Author:
Sax Hugo,Perneger Thomas,Hugonnet Stéphane,Herrault Pascale,Chraïti Marie-Noëlle,Pittet Didier
Abstract
AbstractObjective:To assess the level of knowledge regarding and attitudes toward standard and isolation precautions among healthcare workers in a hospital.Method:A confidential, self-administered questionnaire survey was conducted in a random sample of 1,500 nurses and 500 physicians in a large teaching hospital.Results:A total of 1,241 questionnaires were returned (response rate, 62%). The median age of respondents was 39 years; 71.9% were women and 21.2% had senior staff status. One-fourth had previously participated in specific training regarding transmission precautions for pathogens conducted by the infection control team. More than half (55.9%) gave correct answers to 10 or more of the 13 knowledge-type questions. The following reasons for noncompliance with guidelines were judged as “very important”: lack of knowledge (47%); lack of time (42%); forget-Mness (39%); and lack of means (28%). For physicians and healthcare workers in a senior position, lack of time and lack of means were significantly less important (P < .0005). On multivariate linear regression, knowledge was independently associated with exposure to training sessions (coefficient, 0.33; 95% confidence interval, 0.08 to 0.57; P = .009) and less professional experience (coefficient per increasing professional experience, -0.024; 95% confidence interval, -0.035 to -0.012; P < .0005).Conclusions:Despite a training effort targeting opinion leaders, knowledge of transmission precautions for pathogens remained insufficient. Nevertheless, specific training proved to be the major determinant of “good knowledge”.
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Microbiology (medical),Epidemiology
Reference20 articles.
1. Guideline for isolation precautions in hospitals;Garner;Infect Control,1983
2. Intervention for medical students: Effective infection control
3. Influence of Role Models and Hospital Design on the Hand Hygiene of Health-Care Workers
4. Developing Policies and Guidelines
5. Public health focus: surveillance, prevention, and control of nosocomial infections;MMWR,1999
Cited by
95 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献