Selected Teaching Hospitals Research Articles

The Study of Factors Affecting the Job Performance of Nurses Working in Selected Teaching Hospitals in Tehran

Background: Undoubtedly, one of the most important objectives of any organization is to provide high quality and desirable goods and services that depends on the performance of human force of the organization. The performance of physicians and nurses is a very important factor in establishing and enhancing the effectiveness of services. Since nurses are the most fundamental medical staff of the hospital, the present study was performed with the aim of investigating the factors affecting the job performance of nurses working in selected teaching hospitals in Tehran in 2018. Methods: The target group of this study included nurses working in inpatient wards of hospitals, of whom 354 individuals were selected by simple random sampling method. The intraorganizational environment questionnaire (Weisbord), five personality traits (NEO personality inventory), and Paterson’s job performance questionnaire were the three data collection tools. The study was conducted in 2018 and the data were analyzed by SPSS 20 software using descriptive statistics and artificial neural networks. Results: In the personality traits questionnaire, neuroticism (40.22 ± 6.66) dimension had the highest and responsibility (23.94 ± 4.91) dimension had the lowest mean scores. Also in the inter-organizational environment questionnaire, communication (14.66 ± 4.52) dimension and rewards (21.33 ± 6.54) dimension had the best and worst status, respectively. Comparison of significance coefficients in neural networks showed that dimensions of agreeability (100 %) and marital status (8 %) had the highest and lowest importance in nurses’ job performance. Conclusion: The results reveal that the dimensions of personality traits and job agreeability dimension have the most effect on the employees’ job performance. Hence, it is possible to improve staff performance by hiring people consistent with their work.

Job Satisfaction and Psychiatric Morbidity among Resident Doctors in Selected Teaching Hospitals in Southern Nigeria: A web-based Survey

Job Satisfaction and Psychiatric Morbidity among Resident Doctors in Selected Teaching Hospitals in Southern Nigeria: A web-based Survey

Short-term clinical outcomes of patients admitted with chronic liver disease to selected teaching hospitals in Ethiopia.

BackgroundChronic liver disease (CLD) is a progressive destruction of liver tissue with subsequent necrosis that persists for at least 6 months. In Ethiopia, despite the high burden report, data on CLD is limited. The objective of this study was to assess short-term clinical outcomes in patients admitted with chronic liver disease to three tertiary teaching hospitals in Ethiopia and to identify predictors of mortality.MethodsA cohort of 109 patients admitted with CLD to three tertiary teaching hospitals in Ethiopia, were prospectively followed from the time of admission to 30-days of hospital discharge. The study was conducted from April 1, 2018, to October 5, 2018. Kaplan-Maier curve was used to estimate survival and cox-regression analysis to identify predictors of mortality.ResultA total of 109 patients (80% male) diagnosed with CLD were included. Median age of the participants was 38(IQR, 30–48). The overall median length of hospital stay was 7(IQR, 4–11) days. Of the total, 39(35.8%) patients were HBsAg positive, and 12(11%) patients were anti-HCV positive. The 30-day mortality was 38(34.9%), and most of the deaths, 31(81.6%) occurred before hospital discharge. Hepatic encephalopathy at admission; being with unidentified risk factor/etiologies of CLD and total bilirubin level were independent predictors of in-hospital mortality. Patients with hepatic encephalopathy at admission had approximately 11 times increased risk of death as compared to patients without hepatic encephalopathy at admission. Similarly, the hazard of mortality was 5.8 times higher in those patients with unidentified risk factor/etiology as compared to others. The risk of dying had also increased with an increase in bilirubin (1.188[95% CI, 1.0719–1.316]) level.ConclusionApproximately one-quarter of patients with CLD died during their hospital stay, and the risk of death continued after hospital discharge. Hepatic encephalopathy at admission, unidentified risk factor/etiology and increased level of total bilirubin are poor prognostic factors. Given that more than one third the patients had HBV-infection, access to antiviral drugs could help improve the prognosis of patients with end-stage liver disease in Ethiopia, as well as prevent the progression of the disease if initiated earlier.

