Volume 21, Issue 1 (April 2023)
Nursing and Midwifery Journal 2023, 21(1): 58-65 |
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Ghanei Gheshlagh R, Parizad N, Ebrahimi A, Baghi V. NURSES’ KNOWLEDGE ON THE PREVENTION OF SURGICAL SITE INFECTION: A SYSTEMATIC REVIEW AND META-ANALYSIS STUDY. Nursing and Midwifery Journal 2023; 21 (1) :58-65
URL: http://unmf.umsu.ac.ir/article-1-4823-en.html
URL: http://unmf.umsu.ac.ir/article-1-4823-en.html
1- Assistant Professor. Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran , rezaghanei30@gmail.com
2- Assistant professor in Nursing, Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author)
3- Nursing Student. Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
4- BSc in Midwifery, Besat Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Assistant professor in Nursing, Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author)
3- Nursing Student. Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
4- BSc in Midwifery, Besat Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract: (1439 Views)
Background & Aim: Surgical Site Infection (SSI) is a common complication following surgery that in addition to imposing a high cost on the patient and the health system, increases the risk of death. However, most of these infections are preventable, and Nurses, as the medical staff most involved with the patients, play a vital role in this field. The high knowledge of nurses regarding the prevention of surgical infection plays a vital role in identifying people at risk and controlling this situation. This systematic review and meta-analysis study was conducted to assess the status of nurses' knowledge about SSI.
Materials & Methods: To access related articles, Scopus, PubMed, and Web of Science/ISI databases were searched with these keywords: surgical wound infection, surgical site infection, postoperative wound infection, knowledge, epistemology, awareness, nurse, and their combination without time limit. Observation studies published in English that reported nurses' knowledge of SSI prevention were analyzed. Cochrane's Q test and I2 index were used to evaluate heterogeneity among selected studies. Data analysis was performed with a random effects model using STATA software version 16.
Results: In the initial search, 204 articles were found, and 12 qualified and entered the analysis. In 6 studies, the standard score of nurses' knowledge about SSI prevention was reported to be 55% (95% confidence interval [CI]: 40-70). Meta-regression findings showed that over time, nurses' knowledge scores had an upward trend (p = 0.019), but with increasing sample size, knowledge scores decreased significantly (p = 0.01). Publication bias was significant (p = 0.01). In other 6 studies, the level of knowledge of nurses was ranked, and the level of knowledge was good and moderate in 51% and low in 49% of nurses.
Conclusion: Nurses have insufficient knowledge about surgical infection prevention, and providing training on using up-to-date guidelines to improve their knowledge seems necessary.
Materials & Methods: To access related articles, Scopus, PubMed, and Web of Science/ISI databases were searched with these keywords: surgical wound infection, surgical site infection, postoperative wound infection, knowledge, epistemology, awareness, nurse, and their combination without time limit. Observation studies published in English that reported nurses' knowledge of SSI prevention were analyzed. Cochrane's Q test and I2 index were used to evaluate heterogeneity among selected studies. Data analysis was performed with a random effects model using STATA software version 16.
Results: In the initial search, 204 articles were found, and 12 qualified and entered the analysis. In 6 studies, the standard score of nurses' knowledge about SSI prevention was reported to be 55% (95% confidence interval [CI]: 40-70). Meta-regression findings showed that over time, nurses' knowledge scores had an upward trend (p = 0.019), but with increasing sample size, knowledge scores decreased significantly (p = 0.01). Publication bias was significant (p = 0.01). In other 6 studies, the level of knowledge of nurses was ranked, and the level of knowledge was good and moderate in 51% and low in 49% of nurses.
Conclusion: Nurses have insufficient knowledge about surgical infection prevention, and providing training on using up-to-date guidelines to improve their knowledge seems necessary.
Type of Study: Review article |
Subject:
پرستاری
References
1. De Lissovoy G, Fraeman K, Hutchins V, Murphy D, Song D, Vaughn BB. Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control 2009;37(5):387-97. [DOI:10.1016/j.ajic.2008.12.010] [PMID]
2. Allegranzi B, Nejad SB, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet Glob Health 2011;377(9761):228-41. [DOI:10.1016/S0140-6736(10)61458-4] [PMID]
3. Brisibe S, Ordinioha B, Gbeneolol PK. Knowledge, attitude, and infection control practices of two tertiary hospitals in Port-Harcourt, Nigeria. Niger J Clin Pract 2014;17(6):691-5. [DOI:10.4103/1119-3077.144379] [PMID]
4. Qvistgaard M, Lovebo J, Almerud-Österberg S. Intraoperative prevention of Surgical Site Infections as experienced by operating room nurses. Int J Qual Stud Health Well 2019;14(1):1632109. [DOI:10.1080/17482631.2019.1632109] [PMID] [PMCID]
5. Mockford K, O'Grady H. Prevention of surgical site infections. Surgery 2017;35(9):495-9. [DOI:10.1016/j.mpsur.2017.06.012]
6. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1999;27(2):97-132; quiz 3-4; discussion 96. [DOI:10.1016/S0196-6553(99)70088-X] [PMID]
7. Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017. JAMA Surg 2017;152(8):784-91. [DOI:10.1001/jamasurg.2017.0904] [PMID]
8. European Center of Disease Prevention and Control (ECDC). Surveillance of surgical site infection in European hospitals - HAISSI protocol Version 1.02. ECDC.
