Bachelorarbeit, 2023
62 Seiten
CHAPTER ONE: GENERAL INTRODUCTION
1.0. INTRODUCTION
1.1. BACKGROUND OF STUDY
1.2. PROBLEM STATEMENT
1.3. PURPOSE OF THE STUDY
1.4. OBJECTIVES OF THE STUDY
1.4.1. General objective of the study
1.4.2. Specific objective of the study
1.5. RESEARCH QUESTIONS
1.5.1. General research question
1.5.2. Specific research questions
1.6. SIGNIFICANCE OF STUDY
1.7. LIMITATIONS OF STUDY
1.8. THE SCOPE OF STUDY
1.8.1. Geographic scope:
1.8.2. Time scope:
1.8.3. Content scope:
CHAPTER TWO: LITERATURE REVIEW
2.0. INTRODUCTION
2.1. DEFINITIONS OF KEY TERMS
2.2. RESEARCH STRATEGIES
2.3. LITERATURE REVIEWS RELATED TO RESEARCH OBJECTIVE
2.3.1. Knowledge of healthcare workers toward nosocomial infection.
2.3.2. Attitude of healthcare workers toward nosocomial infections
2.3.3. Practice of healthcare workers toward nosocomial infection.
2.4. OTHER RELEVENT LITERATURE REVIEW THAT SUPORT OUR STUDY
2.4.1. Causes and risk factors of nosocomial infection
2.4.2. Magnitude of nosocomial infection
2.4.3. Strategies to prevent and control nosocomial infection
2.4.4. Practical methods for preventing nosocomial infection includes:
2.4.5. Handwashing
2.5. THEORETICAL FRAMEWORK
2.5.1. The nightingale environmental nursing theory
2.5.1. Conceptual framework
2.7. CONCLUSION:
CHAPTER THREE: RESEARCH DESIGN AND METHODOLOGY
3.0. INTRODUCTION
3.1. RESEARCH APPROACH AND RESEARCH DESIGN
3.1.1. Research approach
3.1.2. Research design
3.2. TARGET POPULATION
3.3. SAMPLE SIZE
3.4. INCLUSION AND EXCLUSION
3.4.1. Inclusion criteria:
3.4.2. Exclusion criteria
3.5. SAMPLING PROCEDURE
3.6. RESEARCH INSTRUMENTS FOR DATA COLLECTION
3.7. DATA COLLECTION PROCEDURES
3.8. ETHICAL CONSIDERATIONS
3.9. DATA ANALYSIS
3.10. RELIABILITY AND VALIDITY
3.10.1. Reliability
3.10.2. Validity
CHAPTER FOUR: DATA PRESENTATION, ANALYSIS, INTERPRETATION AND SUMMARY
4.0. INTRODUCTION
4.1. PRESENTATION OF FINDINGS + INTERPRETATIONS
4.1.1. Demographic characteristics of respondents
4.1.2. Assessment of knowledge of health care workers in control and prevention of nosocomial infection
4.1.3. The attitude of health care workers of Kibogora Level II Teaching Hospital on prevention and control of nosocomial infection.
4.1.4. The observations done on practices of healthcare workers on prevention and control of nosocomial infection at Kibogora Level II Teaching Hospital.
4.1.5. Knowledge, and attitude and practices of healthcare workers on prevention and control nosocomial infection.
4.2. DISCUSSION OF FINDINGS
4.2.1. Demographic characteristics of respondents
4.2.2. Knowledge of healthcare workers on prevention and control of nosocomial infection
4.2.3. Attitudes of healthcare workers on prevention and control of nosocomial infection
4.2.4. Practices of healthcare workers on prevention and control of nosocomial infection
4.3. SUMMARY OF FINDINGS
CHAPTER FIVE: CONCLUSION AND RECOMMENDATIONS
5.0. INTRODUCTION
5.1. CONCLUSION
5.2. RECOMMENDATIONS
To Kibogora Level II Teaching Hospital
To Healthcare workers
To Researcher
5.3. SUGGESTIONS FOR FURTHER STUDY
The primary aim of this research is to evaluate the knowledge, attitudes, and current practices of healthcare workers regarding the prevention and control of nosocomial (hospital-acquired) infections at Kibogora Level II Teaching Hospital in Rwanda.
