Assessing the Impact of Training on Healthcare Providers' Adherence to Infection Control Measures in Hemodialysis Services

Sukhbir Singh; Hemchandra Pandey; Hari K Aggarwal; Shekhar Pal

doi:10.7759/cureus.42978

Assessing the Impact of Training on Healthcare Providers' Adherence to Infection Control Measures in Hemodialysis Services

Cureus. 2023 Aug 5;15(8):e42978. doi: 10.7759/cureus.42978. eCollection 2023 Aug.

Authors

Sukhbir Singh¹, Hemchandra Pandey², Hari K Aggarwal³, Shekhar Pal⁴

Affiliations

¹ Hospital Administration, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND.
² Administration, Hemwati Nandan Bahuguna Medical Education University, Dehradun, IND.
³ General Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND.
⁴ Microbiology, Government Doon Medical College, Dehradun, IND.

Abstract

Background and objective Developing and implementing nursing interventions to educate nurses on infection control procedures in hemodialysis units is of utmost importance and offers significant benefits in enhancing the quality of care. This study aimed to assess the impact of training on nursing professionals' practices of hospital infection control measures in hemodialysis services. The research also intended to explore the potential association between these practices and various sociodemographic variables. Materials and methods This was a single-group, pre- and post-interventional study carried out in Haryana State, India. A pretested questionnaire consisting of 29 statements, the responses of which were measured on a 5-point Likert scale, was used as the study tool. Descriptive and statistical tests like paired-t-test were used to analyze the data. Results The practices section of the questionnaire comprised 29 statements, the responses to which were measured on a five-point Likert scale. The scoring ranged from 5 ("strongly agree", i.e., positive practice) to 1 ("strongly disagree", i.e., negative practice). The maximum achievable score was 145 and the minimum achievable score was 9. The pre-test group (i.e., before training intervention) had a mean practice score of 115.0945 [standard deviation (SD)=9.34, standard error of the mean (SE)=0.66]. However, the post-test group (i.e. after training intervention) had a mean score of 135.26 (SD=8.34, SE=0.59). The study found that structured training significantly increased the mean practice score (t=-33.70, p=0.001). In addition, the study also highlighted the significant association of mean practice scores with various demographic variables among the pre-test and post-test groups. The improvement in mean practice scores among the post-test group after the structured training program reveals that such interventions will ultimately lead to a decrease in central line-associated bloodstream infections (CLABSIs) among hemodialysis patients. Conclusions Our findings showed that the educational intervention led to significant improvements in the practices of the participants.

Keywords: catheter-related bloodstream infections (crbsis); central venous catheters (cvcs); health care providers (hcps); hemodialysis services; practice; structured training program.