Journal of Patient Safety & Quality Improvement

Journal of Patient Safety & Quality Improvement

Evaluation of nurses' performance and knowledge of the correct method of disinfection of consumables and consumables in endoscopy departments of covered hospitals Mashhad University of Medical Sciences

Document Type : Research Paper

Authors
Shapour Badiee 1
Behnaz Samiee 2
Golnaz Sabouri 3
Elnaz Sadeghian 4
Zahra Abbasi Shaye 5
Javad Mahmoudi Fathabadi 2
Rozita Davoodi 2
Fariba Zeinaly 6
Negaer Yeganeh Khorasani 7
1 Department of Complementary and Chinese Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Deputy of Treatment, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Clinical Research and Development Center, Deputy of Treatment, Mashhad University of Medical Sciences, Mashhad, Iran.
4 MSC of Medical engineering. Deputy of Treatment, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Akbar Clinical Research and Development Unit, Mashhad University of Medical Sciences, Mashhad, Iran.
6 Student Research Department of Medical Sciences, Islamic Azad University of Sabzevar, Iran.
7 Student Research Committee, Faculty of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/psj.2022.68115.1377
Abstract
Introduction:
The increase and diversity of diagnostic and therapeutic methods using rigid or flexible endoscopes have focused much attention on the possibility of infection transmission in this way. Therefore, nursing personnel must have basic information on sterilization and disinfection of tools.
Materials and Methods:
This descriptive-analytical study aimed to evaluate the staff’s performance and awareness of healthcare instructions for proper disinfection of endoscopic consumable and non-consumption equipment in the hospital affiliated with Mashhad University of Medical Sciences, which had endoscopy departments. The data collection tool was the standard endoscope decontamination evaluation checklist taken from the translation of the checklist of WHO and analyzed by SPSS 20 statistical software.
Results:
The results showed a statistically significant difference between nurses' knowledge and performance (P-value = 0.03), and nurses' performance had lower percentages than knowledge.
Conclusion:
Due to the statistically significant difference in nurses' knowledge and practice in correct disinfection of consumable and non-consumable equipment in endoscopy and the low performance of nurses in some areas of the disinfection process, interventions such as face-to-face training of nurses and continuous monitoring of performance, especially evaluation of three months of nurses' performance are necessary.
Keywords
Disinfectant
Endoscopy
Nurses
Subjects
  1. Magill SS, Edwards JR, Bamberg W, Beldavs ZG, Dumyati G, Kainer MA, Lynfield R, Maloney M, McAllister-Hollod L, Nadle J, Ray SM. Multistate point-prevalence survey of health care–associated infections. New England Journal of Medicine. 2014 Mar 27;370(13):1198-208.
  2. Council of the European Union: Council conclusions on patient safety and quality of care, including the prevention and control of healthcare-associated infections and antimicrobial resistance (2014/C 438/05). Official Journal of the European Union (2014)
  3. Rutala WA, Weber DJ. Disinfection, sterilization, and antisepsis: An overview. American journal of infection control. 2016 May 2;44(5):e1-6.
  4. Rutala WA, Weber DJ. Disinfection and sterilization in health care facilities: what clinicians need to know. Clinical infectious diseases. 2004 Sep 1;39(5):702-9.
  5. Charrier L, Argentero PA, Farina EC, Serra R, Mana F, Zotti CM. Surveillance of healthcare-associated infections in Piemonte, Italy: results from a second regional prevalence study. BMC Public Health. 2014 Dec;14(1):1-7.
  6. Durando P, Icardi G, Ansaldi F, Crimi P, Sticchi C, Compagnino F, Fabbri P, Baldelli I, Bellina D, Sacco R, Assensi M. Surveillance of hospital-acquired infections in Liguria, Italy: results from a regional prevalence study in adult and paediatric acute-care hospitals. Journal of Hospital Infection. 2009 Jan 1;71(1):81-7.Lizioli A. Privitera G, Alliata E, et al. Prevalence of nosocomial infections in Italy result from the Lombardy survey in 2000. J Hosp Infect 2003: 54 141-8.
  7. Lizioli A, Privitera G, Alliata E, Banfi EA, Boselli L, Panceri ML, Perna MC, Porretta AD, Santini MG, Carreri V. Prevalence of nosocomial infections in Italy: result from the Lombardy survey in 2000. Journal of Hospital Infection. 2003 Jun 1; 54(2):141-8.
  8. Rutala WA, Weber DJ. Disinfection, sterilization, and control of hospital waste. Mandell, Douglas, and Bennett's principles and practice of infectious diseases. 2015:3294.
  9. Damani NN. Disinfection and sterilizations.  In Manual of Infection Control Procedure, 2nd  London: Cambridge University Press, 2003
  10. Sterilization, sterilization and disinfection in hygienic environments Qazvini and Dr. Mehdi Norouti .Acupuncture. Suspension: Dr. Kiarash Omid Mehr Mashhad.  1392
  11. Spaulding EH. Chemical disinfection of medical and surgical materials.  In: Lawrence C Block SS, eds.  Disinfection, sterilization, and preservation Philadelphia: Lea & Febiger, 1968:
    517-31.
  12. Iwakiri R, Tanaka K, Gotoda T, Oka S, Ohtsuka T, Sakata Y, Chiba T, Higuchi K, Masuyama H, Nozaki R, Matsuda K. Guidelines for standardizing cleansing and disinfection of gastrointestinal endoscopes. Digestive Endoscopy. 2019 Sep; 31(5): 477-97.
  13. Sukhlecha AG, Vaya S, Parmar GG, Chavda KD. Knowledge, attitude, and practice regarding sterilization among health-care staff in a tertiary hospital of western India. Int J Med Sci Public Health. 2015 Oct 1;4(10):1377-82.
  14. Essential Elements of a Reprocessing Program for Flexible Endoscopes – Recommendations of the Healthcare Infection Control Practices Advisory Committee.   HICPAC.  Provide on (https://www. cdc.gov/ hicpac/).
  15. Qazvini K, Sadeghi R. Disinfection and preparation of medical tools and equipment in health centers. Ni Nagar Publications; 2018.
  16. Qazvini K, Nowrozi M. Sterilization, disinfection and disinfection in healthcare enviro- nments. Omid Mehr Mashhad Publications; 2014.
  17. Masoumi Asl H, et al. National Guidance of Nosocomial Infection Care System . Center for Infectious Diseases, Ministry of Health, Treatment and Medical Education, Chekame-Ava Publications. 
  18. Rosenthal VD Device-associated nosocomial infections in limited-resources countries: findings of the International Nosocomial infection Control Consortium (INICC). American Journal of infection control.  2008;  3610): S1717-12
  19. Shin JE, Jung Y, Lee JH, Son BK, Jang JY, Kim HK, Jang BI. Updates on the disinfection and infection control process of the accredited endoscopy unit. Clinical Endoscopy. 2019 Sep 30;52(5):443-50

 

Journal of Patient Safety & Quality Improvement
Volume 10, Issue 4
Autumn 2022
Pages 147-151