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Mapping Nurses' Knowledge, Attitudes, and Practices to Guide Competency-Based Infection Control Training.

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Summary
This summary is machine-generated.

Indian nurses show average knowledge and practice but weak attitudes regarding infection prevention and control (IPC). Key competency gaps in areas like hand hygiene and waste management hinder patient safety, necessitating standardized training.

Keywords:
attitudescompetency based educationeducationinfection controlinfection preventionknowledgenurse attitudenursing curriculumnursing staff educationpractice

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Area of Science:

  • Healthcare-associated infections (HAIs) research
  • Nursing education and practice
  • Public health and patient safety

Background:

  • HAIs pose a significant global risk to patient safety and healthcare systems.
  • Nurses play a crucial role in infection prevention and control (IPC) as frontline caregivers.
  • India faces challenges with standardized IPC training, leading to inconsistent practices and patient harm.

Purpose of the Study:

  • To evaluate the knowledge, attitudes, and practices (KAP) of infection prevention and control (IPC) among nurses in India.
  • To identify specific competency gaps in IPC among Indian nurses.
  • To inform the development of standardized IPC training programs for nurses.

Main Methods:

  • A nationwide cross-sectional survey was conducted using a structured online questionnaire.
  • The questionnaire surveyed 547 Indian nurses across various hospitals and regions.
  • Data analysis involved descriptive statistics, chi-square tests, and ordinal logistic regression.

Main Results:

  • The overall mean KAP score was 54.73%, with attitudes being the weakest domain (45.5%).
  • Nurses demonstrated average competence in knowledge (57.4%) and practice (58.6%).
  • Identified gaps include awareness of device reprocessing, environmental cleaning, PPE use, antimicrobial stewardship, hand hygiene, and waste management, often linked to resource constraints and workload.

Conclusions:

  • Significant IPC competency gaps exist among Indian nurses, stemming from knowledge deficits and barriers to applying knowledge in practice.
  • Standardized, practical IPC education, certification, and institutional support are crucial to address these gaps.
  • Findings offer valuable insights for improving IPC in healthcare systems globally, particularly in the global south.