Compliance and Barriers among Nurses Regarding Surgical Site Infection Prevention Guidelines at Public Tertiary Care Hospitals of Islamabad

Nurses Compliance in Surgical Site Infection Prevention

Authors

  • Rubina Afsar College of Nursing-Armed Forces Post Graduate Medical Institute, National University of Medical Sciences, Rawalpindi, Pakistan
  • Rehana Khadim Pakistan Armed Forces Medical Journal, Army Medical College, Rawalpindi, Pakistan
  • Samina Yasmeen College of Nursing, Rawalpindi, Pakistan
  • Shagufta Parveen College of Nursing, Armed Forces Post Graduate Medical Institute, National University of Medical Sciences, Rawalpindi, Pakistan
  • Mehreen Aslam College of Nursing, Armed Forces Post Graduate Medical Institute, National University of Medical Sciences, Rawalpindi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i11.2335

Keywords:

Surgical Site Infections, Nurses Compliance, Prevention Guidelines, Barriers, Healthcare-Associated Infections

Abstract

Surgical Site Infections (SSI) are a common healthcare-related issue, occurring within 30 days to a year after surgery or prosthesis implantation. Objective: To assess nurses' compliance and identify barriers related to SSI prevention guidelines. Methods: A cross-sectional study conducted from February to July 2024 involved 270 participants from four hospitals in Islamabad, using convenience sampling. A validated questionnaire, based on WHO guidelines (2016), was adopted, comprising three sections: demographic information, compliance (before surgery, during surgery, and after surgery), and barriers to compliance. Results: The study revealed that while most participants had over five years of experience, only 43.7% adhered to SSI prevention standards. Significant barriers included insufficient surgical supplies, lack of formal training, limited hospital oversight, and poor communication within healthcare teams. Conclusions: Nurses exhibited limited awareness and adherence to SSI prevention guidelines, with key barriers hindering effective prevention. Addressing these challenges is essential to improving SSI control and patient outcomes

References

Makau PM, Mbithi BW, Odero J. Factor’s affecting compliance to preoperative patient care guidelines among nurses working in surgical wards of a tertiary referral hospital in Nairobi, Kenya. African Journal of Health Sciences. 2023 Jun; 36(2): 124-30. doi: 10.4314/ajhs.v36i2.4.

Collaborative P. PakSurg 1: determining the epidemiology and risk factors of surgical site infections in Pakistan-a multicentre, prospective cohort study. British Medical Journal Open. 2023 Jul; 13(7): e070831. doi: 10.1136/bmjopen-2022-070831.

Sadaf S, Inayat S, Afzal M, Hussain M. Nurse's knowledge and practice regarding prevention of surgical site infection at allied hospital Faisalabad. International Journal Science Research. 2018 May; 9(5): 351-69.

Mehtar S, Wanyoro A, Ogunsola F, Ameh EA, Nthumba P, Kilpatrick C et al. Implementation of surgical site infection surveillance in low-and middle-income countries: A position statement for the International Society for Infectious Diseases. International Journal of Infectious Diseases. 2020 Nov; 100: 123-31. doi: 10.1016/j.ijid.2020.07.021.

Leaper DJ and Edmiston CE. World Health Organization: global guidelines for the prevention of surgical site infection. Journal of Hospital Infection. 2017 Feb; 95(2): 135-6. doi: 10.1016/j.jhin.2016.12.016.

Lin F, Gillespie BM, Chaboyer W, Li Y, Whitelock K, Morley N et al. Preventing surgical site infections: Facilitators and barriers to nurses' adherence to clinical practice guidelines-A qualitative study. Journal of Clinical Nursing. 2019 May; 28(9-10): 1643-52. doi: 10.1111/jocn.14766.

Khan A and Nausheen S. Compliance of surgical hand washing before surgery: role of remote video surveillance. Journal Pakistan Medical Association. 2017 Jan; 67(1): 92-6.

Mansoor K, Jawad K, ul Muqim R, Mohammad Z, Touseef UH, Nisar A et al. Rate and risk factors for surgical site infection at a tertiary care facility in Peshawar, Pakistan. 2011 Jan; 23(1): 15-8.