Challenges faced in handling the medico-legal cases in a selected teaching hospital

Background: Doctor comes across certain ‘Medico-Legal’ problems at one time or the other during the practice of his/her profession. Reporting a medico legal case (MLC) is one of the legal responsibilities of all doctors to ensure that immediate action is taken by the police and maximum evidence is collected by them. This study was undertaken to assess the knowledge and attitude of the staff in dealing medico-legal case in tertiary care hospital and to find the challenges faced by them while handling the medico-legal cases.Methods: A cross sectional Study was conducted at Yenepoya Medical College Hospital, Mangalore among the Staff working in Accident and Emergency Department during the study period of 6 months.Results: The study was conducted among 116 study participants, most 108 (93.1%) were in the age group of 20-29 years and 77 (66.4%) were females. It was seen that only 3 (2.6%) of them correctly answered 17-20 questions out of 20 questions that were asked. Knowledge regarding MLC case was much high among CMO compared to others which was statistically significant with p value <0.0001. Challenges faced by the study participants were patients or the patient party not willing for MLC, delayed treatment due to the confusion, answering the court, handling the police and the violent public in few cases.Conclusions: Knowledge on dealing with MLC and a proper counseling session for patients of MLC cases can help to overcome various challenges faced while dealing with any MLC case.

Knowledge and Practices among Female Nurses on Insertion and Care of Indwelling Urinary Catheter to Female Patients in a Selected Teaching Hospital in Sri Lanka

Globally, catheter-associated urinary tract infection (CAUTI) is one of the most common hospital-acquired infections. By following proper guidelines and recommended practice regarding insertion and care of indwelling urinary catheter, one could prevent and reduce CAUTI. Knowledge and practices among nurses regarding the insertion and care of indwelling urinary catheter in female patients are highly essential to minimize complications related to indwelling urinary catheter among female patients. There are limited data available on this phenomenon in Sri Lanka. The purpose of this study was to determine knowledge and practices among nurses regarding the insertion and care of indwelling urinary catheter in female patients at a selected teaching hospital. A descriptive cross-sectional design was conducted among conveniently selected 122 nurses from a teaching hospital. A pre-tested (n=10), a semi-structured questionnaire, was used to collect data. Ethical approval was obtained from the ethics review committees of the Faculty of Medical Sciences, University of Sri Jayewardenepura, and Colombo South Teaching Hospital, Sri Lanka. Findings revealed that only 36% of the participants had a satisfactory level of knowledge on indwelling urinary catheter insertion. Most of the participants (79.5%) had a satisfactory level of practices regarding indwelling urinary catheter insertion. Majority of the participants (82%) had an unsatisfactory level of knowledge regarding indwelling urinary catheter care. Most of the participants (78.7%) had a satisfactory level of practices regarding indwelling urinary catheter care. In conclusion, the majority of the participants had an unsatisfactory level of knowledge regarding indwelling urinary catheter insertion and care. There is a need for education on indwelling urinary catheterization and care for nurses in Sri Lanka.

A Retrospective Study of Relapse among Mentally Ill Clients Receiving Care in Selected Teaching Hospitals in a South Western State, Nigeria

A Retrospective Study of Relapse among Mentally Ill Clients Receiving Care in Selected Teaching Hospitals in a South Western State, Nigeria

Competence model for measuring career development and organisational growth in the health sector

