Kenya Nursing Journal. 41(2):34-44.
The aim of the study was to determine the factors influencing infection control practices among nurses at the medical and surgical wards of Kenyatta Hospital, Nairobi.
Study Design: This was a descriptive cross sectional study conducted at medical and surgical wards of Kenyatta National Hospital.
Setting: Kenyatta National Hospital, is in Nairobi. Is a National Referral Hospital and a teaching hospital for the University of Nairobi and other institutions such as the Kenya Medical Training College, Nairobi.
Subjects: A total of 171 nurses were identified for the study and included qualified nurses who were deployed at the medical and surgical wards of the hospital.
Methodology: Systematic random sampling was used t select the 171 nurses who were interviewed using semi structured questionnaires. Additional data was obtained using structured observation checklists that were assess the status of infection prevention and control and injection safety practices in the wards and among the selected nurses. Data was analyzed using Statistical Package for Social Science (SPSS).
Results: There were 158 respondents ranged from 26 to 56 years with a mean age of 37 (SD=6.6) years. Majority of the study participants were females constituting 72.78% while the males constituted 27.22%
Out of all the trained nurses 39.04% (n=57 nurses) had received training in only one of the four possible areas of training while 31.03% (n=45 nurses) of the nurses had received training in all the four areas of infection control. Of those who received training in a single area, 87% (of 57 nurses) received training in injection safety only.
Results showed that most demographic factors were statistically significant in influencing the practice of infection prevention and control and injection safety.
Conclusions and Recommendations: The study findings indicated that there is still sub optimal level of infection prevention and control and injection safety practices among nurses at KNH whereby the practices were mainly influenced by personal and organizational factors.
There is need to strengthen the ward infection control surveillance team and also review the infection control trainings currently being undertaken in the hospital in view of harmonizing it in order to provide a comprehensive training contact with body fluids e.g. dressings as well as wastes from operating theatres and laboratories.
High level disinfection - A process that kills Mycobacterium Tuberculosis and enteroviruses in addition to other vegetative bacteria, fungi and more sensitive viruses.