Mohsen MM, Riad NA, Badawy AI. Compliance and barriers facing nurses with surgical site infection prevention guidelines. Open Journal of Nursing. 2020 Jan; 10(1): 15-33. doi: 10.4236/ojn.2020.101002.

EL-Azab A, Mostafa M, Abdelraouf S. Assessment of Nurses' knowledge and Performance Regarding Prevention of Open Heart Surgery Site Infection. Mansoura Nursing Journal. 2023 Jan; 10(1): 451-9. doi: 10.21608/mnj.2023.322072.

Anderson DJ, Podgorny K, Berríos-Torres SI, Bratzler DW, Dellinger EP, Greene L et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology. 2014 Sep; 35(S2): S66-88. doi: 10.1017/S0899823X00193869.

Meeks DW, Lally KP, Carrick MM, Lew DF, Thomas EJ, Doyle PD et al. Compliance with guidelines to prevent surgical site infections: As simple as 1-2-3?. The American Journal of Surgery. 2011 Jan; 201(1): 76-83. doi: 10.1016/j.amjsurg.2009.07.050.

Kolade OA, Abubakar S, Adejumoke SR, Funmilayo HV, Tijani A. Knowledge, attitude and practice of surgical site infection prevention among post-operative nurses in a tertiary health institution in north-central Nigeria. International Journal of Nursing and Midwifery. 2017 Jun; 9(6): 65-9. doi: 10.5897/IJNM2017.0262.

Qasem MN and Hweidi IM. Jordanian nurses' knowledge of preventing surgical site infections in acute care settings. Open Journal of Nursing. 2017 May; 7(5): 561-82. doi: 10.4236/ojn.2017.75043.

Ullah IU, Hussan JH, Khan MS, Khan MS, Junaid UJ, Muaz MM. Frequency And Risk Factors Of Postsurgical Site Infections In Patients Visiting Tertiary Care Hospitals In District Peshawar. Journal of Akhtar Saeed Medical & Dental College. 2024 Jul; 6(01).

Allegranzi B, Bischoff P, De Jonge S, Zeynep N, Zayed B, Gomes S. Surgical site infections 1. New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infectious Diseases. 2016 Nov; 16(12): e276-87. doi: 10.1016/S1473-3099(16)30398-X.

Ling ML, Apisarnthanarak A, Abbas A, Morikane K, Lee KY, Warrier A et al. APSIC guidelines for the prevention of surgical site infections. Antimicrobial Resistance & Infection Control. 2019 Dec; 8: 1-8. doi: 10.1186/s13756-019-0638-8.

Hassan RS, Osman SO, Aabdeen MA, Mohamed WE, Hassan RS, Mohamed SO. Incidence and root causes of surgical site infections after gastrointestinal surgery at a public teaching hospital in Sudan. Patient Safety in Surgery. 2020 Dec; 14: 1-7. doi: 10.1186/s13037-020-00272-4.

Ehsan A, Ehsan F, Hanif H. Infection control practices in public sector hospitals of Punjab: a critical analysis. BMJ Open Quality. 2024 May; 13(2): e002380. doi: 10.1136/bmjoq-2023-002380.

He P, Hai Y. The efficacy of nursing interventions in preventing surgical site infections in patients undergoing surgery for congenital heart disease. International Wound Journal. 2024 Apr; 21(4): e14850. doi: 10.1111/iwj.14850.

Downloads

Published

2024-11-30
CITATION
DOI: 10.54393/pjhs.v5i11.2335
Published: 2024-11-30

How to Cite

Afsar, R., Khadim, R., Yasmeen, S., Parveen, S., & Aslam, M. (2024). Compliance and Barriers among Nurses Regarding Surgical Site Infection Prevention Guidelines at Public Tertiary Care Hospitals of Islamabad: Nurses Compliance in Surgical Site Infection Prevention. Pakistan Journal of Health Sciences, 5(11), 62–67. https://doi.org/10.54393/pjhs.v5i11.2335

Issue

Section

Original Article

Plaudit