The present changing trend and competitive business world have compelled many sectors to improve their service quality, productivity and performance. The health sector is a unique sector with peculiar work environment and developmental expectations from workers of different categories. Experts indicate that the Nigeria health sector budget is not impressive as it has never moved closer to World Health Organization template of 15% of the annual budget allocated to the health sector. Arising from this gross underfunding, the health sector has become weak while infrastructure and logistic supports seem to be obsolete with defective career initiative programmes. Hence, the present study assessed a competence model for measuring career development and growth of the health sector in Nigeria. The descriptive research design was adopted using stratified-random sampling technique with a mixed method (specifically, sequential explanatory method) approach for gathering data from the selected teaching hospitals. Six dimensions and 30 item statements of career development and organizational growth have been adopted from previous studies. The use of a structured questionnaire was employed and completely filled by 377 staff and management of the selected tertiary institutions. Data collected through the copies of questionnaire were analysed through measurement and structural models (SEM_PLS3); while interview data were codified and themes extracted. The results of the statistical analysis reveal that organizational growth significantly depends not only on the formulation and implementation of career development programmes but also on monitoring. The findings of this research have explicit implications for both the employees and the organizations. This study suggests that management will need to provide interventions and be more active in carefully implementing career management plans that will meet individual and organizational goals.

Clinical placement experiences by undergraduate nursing students in selected teaching hospitals in Ghana

BackgroundIn meeting the global standard of patient safety, quality care and nursing leadership, countries are urged by the World Health Organisation to have a greater proportion of nurses educated to degree level or higher. However, some researchers have found that there are very little differences in competencies of diploma registered nurses and first degree nurses in some countries. University education in nursing remains problematic and there are many disparities in the programmes currently being offered in different parts of the world. Though teaching hospitals in Ghana are expected to assist in the training of undergraduate nursing students, there is limited scientific evidence on experiences of undergraduate nursing students in these teaching hospital environments. The purpose of this study was to explore the experiences of undergraduate nursing students in selected teaching hospitals in Ghana.MethodsA qualitative explorative descriptive design was used in conducting the study. Purposive sampling technique was utilised in collecting data from thirty-five undergraduate nursing students placed in two teaching hospitals in Ghana. Data were collected through a semi-structured interview guide and analysed manually by the research team. A thematic content analysis was used in analysing data.ResultsFour main categories of themes were extracted from data. These themes were: 1. Feeling isolated in clinical placement. 2. Inadequate application of the nursing process. 3. Encounter with complex medical devices and complex conditions. 4. Inadequate application of physical examination by nurses.ConclusionThere were both positive and negative experiences by undergraduate nursing students in teaching hospitals in Ghana. The opportunity to see various clinical cases and also use complex medical devices were positive experiences for students. However, the undergraduate nursing students also experienced challenges of isolation in placement, inadequate application of the nursing process, and inadequate application of physical assessment by nurses. Undergraduate nursing students require varying levels of support, supervisory commitments and logistics provisions to learn skills such as physical examination and nursing process during placement.

Perception of Nurses on Ideal Clinical Learning Environment

The clinical learning environment encompasses all that surrounds the student nurse, including the clinical setting, the staff, the patient, the nurse mentor and the nurse educator. It is an interactive network of forces within the clinical setting that influence the students’ clinical learning outcomes. The study aimed to assess the perception of nursing students on ideal clinical learning environment and to find the association between the perception scores and selected variables. The study was conducted among 81 nursing students in selected teaching hospitals at Udupi district, Karnataka. Data was analysed by using descriptive and inferential statistics. 70.4 percent nurses had excellent perception on ideal clinical learning environment. There was no significant association between the perception scores and selected variables.

Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units.

BACKGROUND:The safety of hospitalized patients in the intensive care units (ICUs) is threatened due to incidents and adverse events, including medication errors. Medication error refers to any preventable event at different stage of medication process, such as prescription, transcription, distributing medication, and administration, which can lead to incorrect use of medicines or damage to the patient. This study aimed at investigating the effect of the interprofessional education of medication safety program on medication errors of physicians and nurses in the ICUs.MATERIALS AND METHODS:The study was conducted using a quasi-experimental method (single group, before and after) in 2017. The setting of the study included one ICU of selected teaching hospital affiliated to Isfahan University of Medical Sciences located in the Central Iran with a total of 23 beds. Participants included 50 members of the health-care team (physician, nurse, and clinical pharmacist) with at least 1 year of work experience in the ICUs. Participants were selected using censuses sampling method. Data were collected using a two-section self-made questionnaire. Data were analyzed through descriptive, analytical statistics, and version 16 of the SPSS software (P < 0.05).RESULTS:According to reporting of physicians, nurses, and clinical pharmacist, the medication error 1 month after implementation, the interprofessional education of medication safety program was significantly lower than before the implementation of it (P < 0.001).CONCLUSIONS:Interprofessional education helps to improve interprofessional collaboration and patient care through the promotion of various professions of health to increase interprofessional collaboration compared to single profession education, which individuals learn in isolation and merely in their profession. Therefore, interprofessional education of medication safety program can reduce medication error and promote patient safety in the ICUs.

