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Nurses' and midwives' cleaning knowledge, attitudes and practices: An Australian study.

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Summary

Nurses and midwives understand infection control is vital but face challenges with cleaning protocols and disinfectant use. Improved training and organizational support are needed to enhance patient environment cleanliness and reduce healthcare-associated infections.

Keywords:
Applied knowledgeCleaningEducationInfection prevention and controlPatient environmentShared equipment

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Area of Science:

  • Healthcare-associated infections (HAIs)
  • Infection Prevention and Control (IPC)

Background:

  • Nurses and midwives are crucial in preventing infections like COVID-19 and multi-drug resistant organisms.
  • Effective cleaning is cost-effective but relies on healthcare personnel's adherence to protocols.
  • Understanding knowledge gaps and challenges in maintaining clean patient environments is essential for improving compliance.

Purpose of the Study:

  • To explore nurses' and midwives' knowledge of environmental role in infection prevention and control.
  • To identify challenges faced by nurses and midwives in maintaining clean patient environments.

Main Methods:

  • A cross-sectional online survey was conducted.
  • 96 nurses (registered/enrolled) and midwives participated from various Australian clinical settings.

Main Results:

  • Participants recognized the importance of cleaning but showed variability in understanding responsibilities.
  • Confusion exists regarding disinfectant application for patients with specific infections post-discharge.
  • Low confidence was reported in managing rooms previously occupied by patients with infections like multi-drug resistant organisms.

Conclusions:

  • Enhanced organizational support and applied knowledge on infection control procedures are necessary.
  • Clearer guidance on disinfectant use for specific situations and post-discharge cleaning is required.
  • Inadequate cleaning of shared medical equipment presents an ongoing risk.