Knowledge and Practices of Nurses Regarding Aseptic Techniques for Infection Prevention in Operating Room at Tertiary Care Hospital

Main Article Content

Sara Khan
Humaira Saddique
Rubina Jabeen

Abstract

Background: Surgical site infections (SSIs) remain a significant concern in operating rooms, largely influenced by the adherence to aseptic techniques by healthcare professionals. Despite the critical role of operating room nurses in preventing these infections, gaps in knowledge and practice persist, affecting the overall quality of patient care in tertiary healthcare settings.


Objective: This study aimed to assess the knowledge and practices of operating room nurses regarding aseptic techniques for infection prevention in tertiary care hospitals.


Methods: A descriptive cross-sectional study was conducted at a tertiary care hospital in Lahore, involving 130 operating room nurses with over a year of service. The study employed purposive sampling to administer a validated questionnaire assessing demographic data, knowledge, and practices related to aseptic techniques. Data were collected from January to March 2023 and analyzed using SPSS version 25, employing descriptive and inferential statistics to explore the relationship between demographic factors and knowledge/practices of aseptic techniques.


Results: The study found that 60% of nurses were aware that a gown is considered sterile in specified areas, and 54.6% understood the contamination risks of dropped sterile packages. Approximately 62.3% recognized the importance of maintaining a safe distance during procedures. Despite these knowledge indicators, 94% of nurses routinely practiced sterile techniques, and 91% adhered to proper handwashing protocols. However, the overall level of knowledge concerning aseptic techniques was low, with significant gaps that could potentially impact patient safety.


Conclusion: The study highlights a discrepancy between the knowledge and practices of operating room nurses regarding aseptic techniques, indicating a critical need for enhanced training and continuous education to bridge these gaps and improve infection control measures in surgical settings.

Article Details

How to Cite
Khan, S., Saddique, H., & Jabeen, R. (2024). Knowledge and Practices of Nurses Regarding Aseptic Techniques for Infection Prevention in Operating Room at Tertiary Care Hospital. Journal of Health and Rehabilitation Research, 4(2), 149–153. https://doi.org/10.61919/jhrr.v4i2.724
Section
Articles
Author Biographies

Sara Khan, The Superior University Lahore Pakistan.

BSN (Generic) Student, Department of Nursing, The Superior University Lahore Pakistan.

Humaira Saddique, The Superior University Lahore Pakistan.

Course Coordinator, Department of Nursing, The Superior University Lahore Pakistan.

Rubina Jabeen, The Superior University Lahore Pakistan.

Principal, Department of Nursing, The Superior University Lahore Pakistan.

References

Abraham S, Deva R, Babu V. The Knowledge and Practice of Operating Room Nurses Regarding Sterile Technique in a Tertiary Hospital. South India. 2016;5(3):63-66.

Zamil AH, Rassam R. Postoperative Infection. Research Gate. 2020;10:1-18.

Haque M, McKimm J, Sartelli M, Dhingra S, Labricciosa FM, Islam S, Coccolini F. Strategies to Prevent Healthcare-Associated Infections: A Narrative Overview. Risk Management and Healthcare Policy. 2020;1765-1780.

Paul E, Alzaydani Asiri IA, Al-Hakami A, Chandramoorthy HC, Alshehri S, Beynon C, Asiri AH. Healthcare Workers’ Perspectives on Healthcare-Associated Infections and Infection Control Practices: A Video-Reflexive Ethnography Study in the Asir Region of Saudi Arabia. Antimicrobial Resistance & Infection Control. 2020;9:1-12.

Hinkle JL, Cheever KH. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. Wolters Kluwer India Pvt Ltd. 2018.

Elisabeth ZoM, Toghueo RMK. Plant Cell Culture for Biopharmaceuticals. Plants as Bioreactors for Industrial Molecules. 2023;89-125.

Christiana AM, Salawu R. Outcome of Nurse-Led Intervention on Knowledge and Practice of Aseptic Technique Among Surgical Nurses in Two Teaching Hospitals in Lagos State, Nigeria. Midwifery. 2020;4(2):88-104.

Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. Jama. 2023 Jan 17;329(3):244-52.

Mojtahedi MF, Sepidarkish M, Almukhtar M, Eslami Y, Mohammadianamiri F, Moghadam KB, Rouholamin S, Razavi M, Tadi MJ, Fazlollahpour-Naghibi A, Rostami Z. Global incidence of surgical site infections following caesarean section: a systematic review and meta-analysis. Journal of Hospital Infection. 2023 Sep 1;139:82-92.

Göras C, Nilsson U, Ekstedt M, Unbeck M, Ehrenberg A. Managing Complexity in the Operating Room: A Group Interview Study. BMC Health Services Research. 2020;20(1):1-12.

Albsoul R, Alshyyab MA, Al Odat BA, Al Dwekat NB, Al-masri BE, Alkubaisi FA, Fitzgerald G. Surgical Team Perceptions of the Surgical Safety Checklist in a Tertiary Hospital in Jordan: A Descriptive Qualitative Study. The TQM Journal. [ahead-of-print].

Tabassum Z, Masih S, Afzal M, Khan S. Effect of Nursing Intervention Regarding Centers for Disease Control and Prevention Guidelines on Nursing Knowledge in Operating Room: Nursing Intervention Regarding Disease Control and Prevention. Pakistan Journal of Health Sciences. 2023;151-154.

Sadaf S, Inayat S, Afzal M, Hussain M. Nurse’s Knowledge and Practice Regarding Prevention of Surgical Site Infection at Allied Hospital Faisalabad. Int J Sci Eng Res. 2018;9(5):351-369.

Pfettscher SA. Florence Nightingale: Modern Nursing. Nursing Theorists and Their Work E-Book. 2021;52.

Smith BB, Bosch W, O'Horo JC, Girardo ME, Bolton PB, Murray AW, Hirte IL, Singbartl K, Martin DP. Surgical site infections during the COVID-19 era: A retrospective, multicenter analysis. American Journal of Infection Control. 2023 Jun 1;51(6):607-11.

Nsekambabaye JP. Operating room nurses knowledge, attitude and practice of sterile techniques in Rwanda referral hospitals (Doctoral dissertation).

Loftus RW, Dexter F, Brown JR. Transmission of Staphylococcus aureus in the anaesthesia work area has greater risk of association with development of surgical site infection when resistant to the prophylactic antibiotic administered for surgery. Journal of Hospital Infection. 2023 Apr 1;134:121-8.

Ellis, R.J., Brajcich, B.C., Bertens, K.A., Chan, C.H., Fernandez-del Castillo, C., Karanicolas, P.J., Maithel, S.K., Reames, B.N., Weber, S.M., Vidri, R.J. and Pitt, H.A., 2023. Association between biliary pathogens, surgical site infection, and pancreatic fistula: results of a randomized trial of perioperative antibiotic prophylaxis in patients undergoing pancreatoduodenectomy. Annals of surgery, 278(3), pp.310-319.

Dalcól C, Tanner J, de Brito Poveda V. Digital tools for post‐discharge surveillance of surgical site infection. Journal of advanced nursing. 2024 Jan;80(1):96-109.

Hou Y, Collinsworth A, Hasa F, Griffin L. Incidence and impact of surgical site infections on length of stay and cost of care for patients undergoing open procedures. Surgery open science. 2023 Jan 1;11:1-8.