The relationship between knowledge management and nursing care performance

The role of knowledge management in addressing the quality of care rendered by registered nurses has received little attention in Nigerian teaching hospitals. This study investigated the relationship between knowledge management and performance of nursing care in selected teaching hospitals. A quantitative study comprising of a survey design was employed. Data was collected from 320 registered nurses using the proportionate stratified sampling method from two purposively selected teaching hospitals in South West, Nigeria. Questionnaires were distributed to registered nurses across the clinical units in the selected teaching hospitals. Structural equation modelling using SPSS version 22 was used to test the hypothesised relationships. The findings revealed that information technology, organisational structure and organisational culture in knowledge management infrastructure are found to positively and significantly influence knowledge management processes (knowledge acquisition, conversion, application and protection) in the selected teaching hospitals. The study further revealed that the mutual relationship between the dimensions of knowledge management infrastructure and knowledge management process strongly and significantly influence nursing care performance in the teaching hospitals. Knowledge management infrastructure and process can contribute to the overall performance of nursing care and simultaneously improve the performance of teaching hospitals.

The factors affecting the waiting time of outpatients in the emergency unit of selected teaching hospitals of Tehran

Background and Objective:Long stops in the emergency unit will result in patient dissatisfaction and increased casualties. The present study aimed to determine the waiting time of patients visiting the emergency unit of two selected teaching hospitals in Tehran and the factors affecting it.Methodology:The present research was a cross-sectional descriptive-analytic study which was conducted in 2016. The statistical population included all patients and their caregivers in the emergency unit of Mofid and Ali Asghar hospitals, 335 of whom were selected were selected as the sample. The required data were collected using the patient’s waiting time form and an author-made questionnaire, whose validity was confirmed by experts and its reliability was obtained 90% using Cronbach’s alpha. The data were analyzed using ANOVA and independent t-test in SPSS-22.Findings:The results indicated that factors such as the large number of patients, long distance between emergency units, poor communication, and the low number of manpower affect the prolonged patient waiting time. In addition, the results showed the patient waiting time has a significant relationship with working shift, the day of visit, and insurance coverage (p≤0.05).Conclusion:The study findings suggested that several factors increase the waiting time of patients in emergency units. Hence, it is recommended to take necessary measures for proper distribution of manpower in a different working shift and also on weekdays and holidays in order to reduce the patient waiting time. In addition, skills and experience of the emergency unit staff need to be improved through training courses.

Patients\u2019 ability to read and understand dosing instructions of their own medicines \u2013 a cross sectional study in a hospital and community pharmacy setting

