Competence, Health Care Associated Infection, Intensive Care Unit, Patient-Centered Care
Conditions
Keywords
Intensive Care Nursing, Care-oriented Practical Training, Health Care Associated Infection, Intensive and Critical Care Nursing Competence
Brief summary
It was aimed to evaluate the effect of care-oriented practical training on the intensive and critical care competencies of nurses, the hand hygiene compliance rate of nurses and care support staff, and HAI indicators.
Detailed description
Does care-oriented practical training increase nurses's intensive and critical care competencies? Does care-oriented practical training increase the hand hygiene compliance rate of nurses and care support staff? Does care-oriented practical training reduce HAI indicators in intensive care units?
Interventions
BEHAVIORALCare-oriented Practical Training
The training content includes evidence-based practice recommendations for intensive and critical care, hand hygiene, hygiene practices in patients with special needs, and prevention and control of common HAIs. In the first stage of the training, practical training will be given by the intensive care coordinator and infection control nurse on the application model. In the second stage, patient care practices of a care team consisting of an intensive care nurse and care support staff will be observed. The training will be conducted interactively with narration, demonstration and question and answer techniques.
Sponsors
Akdeniz University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
It is planned to give a care-oriented applied training program to intensive care nurses in groups of 13-15 people for 2 hours. The training content includes evidence-based practice recommendations for intensive and critical care, hand hygiene, hygiene practices in patients with special needs, and prevention and control of common HAIs. In the first stage of the training, practical training will be given by the intensive care coordinator and infection control nurse on the application model. In the second stage, patient care practices of a care team consisting of an intensive care nurse and care support staff will be observed. The training will be conducted interactively with narration, demonstration and question and answer techniques.
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Working as a nurse in the Adult Intensive Care Unit * Working as a care support staff in an adult intensive care unit * Volunteering to participate in research
Exclusion criteria
* Wanting to withdraw from the research * Not being able to attend the final test (due to illness, leave, report, etc.)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Catheter-associated Urinary Tract Infections | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention | Catheter-associated Urinary Tract Infections rate (%) |
| Intensive and Critical Care Nursing Competence Scale | Before the Care Oriented Practical Training Intervention (October 2023) and one month after the training (November 2023) | The mean score of Intensive and Critical Care Nursing Competence Scale |
| Nurse hand hygiene compliance | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention. | Nurse hand hygiene compliance rate (%) |
| Care support staff hand hygiene compliance | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention. | hand hygiene compliance rate (%) of care support staff |
| Central catheter-associated bloodstream infections | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention | Central catheter-associated bloodstream infections rate (%) |
| Ventilator-associated Event | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention | Ventilator-associated Event rate (%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Klebsiella spp. | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention | Klebsiella spp. n (%) |
| Enterococcus spp. | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention | Enterococcus spp.n (%) |
| Acinetobacter spp | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention | Acinetobacter spp. n (%) |
| Pseudomonas spp. | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention | Pseudomonas spp. n (%) |
| Enterobacterales | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention | Enterobacterales, n (%) |
| Candida | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention | Candida, n (%) |
Countries
Turkey (Türkiye)
Outcome results
None listed