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Nurses' knowledge of evidence-based guidelines for the prevention of surgical site infection

Sonia Labeau UGent, STIJN WITDOUCK UGent, Dominique Vandijck UGent, Brigitte Claes, Jordi Rello, Koenraad Vandewoude UGent, CHRISTELLE LIZY UGent, Dirk Vogelaers UGent and Stijn Blot UGent (2010) WORLDVIEWS ON EVIDENCE-BASED NURSING. 7(1). p.16-24
abstract
Background: Prevention of surgical site infection (SSI) is an important responsibility for nurses. Knowledge of the related evidence-based recommendations is necessary to provide high-quality nursing care. Aim: Development of an evaluation tool and subsequent evaluation of intensive care unit (ICU) nurses' knowledge of the SSI prevention guideline to identify their specific educational needs, as part of a needs analysis preceding the development of an e-learning module on infection prevention. Methods: We developed a multiple-choice knowledge test concerning evidence-based SSI prevention. After expert assessment of its face and content validity, the test was used in a survey among 809 ICU nurses. Demographics included were gender, ICU experience, number of ICU beds, and whether respondents had obtained a specialized ICU qualification. Based on the test results, an item analysis was performed. Results: Face and content validity were achieved for 9 out of 10 items of the questionnaire. From the survey, we collected 650 questionnaires (response rate 80.3%). The item analysis revealed overall good results with values for item difficulty ranging from 0.1 to 0.5 for eight questions, while one question had a value of 0.02; discriminative values ranging from 0.27 to 0.53 and values for the quality of the response alternatives between 0.1 and 0.7. Overall, these results demonstrate the questionnaire's reliability. The nurses' mean score on the knowledge test was 29%. Males were shown to have better scores. Conclusions: Opportunities exist to improve ICU nurses' knowledge about SSI prevention recommendations. Current guidelines should support their ongoing training and education.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
SURVEILLANCE, MORTALITY, INTENSIVE-CARE NURSES, surgical site infections, patient safety, nurses' knowledge, questionnaire, guidelines, intensive care unit, EVALUATION QUESTIONNAIRE, VENTILATOR-ASSOCIATED PNEUMONIA
journal title
WORLDVIEWS ON EVIDENCE-BASED NURSING
Worldviews Evid.-Based Nurs.
volume
7
issue
1
pages
16 - 24
Web of Science type
Article
Web of Science id
000275211100003
JCR category
NURSING
JCR impact factor
1.429 (2010)
JCR rank
13/85 (2010)
JCR quartile
1 (2010)
ISSN
1545-102X
DOI
10.1111/j.1741-6787.2009.00177.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
911024
handle
http://hdl.handle.net/1854/LU-911024
date created
2010-03-23 12:44:04
date last changed
2015-06-17 11:24:05
@article{911024,
  abstract     = {Background: Prevention of surgical site infection (SSI) is an important responsibility for nurses. Knowledge of the related evidence-based recommendations is necessary to provide high-quality nursing care.
Aim: Development of an evaluation tool and subsequent evaluation of intensive care unit (ICU) nurses' knowledge of the SSI prevention guideline to identify their specific educational needs, as part of a needs analysis preceding the development of an e-learning module on infection prevention.
Methods: We developed a multiple-choice knowledge test concerning evidence-based SSI prevention. After expert assessment of its face and content validity, the test was used in a survey among 809 ICU nurses. Demographics included were gender, ICU experience, number of ICU beds, and whether respondents had obtained a specialized ICU qualification. Based on the test results, an item analysis was performed.
Results: Face and content validity were achieved for 9 out of 10 items of the questionnaire. From the survey, we collected 650 questionnaires (response rate 80.3\%). The item analysis revealed overall good results with values for item difficulty ranging from 0.1 to 0.5 for eight questions, while one question had a value of 0.02; discriminative values ranging from 0.27 to 0.53 and values for the quality of the response alternatives between 0.1 and 0.7. Overall, these results demonstrate the questionnaire's reliability. The nurses' mean score on the knowledge test was 29\%. Males were shown to have better scores.
Conclusions: Opportunities exist to improve ICU nurses' knowledge about SSI prevention recommendations. Current guidelines should support their ongoing training and education.},
  author       = {Labeau, Sonia and WITDOUCK, STIJN and Vandijck, Dominique and Claes, Brigitte and Rello, Jordi and Vandewoude, Koenraad and LIZY, CHRISTELLE and Vogelaers, Dirk and Blot, Stijn},
  issn         = {1545-102X},
  journal      = {WORLDVIEWS ON EVIDENCE-BASED NURSING},
  keyword      = {SURVEILLANCE,MORTALITY,INTENSIVE-CARE NURSES,surgical site infections,patient safety,nurses' knowledge,questionnaire,guidelines,intensive care unit,EVALUATION QUESTIONNAIRE,VENTILATOR-ASSOCIATED PNEUMONIA},
  language     = {eng},
  number       = {1},
  pages        = {16--24},
  title        = {Nurses' knowledge of evidence-based guidelines for the prevention of surgical site infection},
  url          = {http://dx.doi.org/10.1111/j.1741-6787.2009.00177.x},
  volume       = {7},
  year         = {2010},
}

Chicago
Labeau, Sonia, STIJN WITDOUCK, Dominique Vandijck, Brigitte Claes, Jordi Rello, Koenraad Vandewoude, CHRISTELLE LIZY, Dirk Vogelaers, and Stijn Blot. 2010. “Nurses’ Knowledge of Evidence-based Guidelines for the Prevention of Surgical Site Infection.” Worldviews on Evidence-based Nursing 7 (1): 16–24.
APA
Labeau, S., WITDOUCK, S., Vandijck, D., Claes, B., Rello, J., Vandewoude, K., LIZY, C., et al. (2010). Nurses’ knowledge of evidence-based guidelines for the prevention of surgical site infection. WORLDVIEWS ON EVIDENCE-BASED NURSING, 7(1), 16–24.
Vancouver
1.
Labeau S, WITDOUCK S, Vandijck D, Claes B, Rello J, Vandewoude K, et al. Nurses’ knowledge of evidence-based guidelines for the prevention of surgical site infection. WORLDVIEWS ON EVIDENCE-BASED NURSING. 2010;7(1):16–24.
MLA
Labeau, Sonia, STIJN WITDOUCK, Dominique Vandijck, et al. “Nurses’ Knowledge of Evidence-based Guidelines for the Prevention of Surgical Site Infection.” WORLDVIEWS ON EVIDENCE-BASED NURSING 7.1 (2010): 16–24. Print.