BackgroundPoor communication of medicines information to patients may cause medication errors. We assessed the completeness and readability of dosing instructions provided by pharmacists on dispensing labels and knowledge among patients on dosing instructions of their medicines.MethodsA cross sectional study was conducted in a selected teaching hospital, and a community pharmacy, among 800 patients selected through a systematic sampling method, during a period of 2 months. Completeness of dosing instructions were assessed against a checklist. Patients were asked to read dosing instructions to assess readability. Patient knowledge on dosing instructions were determined through a questionnaire. Completeness, readability and knowledge were scored out of 10 for each dispensing label.ResultsA total of 1200 and 1372 dispensing labels were assessed in the hospital and community settings respectively. The median score out of 10, for completeness, readability and patient knowledge of dosing instructions were 6.7, 8.3 and 7.5 respectively in the hospital, and 7.5, 8.0 and 7.5 respectively in the community. Only a few dispensing labels had the route of administration (hospital, 0.5%; community, 0.8%) and the duration of treatment written (hospital, 0.25%; community, 0.65%) on them. Name (hospital, 48%; community, 27.3%) and strength (hospital, 40.2%; community, 36.6%) of medicines on dispensing labels were frequently misread. In both settings, readability scores significantly differed with education level (P < 0.001).ConclusionsSome important dosing instructions were missing in dispensing labels. Readability of dosing instructions by patients was also not 100% and differed by their education level. Pharmacists did not adhere to a standard procedure in providing dosing instructions leading to communication gaps with patients. Hence we recommend the development of a standard procedure to provide complete, clear and simple dosing instructions to patients, and continuous training for pharmacists on proper communication of dosing instructions to patients.

Antibiotic Susceptibility Profiles of Bacteria from Diabetic Foot Infections in Selected Teaching Hospitals in Southwestern Nigeria

One of the serious complications associated with diabetes is foot ulcer and this condition affects the quality of life in patients in all classes, races and ages. Chronic wounds are prone to colonization by wide array of microorganisms which could be extremely hazardous to patients if effective and timely therapeutic intervention is not made. This study was conducted to determine the antibiotic susceptibility profiles of bacteria from diabetic foot infections in southwestern Nigeria. Samples were collected from a total of 142 diabetic foot ulcer patients with moistened sterile cotton swabs. Nutrient agar, Mac-Conkey agar, blood agar and mannitol salt agar media were used for the isolation of total viable bacteria, Gram-negative non-spore forming lactose fermenters, fastidious bacteria and staphylococci, respectively. Morphological and biochemical characteristics of pure cultures were determined in accordance with standard laboratory criteria. API 20 E and API 20 NE were used for the confirmation of identity of the bacterial isolates. The disc diffusion technique was employed for the determination of antibiotic susceptibility of bacterial isolates in accordance with standard procedures. The antibiotics investigated included amikacin, amoxicillin, ampicillin, ceftazidime, cefazolin, ceftriaxone, chloramphenicol, ciprofloxacin, clindamycin, gentamicin, imipenem, linezolid, methicillin, netilmicin, ofloxacin, oxacillin, penicillin, piperacilin, sulfamethoxazole, trimethoprim and vancomycin. One hundred and seventy-seven isolates were encountered and these were characterized into eleven bacterial species. These included Staphylococcus aureus (22.03%), Pseudomonas aeruginosa (16.95%), Staphylococcus epidermidis (12.43%), Proteus mirabilis (8.48%), Klebsiella pneumoniae (7.91%), E. coli (7.35%), Staphylococcus saprophyticus (6.78%), Streptococcus pyogenes (5.65%), Morganella morganii (5.09%), Citrobacter freundii (4.52%) and Acinetobacter baumannii (2.83%). Gram-negative bacteria showed 76.99% susceptibility to the antibiotics while 22.85% was resistant. Gram-positive bacteria showed 93.75% susceptibility and 5.01% resistance to the antibiotics. This study revealed that there is no definite aetiologic bacterial agent for diabetic foot infections and many of the associated bacteria are sensitive to certain antibiotics.

Analysis of Hospital's Financial Liquidity Using the Linear Regression Model: A Panel Data Study in Ahvaz Teaching Hospitals

Liquidity refers to an organization's ability to pay off their debts. The main objective of this study was to determine the factors affecting the hospital's financial liquidity in selected teaching hospital in Ahvaz, Iran. The present research was a cross-sectional and panel data study which was conducted using econometric methods. The statistical population consisted of all teaching hospitals of Ahwaz, southwest of Iran (N=6). The data obtained on variables such as hospital size, profit rate, debts, and ratios of current liquidity, quasi-liquidity, and liquidity were statistically analyzed using the linear regression analysis in Eviews-8. The results of Vale ridge test and data panel test showed that there is a significant relationship between the studied financial indicators and liquidity of hospital. The results also indicated that, based on the 5-year mean values, current liquidity (0.036), quasi-liquidity (0.086), profitability (0.218), debts (0.344), and liquidity (0.453) had the highest to the lowest impact on the liquidity of studied hospital, respectively. According to the study findings, it can be concluded that hospital can raise their liquidity by increasing their size, improving their performance in line with the optimal utilization of assets using optimal methods to provide capital structure, and promoting their service delivery.

