The Development of Nursing Practice Guideline for Infection Prevention of Specially Controlled Multidrug-Resistant
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Abstract
Abstract
This research and development study aimed to develop and evaluate the results of a nursing practice guideline to prevent the spread of specially controlled multidrug-resistant infections. The sample was selected purposively and consisted of 52 registered nurses and 134 drug-resistant infection patients. The research instrument composed of (1) knowledge test of the nurses, (2) the nursing practice observation form, (3) the nurses’ opinions towards the nursing practice guideline questionnaire, and (4) the incidence of specially controlled multidrug-resistant infection recording form. Data were analyzed using descriptive statistics, paired t-test, and comparing the incidence of drug-resistant infections.
The results revealed that the nursing practice guideline to prevent the spread of specially controlled multidrug-resistant infections consisted of 4 components: (1) educating the nurses (2) strict instruction guideline to prevent the spread of specially controlled drug-resistant infections (3) tools to support nursing practices, and (4) supervision and monitoring instruction. After using the guidelines, the nurses had a significant higher average knowledge score than before using the guidelines (t -6.39, p < .01). The total percentage of correct practice scores of the nurses had increased from 83.3 percent to 91.3 percent. The nurses’ pinions towards the guidelines was at a high level (Mean 3.32, SD .49). The item with the highest mean score was helps working more efficiently (Mean 3.38, SD .49), followed by aids reducing the incidence of multidrug-resistant infections (Mean 3.35, SD .56) and benefits to the patients and relatives (Mean 3.35, SD .52). After using the guidelines, the incident rate of specially controlled multidrug-resistant infections had decreased from 0.88 per 1,000 patient days to 0.30 per 1,000 patient days.
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