Effectiveness Practice-intervention Based Project on Knowledge, Attitude and Practice Compliance to Infection Control Measures and Factors Predicting Non-compliance among Nurses Working in Tertiary Care Hospital, Mangalore, India

Abstract

Introduction: Safety practice adherence by the nurses is the important aspect in patient care health facilities.
Their knowledge, attitude for and compliance with infection control practice is the primary target in any
healthcare system. The present study planned to survey the knowledge, attitude and compliance (KAP) in
infection control practice among the nursing staff and to evaluate the effect of practice -intervention based
project where besides direct training programme, one to one by infection control trained staff to other nurse
could be speculated.
Method: This was an experimental study with pre-test post-test design that included 2 groups of nurses (30 –
group I(core); 50 –group II(trainee)) working in a tertiary care hospital. Structured knowledge questionnaires
were designed to assess various aspects of knowledge; Likert scale to measure attitude and infection
control compliance in pre and post training tests. Results: Compared to pre-test, there was comparable and
sustained significant improvement of knowledge attitude and practice compliance in the subsequent post test
results among both groups of nurses. Higher age group (odds ratio (OR) 6.037, 95% CI 0.706-51.621),low
knowledge (OR 4.985, 95% CI 1.562-15.910), poor attitude (OR 1.114, 95% CI 0.474-2.622), unavailable
infection control measures (OR 1.066, 95% CI 0.369-3.077), less time since training (OR 13.145, 95% CI
1.929-89.564), and working in surgical department (OR 8.043, 95% CI 1.97-32.838) showed higher odds of
non-compliance to infection control practices.
Conclusion: This study illustrated the need of target based educational training interventions in any form
of either direct or trained group training the other nurses, to improve the KAP in infection control practices.