Effect of Training on Knowledge, Perception and Risk Reduction Regarding Infection Control among Nurses in Selected Teaching Hospitals in Nigeria.

Background:Healthcare workers, especially nurses, are at a high risk of infection. By complying with infection control measures, a lot of infections can be prevented. This study examined the effects of a training program on knowledge, perception, and risk reduction regarding infection control among nurses.Materials and Methods:This study adopted a pretest–posttest quasi-experimental design. The samples consisted of 87 participants comprising 42 nurses in the experimental group and 45 nurses in the control group. The instruments used for data collection were a questionnaire on knowledge about infection control and a questionnaire on perception about infection control.Results:Findings showed that the mean (SD) age in the experimental group was 34.92 (8.99) whereas that of the control group was 47.43 (6.60). The mean (SD) years of experience in the experimental group was 10.42 (9.95) years whereas in the control group it was 21.89 (8.72) years. Findings further revealed that 26 participants (62.90%) in the postintervention group had high knowledge level compared to the preintervention where none had high knowledge. A significant difference was observed between the mean perception score on infection control in the experimental and control groups (t = 17.12; p = 0.001).Conclusions:This study has shown that a training program is very effective and that all nurses should be exposed to infection control training to equip them with the necessary knowledge and skills with which to fight against the spread of infection in the healthcare setting.

A Data Model for Teleconsultation in Managing High-Risk Pregnancies: Design and Preliminary Evaluation.

BackgroundTeleconsultation is a guarantor for virtual supervision of clinical professors on clinical decisions made by medical residents in teaching hospitals. Type, format, volume, and quality of exchanged information have a great influence on the quality of remote clinical decisions or tele-decisions. Thus, it is necessary to develop a reliable and standard model for these clinical relationships.ObjectiveThe goal of this study was to design and evaluate a data model for teleconsultation in the management of high-risk pregnancies.MethodsThis study was implemented in three phases. In the first phase, a systematic review, a qualitative study, and a Delphi approach were done in selected teaching hospitals. Systematic extraction and localization of diagnostic items to develop the tele-decision clinical archetypes were performed as the second phase. Finally, the developed model was evaluated using predefined consultation scenarios.ResultsOur review study has shown that present medical consultations have no specific structure or template for patient information exchange. Furthermore, there are many challenges in the remote medical decision-making process, and some of them are related to the lack of the mentioned structure. The evaluation phase of our research has shown that data quality (P<.001), adequacy (P<.001), organization (P<.001), confidence (P<.001), and convenience (P<.001) had more scores in archetype-based consultation scenarios compared with routine-based ones.ConclusionsOur archetype-based model could acquire better and higher scores in the data quality, adequacy, organization, confidence, and convenience dimensions than ones with routine scenarios. It is probable that the suggested archetype-based teleconsultation model may improve the quality of physician-physician remote medical consultations.

Factors that Infl uence Medical Doctors’ Behavioural Intention to Use Clinical Informatics

A better understanding of the factors that influence the integration of clinical informatics would promote the effective utilisation of its tools, particularly among medical doctors. The overall aim of this research was to use the unified theory of acceptance and use of technology (UTAUT) model to examine factors that influence medical doctors’ behavioural intention to use clinical informatics. The study assessed the influence of UTAUT constructs on the acceptance and use of clinical informatics resources among medical doctors in selected teaching hospitals in Nigeria and South Africa. Quantitative research was employed through a survey. The target population consisted of medical doctors at the King Edward VIII Hospital in Durban, South Africa, and the University College Hospital in Ibadan, Nigeria. The study established that all four of the UTAUT constructs (effort expectancy, performance expectancy, facilitating conditions, and social influence) influenced the use of clinical informatics among medical doctors in the selected teaching hospitals. Based on the findings of the study, it is recommended that an enabling environment be created that will promote the use of clinical informatics and adequate training, which is necessary for the effective use of the tools and which will bring about positive behavioural intentions in medical doctors to accept and use clinical informatics for effective healthcare delivery.