9. World Health Organization. Global guidelines for the prevention of surgical site infection, 2nd ed. Available form: https://apps.who.int/iris/handle/10665/277399 (accessed 15 December 2021). [URL]
10. Cheadle WG. Risk factors for surgical site infection. Surg Infect 2006;7(S1):s7-s11. [DOI:10.1089/sur.2006.7.s1-7] [PMID]
11. Martone WJ, Nichols RL. Recognition, prevention, surveillance, and management of surgical site infections: introduction to the problem and symposium overview. Clin Infect Dis 2001;33(Supplement_2):S67-S8. [DOI:10.1086/321859] [PMID]
12. Labrague L, Arteche D, Yboa B, Pacolor N. Operating room nurses' knowledge and practice of sterile technique. J Nurs Care Qual 2012;1(4):1-5. [DOI:10.4172/2167-1168.1000113]
13. Diaz V, Newman J. Surgical site infection and prevention guidelines: a primer for Certified Registered Nurse Anesthetists. AANA J 2015;83(1). [Google Scholar]
14. Teshager FA, Engeda EH, Worku WZ. Knowledge, Practice, and Associated Factors towards Prevention of Surgical Site Infection among Nurses Working in Amhara Regional State Referral Hospitals, Northwest Ethiopia. Surg Res Pract 2015;2015:736175. [DOI:10.1155/2015/736175] [PMID] [PMCID]
15. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta‐analysis. Stat Med 2002;21(11):1539-58. [DOI:10.1002/sim.1186] [PMID]
16. Woldegioris T, Bantie G, Getachew H. Nurses' Knowledge and Practice Regarding Prevention of Surgical Site Infection in Bahir Dar, Northwest Ethiopia. Surg Infect (Larchmt) 2019;20(1):71-7. [DOI:10.1089/sur.2018.081] [PMID]
17. Novelia S, Sia WS, Songwathana P. Nurses' knowledge and practice regarding the prevention of cesarean section surgical site infection in Indonesia. GSTF J Nurs Health Care 2017;4(2). [DOI:10.5176/2345-718X_4.2.140]
18. Qasem MN, Hweidi IM. Jordanian nurses' knowledge of preventing surgical site infections in acute care settings. Open J Nurs 2017;7(5):561-82. [DOI:10.4236/ojn.2017.75043]
19. Joshi R. A Study to assess the Knowledge and Practice of Staff Nurses Regarding Prevention of Surgical Site Infection among Selected Hospital in Udaipur City. Int J Nurs Care 2014;2(2):78-80. [DOI:10.5958/2320-8651.2014.01275.7]
20. Labeau SO, Witdouck SS, Vandijck DM, Claes B, Rello J, Vandewoude KH, et al. Nurses' knowledge of evidence-based guidelines for the prevention of surgical site infection. Worldviews Evid Based Nurs 2010;7(1):16-24. [DOI:10.1111/j.1741-6787.2009.00177.x] [PMID]
21. Sham F, Raji NAA, Omar MF, Hasan Z, Patahorahman MK, Sihat HM, et al. Nurses' knowledge and practice towards prevention of surgical site infection. Int J Service Manag Sustain 2021;6(1):1-20. [DOI:10.24191/ijsms.v6i1.12875]
22. Jaleta P, Adimasu M, Amentie M. Nurses Knowledge, Practice, and Associated Factors Toward Prevention of Surgical Site Infection in Benishangul Gumuz Hospitals Northwest Ethiopia 2021. Am J Lab Med 2021;6(4):58-65. [Google Scholar]
23. Idris K, Bamoosa E, Alsabbah R, Faidah G, Alharbi S, Bar A, et al. Awareness and level of knowledge of surgical site infection among surgical staff in King Abdullah Medical City during Hajj 2019: a cross-sectional study. Int J Med Dev Ctries 2020;1873-8. Available from: http://dx.doi.org/10.24911/ijmdc.51-1601213972. [DOI:10.24911/IJMDC.51-1601213972]
24. Sarı P, Dönmez YC. Determining knowledge and administration of nurses in preventing surgical site infections: Nurses knowledge in preventing surgical site infections. Med Sci Discover 2019;6(10):230-4. [DOI:10.36472/msd.v6i10.303]
25. Patil VB, Raval RM, Chavan G. Knowledge and practices of healthcare professionals to prevent surgical site infection in a tertiary health care centre. Int Surg J 2018;5(6):2248-51. [DOI:10.18203/2349-2902.isj20182231]
26. Famakinwa T, Bello B, Oyeniran Y, Okhiah O, Nwadike R. Knowledge and practice of post-operative wound infection prevention among nurses in the surgical unit of a teaching hospital in Nigeria. Int J Basic Appl Innov Res 2014;3(1):23-8. [Google Scholar]
27. McDonald R, Waring J, Harrison S, Walshe K, Boaden R. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. BMJ Qual Safe 2005;14(4):290-4. [DOI:10.1136/qshc.2005.013912] [PMID] [PMCID]
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