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At least 631 records · Page 35Linked to original sources
PubMed2005

Roles of infection control nurses in Royal Thai Army hospitals.

OBJECTIVE: To study the performance according to the assigned roles of infection control nurses (ICNs) in Royal Thai Army hospitals. MATERIAL AND METHOD: Interviewing ICNs in 6 hospitals. RESULTS: During April and May 2002, 11 ICNs in 6 hospitals were interviewed. Two hospitals had been accredited and 4 were applying for hospital accreditation. Full-time ICNs were identified in 5 and part-time in 6. The ICNs were graduated with bachelor and master degrees in 5 and 6 respectively. Two ICNs graduated with master degree in IC. All could perform their roles in administration, education, surveillance, personnel health, consultation and quality improvement. Only 7 ICNs had experience in outbreak investigation. None were principle investigators in research except for their master degrees. The main problem was the absence of ICNs posts in all except 1 hospital. CONCLUSION: Infection control nurses in Royal Thai Army hospitals in the present study could perform their roles according to assignment except involvement in outbreak investigation in some and in research as the principle investigators in all.

Adult↗
PubMed2005

Roles of infection control nurses in community hospitals.

OBJECTIVES: To evaluate the roles of infection control nurses (ICNs) and to detect problems, obstacles during work and needs for support in community hospitals. MATERIAL AND METHOD: A descriptive study, data from interview and questionnaire survey of 2 ICN from HA awarded hospitals and 146 IC nurses from hospitals applied for HA. RESULTS: From April to May 2002, questionnaires were returned for 115 (81.56%) plus 7 interviews for a total of 122 samples. The practiced HA IC roles included counseling (86.5%), surveillance (83.1%), administration (82.8%), employee health (82%), education (80%), quality development (76.3%), epidemic investigation (72.2%) and research (10.4%). The major problems and obstacles included inadequate IC knowledge, multiple responsibilities, inadequate cooperation, less administrative support, inadequate budget and documents. CONCLUSION: The present study suggested that the IC research role was the least done because of inadequate knowledge, too heavy work load and lack of administrative support.

Adult↗
PubMed2005

Roles of infection control nurses in university hospitals.

OBJECTIVE: To evaluate the roles of infection control nurses (ICNs) in university hospitals. MATERIAL AND METHOD: Interviewing 23 ICNs in 6 university hospitals applying for hospital accreditation during March and April 2002. RESULTS: The ICNs had an average work experience of 11.3 years. The roles relatively well carried out by the ICNs were: administration, outbreak investigation, personnel health, education, consultation. Better performance was needed in the roles of presenting surveillance data to infection control committee, research and analyzing the needs and expectation of patients related to IC. CONCLUSION: Infection control nurses in university hospitals could perform their roles relatively well. However, better roles in surveillance, research and quality improvement need to be developed.

Adult↗
PubMed2005

Roles of infection control nurses in provincial hospitals.

OBJECTIVE: To study the roles of infection control nurses (ICNs) in provincial hospitals. MATERIAL AND METHOD: Interview using a semi-structured interview form. RESULTS: Nine hospitals were enrolled by stratified sampling and 11 ICNs were included. Interview was done by the researcher during April and May 2002. All ICNs were female and in middle-aged group. Their mean experience in IC was 6.4 +/- 4.5 years. All ICNs could perform their duties according the roles set by the Department of Nursing in surveillance, personnel health, education, consultation, administration and quality improvement. Only about one half had experience in outbreak investigation and research. The commonest problems were excessive workload, lack of co-operation of medical personnel and lack of budget for immunization. CONCLUSION: All sampled ICNs in provincial hospitals performed their roles except only one half were involved in outbreak investigation and research.

Adult↗
PubMed2005

Roles of infection control nurses in regional hospitals.

