity: session management skills, interpersonal facilitation skills and whether more like a peer group than classroom. Documenting that this HIV prevention peer group intervention was delivered as intended by trained peer volunteers supports widespread dissemination of the intervention.

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Improving universal precautions and client teaching for rural health workers: a peer-group intervention

Cited by 4 publications

References 26 publications

Implementation strategies for infection prevention and control promotion for nurses in Sub-Saharan Africa: a systematic review

Implementation strategies for infection prevention and control promotion for nurses in Sub-Saharan Africa: a systematic review

Needle Stick Injuries and Compliance among Doctors and Nurses

Process evaluation of HIV prevention peer groups in Malawi: a look inside the black box

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