Insights into Standard Precaution Knowledge and Adherence among Healthcare Workers: Evidence from Tertiary Care Hospitals in Peshawar, Pakistan
Standard Precautions and Healthcare Workers
DOI:
https://doi.org/10.54393/pjhs.v5i04.1344Keywords:
Standard Precautions, Healthcare Workers, Perceived Knowledge, Infectious Diseases, Clinical ExposureAbstract
Healthcare workers (HCWs) are at risk of being exposed to blood-borne infections when performing clinical activities, hence conventional measures must be followed. The study conducted in Peshawar was motivated by the inadequate adherence to standards in Pakistan. Objective: To evaluate tertiary care hospitals' healthcare workers' (HCWs) awareness of and adherence to standard precautions. Methods: Over the course of six months, 421 HCWs employed in a variety of public and commercial tertiary healthcare settings in Peshawar, Pakistan, participated in cross-sectional research. Convenient sampling was employed in the selection of participants. Three portions of a standardized questionnaire addressing adherence, knowledge, and demographics were administered. For data analysis SPSS version 27® was used, evaluating adherence and knowledge using scoring methods. Results: The majority of participants (78.1%) were new in their areas, and 68.2% had completed standard precautions training. Although the majority of healthcare workers (HCWs) showed high understanding (67.46%), there were still significant gaps in their knowledge, especially when it came to false beliefs about HIV and Hepatitis patient care. However, there was excellent adherence, particularly for trash disposal (73.6%) and hand hygiene (91.4%). When it came to knowledge and adherence, doctors outperformed lab technicians and nurses. Conclusions: Despite knowledge limitations, healthcare workers (HCWs) in Peshawar displayed outstanding adherence to basic procedures, going beyond theoretical comprehension. This underscores the importance of practical implementation in healthcare settings.
References
Sadoh WE, Fawole AO, Sadoh AE, Oladimeji AO, Sotiloye OS. Practice of universal precautions among healthcare workers. Journal of the National Medical Association. 2006 May; 98(5): 722.
Desta M, Ayenew T, Sitotaw N, Tegegne N, Dires M, Getie M. Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos referral hospital, Northwest Ethiopia. BMC Health Services Research. 2018 Dec; 18: 1-0. doi: 10.1186/s12913-018-3277-5. DOI: https://doi.org/10.1186/s12913-018-3277-5
Amoran OE, Onwube OO. Infection control and practice of standard precautions among healthcare workers in northern Nigeria. Journal of Global Infectious Diseased. 2013 Oct; 5(4): 156. doi: 10.4103/0974-777X.122010. DOI: https://doi.org/10.4103/0974-777X.122010
Abdulraheem IS, Amodu MO, Saka MJ, Bolarinwa OA, Uthman MM. Knowledge, awareness and compliance with standard precautions among health workers in north eastearn Nigeria. Journal of Community Medicine and Health Education. 2012; 2(3): 1-5.
Johnson OE, Asuzu MC, Adebiyi AO. Knowledge and practice of universal precautions among professionals in public and private health facilities in Uyo, Southern Nigeria-a comparative study. Ibom Medical Journal. 2012 Feb; 5(1): 9-19. doi: 10.61386/imj.v5i1.95. DOI: https://doi.org/10.61386/imj.v5i1.95
Geberemariyam BS, Donka GM, Wordofa B. Assessment of knowledge and practices of healthcare workers towards infection prevention and associated factors in healthcare facilities of West Arsi District, Southeast Ethiopia: a facility-based cross-sectional study. Archives of Public Health. 2018 Dec; 76: 1-1. doi: 10.1186/s13690-018-0314-0. DOI: https://doi.org/10.1186/s13690-018-0314-0
Abuduxike G, Vaizoglu SA, Asut O, Cali S. An assessment of the knowledge, attitude, and practice toward standard precautions among health workers from a hospital in northern cyprus. Safety and Health at Work. 2021 Mar; 12(1): 66-73. doi: 10.1016/j.shaw.2020.09.003. DOI: https://doi.org/10.1016/j.shaw.2020.09.003