OBJECTIVES: To evaluate the roles of infection control nurses (ICNs) in regional hospitals and to detect problems, obstacles in practice and needs for support. MATERIAL AND METHOD: A descriptive study by interview and questionnaire survey of 16 ICNs from regional hospitals appling for HA. RESULTS: From February to April 2002, a study by interview and questionnaires was done in 16 ICNs from 10 regional hospitals applying for HA. Most of the ICNs practised IC roles according to HA criteria except for hospital employee health, NI surveillance and research. The major problems and obstacles included the lack of IC positions, inadequate ICNs, lack of support from hospital administrative personnel, too heavy work load, lack of: IC experts, budget for IC, equipment, IC research data and education material. CONCLUSION: The present study suggested that roles of ICNs in hospital employee health, NI surveillance and research were inadequate because of the lack of full time ICNs, too heavy a work load, lack of: IC consultants supply and administrative support.

Cross Infection↗
PubMed2005

Nosocomial infection control in district hospitals in northern Thailand.

OBJECTIVE: To study the practice of nosocomial infection (NI) control in district hospitals. MATERIAL AND METHOD: Descriptive study using questionnaires and group discussion. RESULTS: From February-March 2002, five district hospitals in the northern region of Thailand were randomly enrolled. All members of the infection control committee (ICC) were included and data were available from 71 members (85.0%). Infection control activities were done by members of the ICC. The NI control program was designed by the Ministry of Public Health. Due to limited resources and suboptimal implementation, several defects in key elements for infection control were identified. Lack of competent personnel, inappropriate practices and lack of administrative support were the important barriers to good practice. CONCLUSION: Lack of competent personnel and inappropriate work instructions were identified. A review of a NI control program in district hospitals is needed.

Adult↗
PubMed2005

Nosocomial infection control in regional and provincial hospitals.

OBJECTIVES: To study the organization and practices in nosocomial infection (NI) control in regional and provincial hospitals. MATERIAL AND METHOD: Data were collected by questionnaires answered by chairpersons of infection control committees (ICC) infection control nurses (ICNs) and link nurses in regional and provincial hospitals. RESULTS: From April to June 2002, sets of questionnaires were sent to all chair persons of regional and provincial hospitals, 120 infection control nurses and 57 link nurses. Of 92 hospitals, 78.3% of chairpersons and all ICNs and link nurses responded. The ICC were chaired by the directors or deputy directors in 26.4% and by doctors in various specialties in the remaining. Among ICNs, 14.2% had never attended a course in infection control and 62.5% had less than 6 years experience. Lack of support from administrators, budget, co-operation from medical personnel and ICN position were the main problems in the IC program. CONCLUSION: Nosocomial infection control in regional and provincial hospitals in Thailand needs more support from administrators and more co-operation from medical personnel.

Adult↗
PubMed2005

Development of quality indicators for sterilization practices of the central sterile supply department.

OBJECTIVE: To develop quality indicators for assessing the performance of central sterile supply department. (CSSD). MATERIAL AND METHOD: Quality indicators for sterilization in CSSD were searched by literature review and by current situation analysis by 79 infection control nurses (ICNs) and 83 heads of CSSD. Quality indicators were drafted and subsequently validated by 5 experts. The feasibility and applicability of the quality indicators were tested in 37 ICNs and 34 heads of CSSD. The quality indicators were finally refined by a forum of 5 experts and 5 representatives from CSSD. RESULTS: A total of 30 quality indicators were developed. These include 9 indicators for structure, 12 for process and 9 for output of CSSD. The quality indicators were deemed appropriate for the assessment of the quality of CSSD in Thailand. CONCLUSION: Thirty indicators were developed for assessing the quality of CSSD.

Central Supply, Hospital↗
PubMed2005

Problems in the management of medical waste in Thailand.

OBJECTIVES: To identify problems in the management of medical waste in Thailand for future development. MATERIAL AND METHOD: The study was done in 39 hospitals during June and July 2002 by interviewing medical personnel on knowledge and attitude in management of medical waste, observation of practice and checking the amount of medical waste in waste bags. Certain laboratory investigations were done in dustmen. RESULTS: The amount of medical waste was 0.41 kilogram per bed per day. Problems identified were inadequate knowledge in management, improper practices, high incidence of sharp injury at work. Laboratory tests in dustmen showed evidence of pulmonary tuberculosis in 3.4%, parasites and intestinal pathogens in stools 5.1% and positive for HBsAg in 8.5%. CONCLUSION: Improper management of medical waste was present in all hospitals. Risks of exposure and incidence of infection related to the management were at concerned levels. Education and practice guidelines are needed.

Attitude of Health Personnel↗
PubMed2005

Quality of nosocomial infection control in Thailand.

OBJECTIVE: To study the quality of nosocomial infection control with respect to structure and process. MATERIAL AND METHOD: Data collection by questionnaire and interview administrators and medical personnel in 57 hospitals in Thailand in 2002. RESULTS: Nosocomial infection control was implemented in all 57 hospitals. In every hospital, there was an infection control committee (ICC) and at least 1 infection control nurse (ICN). The quality of ICNs regarding knowledge, skill and time available for infection control needed to be improved. Surveillance methods of NI were not appropriate in many hospitals. Doctors were not interested in NI control and supply of certain materials was not adequate. Lack of support and co-operation of doctors and nurses was found. Service of certain departments needed to be revised in over 50%. Doctors and nurses not directly involved in NI controlled were not satisfied with current practices. CONCLUSION: Quality of NI control in Thailand has yet to be improved regarding structure and process. Better cooperation between NI control team and healthcare personnel needs to be developed.

Attitude of Health Personnel↗
PubMed2005

Program on nosocomial infection in the curricula of medicine, dentistry, nursing and medical technology in Thailand.

OBJECTIVES: To identify defects in the program on NI in curricula of medical, dental, medical technology and nursing schools. Impacts of the results of the study on the changes of the program were also evaluated MATERIAL AND METHOD: Questionnaires study of all 12, 8, 9 medical, dental, medical technology and 20 of 62 nursing schools. Data were collected and analyzed. Defects in the program of NI were identified and recommendation for improving was drafted in a workshop participated by curriculum directors and researchers. Results of the study were fedback to the schools enrolled. Changes of the program were later followed.. RESULTS: Program on NI was present in the curricula of 11 of 12 medical, some dental and medical technology but in none of the nursing schools. Education program varied in methods of teaching, hours and years of students. A few schools modified the program in their curricula by the results of the study and recommendation of a workshop participated in by researchers and program directors. CONCLUSION: Program on NI in the curricula of medical, dental, medical technology and nursing schools in Thailand varied in education methods, teaching hours and in student years. The present study results had little impact on changing the program. An evidence-based program on NI in medical, dentistry, medical technology and nursing is urgently needed.

Cross Infection↗
PubMed2005

Evaluation of a training course in infection control for nurses.

OBJECTIVE: To evaluate the effectiveness of a training course in infection control for nurses. MATERIAL AND METHODS: A quasi-experimental study was performed from November 1, 2001 to December 31, 2002. The study was divided into three phases; 1) pre-intervention (November 1-30, 2001) to survey baseline data among participants, 2) intervention (January 1-31, 2002) to establish, develop and conduct the training course, 3) post-intervention (February 1, 2002 to December 31, 2002) to evaluate the effectiveness of the training program, and conduct a workshop for infection control project presentations. The research instruments consisted of questionaires and a focus group discussion guide. RESULTS: Forty-six nurses who had experience of working as infection control nurses (ICN) for more than one year and 46 hospital administrators were enrolled in the pre-interventional phase. Major problems identified among ICNs were inadequate knowledge, multiple simultaneous job descriptions, overwork and lack of collaboration from colleagues. After intervention, significant improvement was observed on their knowledge and confidence among ICNs (rating scale, 4.09 vs. 3.43; p< 0.001). All administrators agreed that the training course was beneficial to ICNs and believed that the problems in practices of IC would be solved. More satisfaction of ICNs among hospital administrators was also observed (97.7% vs. 28.3%; p< 0.001). CONCLUSION: The present study suggested that the training course to provide practical knowledge for ICNs be effective and should be conducted periodically to keep up with the advance in medical technology. An ICN network with other academic institutions should be established.

Adult↗