This research aims to explore the ineffective management practices on infection prevention and control by nurses in a public hospital. This was done through focus groups with nurses from different public hospitals in Tshwane area. Participants expressed that there are ineffective management practices in their working environment in the form of inadequate education, training on infection and control measures, shortage of human and material resources, and poor communication that is affecting the implementation of infection prevention and control measures in the hospital. Results: Most nurses have been found to have attended an hour to a day IPC training, which they alluded has no impact to their implementation as is too short. The study also found that institutions, where nursing qualifications were obtained, have a significant impact to the implementation of IPC measures. There was an agreement that continuous training on IPC related issues improve in practice and confidence to nurses
The study also found that the presence of well-trained nurses is vital in the ward, however, the ward has to meet other aspects such as staffing, skill mix, resources and working conditions. Best practices that also involve behaviour changes were found to be successful in intervention to improve the implementation of IPC measures. Ongoing feedback and full training on IPC were found significant to improve IPC measures.
Al Shamsi Hilal, Almutairi Abdullah G., Al Mashrafi Sulaiman, Al Kalbani Talib. Implications of Language Barriers for Healthcare: A Systematic Review. Oman Medical Journal. Vol. 35(2)2020. Oman Medical Journal. [Cross Ref]
Amoran OE, Onwube OO. Infection control and practice of standard precautions among healthcare workers in northern Nigeria. Journal of Global Infectious Diseases. Vol. 5(4)2013. Medknow. [Cross Ref]
Brouwer Miranda, Coelho Eliana, Dores Mosse Carla das, Brondi Luciana, Winterton Laura, van Leth Frank. Healthcare Workers' Challenges in the Implementation of Tuberculosis Infection Prevention and Control Measures in Mozambique. PLoS ONE. Vol. 9(12)2014. Public Library of Science (PLoS). [Cross Ref]
Efstathiou Georgios, Papastavrou Evridiki, Raftopoulos Vasilios, Merkouris Anastasios. Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study. BMC Nursing. Vol. 10(1)2011. Springer Science and Business Media LLC. [Cross Ref]
Gammon John, Hunt Julian, Williams Sharon, Daniel Sharon, Rees Sue, Matthewson Sian. Infection prevention control and organisational patient safety culture within the context of isolation: study protocol. BMC Health Services Research. Vol. 19(1)2019. Springer Science and Business Media LLC. [Cross Ref]
Ider Bat-Erdene, Adams Jon, Morton Anthony, Whitby Michael, Clements Archie. Perceptions of healthcare professionals regarding the main challenges and barriers to effective hospital infection control in Mongolia: a qualitative study. BMC Infectious Diseases. Vol. 12(1)2012. Springer Science and Business Media LLC. [Cross Ref]
Loveday Heather P. Revisiting Florence Nightingale: International Year of the Nurse and Midwife 2020. Journal of Infection Prevention. Vol. 21(1):4–6. 2020. SAGE Publications. [Cross Ref]
Vukoja Marija, Riviello Elisabeth D., Schultz Marcus J.. Critical care outcomes in resource-limited settings. Current Opinion in Critical Care. Vol. 24(5):421–427. 2018. Ovid Technologies (Wolters Kluwer Health). [Cross Ref]