28-25

Effect of Applying a Nursing

Staff Development Programme
on Infection Control Nursing
Practices for Patients with
Moderate Degree Burns

N
O
I
T
C
U
INTROD

Burns are one of the most

devastating
conditions
encountered in health
? settings. It
represents an assault on all
aspects of the patients life. It
affects all ages and is a problem
in both the developed and
developing world.

Burns related injuries occupy

the third major position and
the third leading cause of
morbidity across different
places. Over 95% of fatal fire
related burns occur in low
and middle income countries.

In Egypt, burn injuries and their

squeal are estimated to be
approximately one in every
thousand .It was also reported
that burns constitute 12.5% of all
hospital
admissions.
Burned
patients receiving health care are
at risk of becoming infected,
unless strict precautions are
taken to prevent such problem .

s
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must ha
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h
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n
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re
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v
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a
c
o
o
r
t
p
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o
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t
an d
u
a
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e
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p
y
r
e
v
e
e
k
must ta
infection.

According
to
Alexandria
Main
University Hospital statistical records,
the infection control unit estimated
that the monthly infection incidence
rates of burn wounds ranged from a
minimum of 28.2 % in May to 80.6 %
in July,2015.

Recent C.D.C GUIDELINES

According to recent CDC

guidelines,
infection
prevention
and
control
must be made a priority in
any
setting,
where
healthcare is delivered.

Aim
of the Study

Determine the effect of applying

a nursing staff development
program on infection control
nursing practices for patients
with moderate degree burns.

Research
Design
A quasi
experimental design

Setting
This study was conducted at the
following setting
\

The Burn Unit at the MUH

Two groups

SUBJECTS
Expert group from
education and service
field for determining
recent C.D.C guidelines

30 nurses from main

hospital,burn unit

university

Tool

Tool

Tool one
Basic Burn Infection Control
Nursing Practices
Opinionnaire
to elicit the opinions of the experts
(Group1) regarding nursing
competencies and its related activities
required for infection control in the

TOOL TWO

Tool
two

Burn Unit Environment Structure Checklist

TOOL Three

Tool
three

Infection Control Nurses

Practices Knowledge
Questionnaire''

Tool
four:Infectio
n Control
Nurses
Practices
Performanc
e checklist

Hand hygiene
Intravenous therapy

central line insertion

Burn wound dressing

Medical waste
management

Nurses
sociodemographic data
sheet was attached to
the tool

The
study
was
he study was conducted
conducted
according to the
following steps :

Official Written approval from Faculty of Nursing,

Alexandria University was directed to the responsible
authorities of the study setting

Tools were developed by the researcher

after extensive review of relevant
literature.

Tool was tested for content validity by five members in

Medical Surgical Nursing and necessary correction were
done

Biosociodemographic data were

collected from every nurse participating
in the study,after taking their oral
consent

A pilot study was carried out on 5 nurses

for testing the clarity and applicability of
tool.

Data was collected from the identified subjects

through concienment observation throughout
morning , afternoon shifts and night shifts.

nurses were observed three times to assess their

performance while performing nursing practices
befor applying the programme,immediately and 2
months post programme

Data were collected throughout the period

of 7 months, starting from beginning of
October 2014, till end of May 2015.

d
e
i
d
u
t
S
e
h
o
t
t
f
g
o
n
i
n
d
o
r
i
t
o
u
c
c
i
b
c
i
h
a
r
p
t
a
S
s
i
r
E
g
D
S
o
R
NU ciodem ristics
so aracte
ch

Distribution of the Studied nurses

regarding to age
50
45
40
35
30
25
20
15
10
5
0

Column2

20-30

30-40

40-50

Distribution of the Studied nurses

regarding to educational qualification
47%

36%

bachlor
technical
16%

diploma

Distribution of the Studied nurses

regarding to years of experience

73%

>10 years
1>5 years
5>10
years
13%

14%

Distribution of the Studied nurses regarding

attending In-service training programs

100%
90%
80%
100

70%
60%
50%
40%
30%
20%
10%
0%
NO

YES

Infection control knowledge and practice

scores among the studied nurses at the
burn unit before, immediately and after
applying the nursing development
.program
18
16
14
12
10
8
6
4
2
0

Before programme
Immediately after
2 months post
programme

Conclusion

Based on the current

study it can be
concluded
that:
applying
an infection
control program is an
important issue in burn
unit. and following the
standard precautions is an
important factor that can
affect in decreasing the
rate of infection and
improving the knowledge
and practices of the nurses
.

Based on the current

study it can be
concluded
that:
Following
the standard
precautions is an
important factor that can
improve the knowledge
and practices of the nurses
.
decrease the rate of
infection and

ec

e
m
om

n
o
i
t
a
d
n

The following
recommendations are
suggested:

Update in-service
training programs
for all nurses
working at burn
units annually.

 Annual recent
CDC guidelines
about nursing
interventions for
burn patients
should be
available at the
burn units

FUTURE RESEARCH
Identifying
local barriers
hindering
nurses
application of
standard
infection
control
practices for
Burn patients.

FUTURE RESEARCH
Developing
standards of
safe nursing
care practices .