Proposing a Model of “Hospital Value-Based Purchasing” in Selected Teaching Hospitals in Isfahan, Iran: 2015 - 2016

Background: Recently, HVBP has been a tool for improving the quality of healthcare services and managing costs. This study was conducted to identify and propose an appropriate model of HVBP in the general selected teaching hospitals in Isfahan, Iran. Objectives: The purpose of this study was to propose an Iranian model of HVBP in the selected teaching hospitals in Isfahan, Iran, 2015 - 16. Methods: This study was a theoretical and qualitative study. It was cross-sectional and prospective in terms of time, direction, and trend. The sample was determined purposefully in Delphi methods. Three types of Delphi methods were conducted including: theory, policy, and implementation Delphi. The sample size in Delphi methods respectively included 9, 13, and 21 that were selected in type of experts sampling and cascading in 2015 - 16. Inclusion and exclusion criteria were designated to select sample in all three types of Delphi methods. Results: According to the results of the study, the proposed Iranian model of HVBP had seven dimensions including structure, process, outcome, patient experience, quality of clinical care, sensitivity of care team, and efficiency with the weight percentages of 5, 5, 25, 20, 15, 15, and 15, respectively. Each of the dimensions had 5, 6, 5, 7, 5, 4, and 1 components/component, respectively. Conclusions: This study identified and proposed a model of HVBP in the Isfahan selected general teaching hospitals. The practical application of the findings was to determine the dimensions and components of HVBP in Isfahan general teaching hospitals. According to the findings of this study, it is suggested that a series of related research be conducted to complete the identification process of HVBP in Iran in other types of hospital settings. © 2017, Iranian Red Crescent Medical Journal.

Hand hygiene: Knowledge and Practices of Clinical Teachers in Selected Teaching Hospitals in Kenya

BackgroundHealthcare-associated infections lead to substantial morbidity and mortality worldwide, and adequate hand hygiene (HH) in the clinical setting is essential for prevention. Clinical teachers are central to the training of healthcare workers (HCW) as they teach and model safe practices in the clinical environment. However, there is limited research on the knowledge and practices of clinical teachers related to HH in teaching hospitals, particularly in African settings. We describe the knowledge and practices of HH amongst clinical teachers in selected teaching hospitals in Kenya.MethodsData were collected through self-administered standardized questionnaires with basic demographic, knowledge and practices about HH from clinical teachers employed at two teaching hospitals. Participating clinical teachers were anonymously audited for HH practices using an adapted World Health Organization tool. The audits consisted of 20–30 minutes observations in each wardResultsAmong 57 participants overall, 42 (73.7%) were nurses, 8 (14.0%) clinicians, and 5 (8.8%) therapists. Twenty-one (36.8%) of the participants had knowledge regarding the minimum time needed to practice HH using alcohol based hand rub, 14 (24.6%) knew that hand washing and hand rubbing should be performed in sequence. The combined knowledge score for each individual ranged from 0% to 94.1% with a mean of 50.1% (SD=20.1, Cl 95% 44.7- 55.4%). Hand hygiene compliance significantly varied by clinical instructor’s type; nurses (42.7%) and therapists (38.0%) had the highest adherence and clinicians had the lowest 33.7% (P = 0.0001).ConclusionClinical teachers in this study demonstrated knowledge gaps and poor practices related to HH. Since they serve as role models for future generations of healthcare workers, clinical teachers must recognize the importance of HH in preventing hospital-acquired infections, including when and how HH should be performed while following recommended practices.Disclosures All authors: No reported disclosures.