1.1. BACKGROUND OF STUDY
Globally, nosocomial infections cause global concern with a prevalence as high as 7% in developed countries and 10% in developing countries. In other words, every one in ten patients admitted to a hospital may acquire a nosocomial infection during period of hospitalization in developing countries (Zhang, 2022). HAIs, together with cardiovascular disorders, neoplasms, respiratory tract illnesses, and infectious diseases, are among the top five causes of mortality globally. (Rothe, 2020).
In developed nations, healthcare-associated infections (HCAIs) cause prolonged hospital stays, worse quality of life, high antibiotic resistance, mental stress, financial losses, and unnecessary deaths (Zhou, 2019). These diseases represent substantial issues in healthcare facilities around the world, particularly for healthcare professionals, who are at high risk due to frequent contact with bodily fluids and insufficient safety safeguards. (Teshiwal D. Y., 2019).
According to the fact sheet of World Health Organization (WHO) there are several factors which can cause health care-associated infections. Among those causes there are Prolonged period of hospitalization, inappropriate use of devices and antibiotics, high-risk and sophisticated procedures, immunosuppression and other severe underlying patient conditions and insufficient application of standard precautions are some of factors which present regardless of the resources available (Hussen , 2017)..
CHAPTER ONE: GENERAL INTRODUCTION: Provides the foundational context, defined problem, and objectives of the study regarding nosocomial infections at Kibogora Level II Teaching Hospital.
CHAPTER TWO: LITERATURE REVIEW: Reviews existing literature on definitions, research strategies, global and regional knowledge, attitudes, and practices concerning hospital-acquired infections.
CHAPTER THREE: RESEARCH DESIGN AND METHODOLOGY: Details the cross-sectional quantitative approach used, including sampling, instrumentation, data collection, and ethical compliance.
CHAPTER FOUR: DATA PRESENTATION, ANALYSIS, INTERPRETATION AND SUMMARY: Presents empirical findings concerning staff demographics, knowledge assessment, attitude measurements, and observed hygiene practices.
CHAPTER FIVE: CONCLUSION AND RECOMMENDATIONS: Synthesizes the core findings and provides actionable recommendations for hospital management and healthcare workers to improve infection control.
Knowledge, attitudes, practices, healthcare workers, nosocomial infections, Kibogora Level II Teaching Hospital, hospital-acquired infections, HAIs, HCAIs, infection control, hand hygiene, prevention, patient safety, Rwanda, cross-sectional study
The study investigates the knowledge, attitudes, and practices of healthcare workers at Kibogora Level II Teaching Hospital regarding the prevention and control of nosocomial infections.
The key themes include the prevalence of hospital-acquired infections, staff adherence to standard safety precautions, hygiene and handwashing practices, and the impact of training on clinical outcomes.
The core research question asks about the level of knowledge, nature of attitudes, and quality of practices among healthcare staff in the specific environment of Kibogora Level II Teaching Hospital.
The researcher employed a quantitative approach utilizing a cross-sectional study design, including both self-administered questionnaires for knowledge and attitudes and observational checklists for clinical practices.
The main body covers a comprehensive literature review, the theoretical Nightingale environmental nursing theory, detailed demographic data, assessment of staff performance, and a discussion of findings compared to other regional studies.
The work is defined by terms such as nosocomial infections, healthcare workers, knowledge, attitudes, practices, and infection prevention control (IPC).
The study notes that staff with less than one year of experience are more likely to exhibit inadequate practices, highlighting a need for targeted interventions within this group.
By identifying gaps in knowledge and practice, the study provides a foundation for the hospital to develop specific training, monitoring, and supervision programs aimed at reducing nosocomial infection rates.
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