Mudedla S, Tej W, Reddy K, Sowribala M. A study on knowledge and awareness of standard precautions among health care workers at Nizam's institute of medical sciences Hyderabad. The Journal of National Accreditation Board for Hospitals & Healthcare Providers. 2014 Jul; 1(2): 34. doi: 10.4103/2348-6139.151296. DOI: https://doi.org/10.4103/2348-6139.151296
Vaz K, McGrowder D, Alexander-Lindo R, Gordon L, Brown P, Irving R. Knowledge, awareness and compliance with universal precautions among health care workers at the University Hospital of the West Indies, Jamaica. International Journal of Occupational Medicine and Environmental Health. 2010 Oct; 1(4). doi: 10.2478/v10001-010-0016-5. DOI: https://doi.org/10.2478/v10001-010-0016-5
Yousafzai MT, Janjua NZ, Siddiqui AR, Rozi S. Barriers and facilitators of compliance with universal precautions at first level health facilities in northern rural Pakistan. International Journal of Health Sciences. 2015 Oct; 9(4): 388. doi: 10.12816/0031228. DOI: https://doi.org/10.12816/0031228
Haile TG, Engeda EH, Abdo AA. Compliance with standard precautions and associated factors among healthcare workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia. Journal of Environmental and Public Health. 2017 Jan; 2017. doi: 10.1155/2017/2050635. DOI: https://doi.org/10.1155/2017/2050635
Mengal MH. Infectious disease control knowledge and practice among health care workers in Bolan Medical College Hospital Quetta Pakistan. [Master Thesis]. Sweden; Södertörns University: 2014.
Yasmeen S, Ali TS, Khalid W, Kurji Z, Hazara SM, Bashir S. Knowledge and practices regarding standard precautions for infection control among nurses working at a public, tertiary care hospital Islamabad, Pakistan. International Journal of Current Research and Review. 2022; 14(7): 32-9. doi: 10.31782/IJCRR.2022.14702. DOI: https://doi.org/10.31782/IJCRR.2022.14702
Beyamo A, Dodicho T, Facha W. Compliance with standard precaution practices and associated factors among health care workers in Dawuro Zone, South West Ethiopia, cross sectional study. BMC Health Services Research. 2019 Dec; 19: 1-6. doi: 10.1186/s12913-019-4172-4. DOI: https://doi.org/10.1186/s12913-019-4172-4
Sahiledengle B, Gebresilassie A, Getahun T, Hiko D. Infection prevention practices and associated factors among healthcare workers in governmental healthcare facilities in Addis Ababa. Ethiopian Journal of Health Sciences. 2018 Mar; 28(2): 177-86. doi: 10.4314/ejhs.v28i2.9. DOI: https://doi.org/10.4314/ejhs.v28i2.9
Rusli NT, Mansyur M, Kekalih A, Sulistomo A, Werdhani RA. Assessment of compliance to standard precautions among nurses using the Health Belief Model. Universa Medicina. 2020 Dec; 39(3): 199-206. doi: 10.18051/UnivMed.2020.v39.199-206. DOI: https://doi.org/10.18051/UnivMed.2020.v39.199-206
Alshammari F, Cruz JP, Alquwez N, Almazan J, Alsolami F, Tork H et al. Compliance with standard precautions during clinical training of nursing students in Saudi Arabia: A multi-university study. The Journal of Infection in Developing Countries. 2018 Nov; 12(11): 937-45. doi: 10.3855/jidc.10821. DOI: https://doi.org/10.3855/jidc.10821
Al-Faouri I, Okour SH, Alakour NA, Alrabadi N. Knowledge and compliance with standard precautions among registered nurses: A cross-sectional study. Annals of Medicine and Surgery. 2021 Feb; 62: 419-24. doi: 10.1016/j.amsu.2021.01.058. DOI: https://doi.org/10.1016/j.amsu.2021.01.058
Dhedhi NA, Ashraf H, Jiwani A. Knowledge of standard precautions among healthcare professionals at a Teaching Hospital in Karachi, Pakistan. Journal of Family Medicine and Primary Care. 2021 Jan; 10(1): 249-53. doi: 10.4103/jfmpc.jfmpc_1622_20. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1622_20
Riasat R, Malik MA, Yousaf I, Imam KA. Knowledge and practices of infection control among healthcare workers in a tertiary care hospital. Pakistan Journal of Physiology. 2019 Dec; 15(4): 46-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments