PDF(Pubmed)
Abstract：
UNASSIGNED: Intensive care units (ICUs) had to rapidly adapt infection prevention and control (IPC) practices during the coronavirus disease 2019 (COVID-19) pandemic.
UNASSIGNED: To determine ICU nurses\' COVID-19 IPC-related knowledge, attitudes, practices, and perceptions.
UNASSIGNED: A mixed-methods study was conducted at the Groote Schuur Hospital ICU, Cape Town, South Africa (20 April 2021 and 30 May 2021). Participants completed anonymous, self-administered, knowledge, attitudes and practices (KAP) questionnaires. Individual interviews were conducted regarding nurses\' lived experiences and perceptions of COVID-19 IPC in critical care.
UNASSIGNED: In total, 116 ICU nurses participated (93.5% response rate) including 57 professional nurses (49%), 34 enrolled nurses (29%) and 25 enrolled nursing assistants (22%); young females (31-49 years) predominating (n = 99; 85.3%). Nurses\' overall COVID-19 IPC knowledge scores were moderately good (78%); professional nurses had greater knowledge of COVID-19 transmission (p < 0.001). Intensive care unit nurses\' attitude scores towards COVID-19 IPC were low (55%), influenced by limited IPC training, insufficient time to implement IPC and shortages of personal protective equipment (PPE). Respondents\' scores for self-reported COVID-19 IPC practices were moderate (65%); highest compliance rates were for hand hygiene after touching patient surroundings (68%). Only 47% ICU nurses underwent N95 respirator fit-testing despite working in a COVID-19 ICU.
UNASSIGNED: Regular COVID-19 IPC training is needed to equip ICU nurses with the knowledge and skills to prevent healthcare-associated COVID-19 transmission. Enhanced IPC training and consistent PPE availability may support more favourable attitudes and better IPC practices. Comprehensive IPC and occupational health support should be offered to ensure ICU nurses\' wellbeing during pandemics.
UNASSIGNED: Enhanced IPC training and consistent PPE availability may support better attitudes and IPC practices.
UNASSIGNED: To determine ICU nurses\' COVID-19 IPC-related knowledge, attitudes, practices, and perceptions.
UNASSIGNED: A mixed-methods study was conducted at the Groote Schuur Hospital ICU, Cape Town, South Africa (20 April 2021 and 30 May 2021). Participants completed anonymous, self-administered, knowledge, attitudes and practices (KAP) questionnaires. Individual interviews were conducted regarding nurses\' lived experiences and perceptions of COVID-19 IPC in critical care.
UNASSIGNED: In total, 116 ICU nurses participated (93.5% response rate) including 57 professional nurses (49%), 34 enrolled nurses (29%) and 25 enrolled nursing assistants (22%); young females (31-49 years) predominating (n = 99; 85.3%). Nurses\' overall COVID-19 IPC knowledge scores were moderately good (78%); professional nurses had greater knowledge of COVID-19 transmission (p < 0.001). Intensive care unit nurses\' attitude scores towards COVID-19 IPC were low (55%), influenced by limited IPC training, insufficient time to implement IPC and shortages of personal protective equipment (PPE). Respondents\' scores for self-reported COVID-19 IPC practices were moderate (65%); highest compliance rates were for hand hygiene after touching patient surroundings (68%). Only 47% ICU nurses underwent N95 respirator fit-testing despite working in a COVID-19 ICU.
UNASSIGNED: Regular COVID-19 IPC training is needed to equip ICU nurses with the knowledge and skills to prevent healthcare-associated COVID-19 transmission. Enhanced IPC training and consistent PPE availability may support more favourable attitudes and better IPC practices. Comprehensive IPC and occupational health support should be offered to ensure ICU nurses\' wellbeing during pandemics.
UNASSIGNED: Enhanced IPC training and consistent PPE availability may support better attitudes and IPC practices.
摘要：
■重症监护病房（ICU）必须在2019年冠状病毒病（COVID-19）大流行期间迅速适应感染预防和控制（IPC）做法。
■确定ICU护士COVID-19IPC相关知识，态度，实践,和感知。
■在GrooteSchuur医院ICU进行了一项混合方法研究，开普敦,南非（2021年4月20日和2021年5月30日）。参与者匿名完成，自我管理,知识,态度和实践(KAP)问卷。对护士在重症监护中的生活经历和对COVID-19IPC的看法进行了个别访谈。
■总共，116名ICU护士参加（93.5%的应答率），包括57名专业护士（49%），34名注册护士（29％）和25名注册护理助理（22％）；年轻女性（31-49岁）占主导地位（n=99；85.3％）。护士总体COVID-19IPC知识得分中等良好(78%)；专业护士对COVID-19传播的了解更多(p<0.001)。重症监护病房护士对COVID-19IPC的态度得分较低（55%），受有限的IPC培训的影响，实施IPC的时间不足，个人防护装备（PPE）短缺。受访者自我报告的COVID-19IPC实践得分中等(65%)；接触患者周围环境后的手部卫生依从率最高(68%)。尽管在COVID-19ICU工作，但只有47%的ICU护士接受了N95呼吸器贴合性测试。
■需要定期进行COVID-19IPC培训，以使ICU护士掌握预防与医疗保健相关的COVID-19传播的知识和技能。增强IPC培训和一致的PPE可用性可能会支持更有利的态度和更好的IPC实践。应提供全面的IPC和职业健康支持，以确保大流行期间ICU护士的健康。
■增强的IPC培训和一致的PPE可用性可能会支持更好的态度和IPC实践。
■确定ICU护士COVID-19IPC相关知识，态度，实践,和感知。
■在GrooteSchuur医院ICU进行了一项混合方法研究，开普敦,南非（2021年4月20日和2021年5月30日）。参与者匿名完成，自我管理,知识,态度和实践(KAP)问卷。对护士在重症监护中的生活经历和对COVID-19IPC的看法进行了个别访谈。
■总共，116名ICU护士参加（93.5%的应答率），包括57名专业护士（49%），34名注册护士（29％）和25名注册护理助理（22％）；年轻女性（31-49岁）占主导地位（n=99；85.3％）。护士总体COVID-19IPC知识得分中等良好(78%)；专业护士对COVID-19传播的了解更多(p<0.001)。重症监护病房护士对COVID-19IPC的态度得分较低（55%），受有限的IPC培训的影响，实施IPC的时间不足，个人防护装备（PPE）短缺。受访者自我报告的COVID-19IPC实践得分中等(65%)；接触患者周围环境后的手部卫生依从率最高(68%)。尽管在COVID-19ICU工作，但只有47%的ICU护士接受了N95呼吸器贴合性测试。
■需要定期进行COVID-19IPC培训，以使ICU护士掌握预防与医疗保健相关的COVID-19传播的知识和技能。增强IPC培训和一致的PPE可用性可能会支持更有利的态度和更好的IPC实践。应提供全面的IPC和职业健康支持，以确保大流行期间ICU护士的健康。
■增强的IPC培训和一致的PPE可用性可能会支持更好的态度和IPC实践。
