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Nurses' knowledge of Clostridioides difficile pre and post education: A continuing challenge.

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Nurses' knowledge, practices and perceptions regarding Clostridioides difficile: Survey results.

Kara Finnimore1, Wendy Smyth2, Janine Carrucan3

  • 1Infection Prevention and Control, Townsville Hospital and Health Service, Townsville University Hospital, 100 Angus Smith Drive, Douglas, Queensland 4814, Australia; Safety, Quality and Innovation Unit, Sunshine Coast Hospital and Health Service, Sunshine Coast University Hospital, 6 Doherty Street, Birtinya, Queensland 4575, Australia.

Infection, Disease & Health
|August 24, 2022
PubMed
Summary

Nurses caring for Clostridioides difficile infection (CDI) patients need more education. While confident in basic precautions, knowledge gaps exist regarding CDI outcomes and microbiology, impacting patient care.

Keywords:
Barriers and enablersClostridioides difficileHealthcare associatedInfection prevention

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Area of Science:

  • Infectious Diseases
  • Healthcare Management
  • Nursing Education

Background:

  • Clostridioides difficile infection (CDI) presents significant challenges in healthcare settings due to its increasing prevalence and debilitating patient symptoms.
  • Effective management of CDI requires a strong knowledge base among nursing staff to ensure optimal patient care and infection control.
  • Understanding nurses' current knowledge regarding CDI is crucial for developing targeted educational interventions.

Purpose of the Study:

  • To assess the knowledge base of nurses caring for patients with Clostridioides difficile infection (CDI).
  • To identify specific areas of knowledge deficit in infection control and management of CDI among nursing staff.
  • To inform the development of educational strategies to improve CDI care practices.

Main Methods:

  • A cross-sectional, anonymous survey was administered to nurses within a Hospital and Health Services setting.
  • Descriptive statistics and thematic analysis were employed to analyze survey data from 198 respondents.
  • The survey assessed nurses' recall of CDI education, perceived importance of CDI, knowledge of CDI outcomes and microbiology, and confidence in infection control practices.

Main Results:

  • A significant majority of nurses (73.2%) had not received recent CDI education, despite recognizing CDI as a critical infection control issue.
  • While confident in basic precautions like patient placement and environmental cleaning, nurses demonstrated knowledge gaps concerning CDI's potentially fatal outcomes (53% correct) and microbiological aspects.
  • Nurses reported significant workload impacts and burdens associated with caring for CDI patients, highlighting challenges in implementing infection control strategies.

Conclusions:

  • Gaps in nurses' knowledge regarding Clostridioides difficile infection (CDI), particularly its outcomes and microbiology, necessitate targeted educational interventions.
  • Addressing identified knowledge deficits and the practical challenges nurses face in managing CDI patients is essential for enhancing care quality.
  • An educational program focusing on key knowledge gaps has been developed to improve nursing practices in CDI management.