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183694

The Use of Continuous Quality Improvement Methodology to Improve Nurses’ Infection Control Practices at a General Hospital in Alexandria

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Last updated: 03 Jan 2025

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Abstract

  The aim of the present study was to assess the effectiveness of continuous quality improvement [CQI] methodology in improving selected nurses' infection control practices at a general hospital in Alexandria. The study population consisted of important infection control practices performed by nurses. Important practices were defined as high-volume, high-risk, high-cost, and problem-prone activities. Based on these criteria, three practices were selected: [1] hand washing, [2] surgical site dressing, and [3] peripheral intravenous catheterization. The present study used pre-test post-test design to examine nurses' practices before and after implementation of CQI project. It consisted of the following three distinct phases: [1] observation of nurses' practice before intervention, [2] implementation of a quality improvement project, and [3] observation of nurses' practices following implementation of the project. After implementation of CQI interventions, the percentage of times in which indicated hand washing/alcohol hand rubbing was performed increased from 1.7% to 2.8%, and the percentage of times nurses complied with recommended hand washing practices increased for 5 of actual 7 steps. Nurses' practices of surgical site dressing technique showed statistically significant improvement in all 12 steps after implementation of CQI interventions. The proportion of occasions in which nurses complied with recommended procedure for peripheral intravenous catheterization significantly improved after implementation of CQI intervention in 9 of 12 steps.   

DOI

10.21608/jhiph.2004.183694

Keywords

Quality improvement, Nurses’ Infection, Alexandria General Hospital

Authors

First Name

Eman

Last Name

El-Desoky

MiddleName

N.

Affiliation

Hospital Administration, High Institute of Public Health, Alexandria University, Egypt

Email

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City

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Orcid

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First Name

Wafaa

Last Name

Guirguis

MiddleName

W.

Affiliation

Hospital Administration, High Institute of Public Health, Alexandria University, Egypt

Email

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City

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Orcid

-

First Name

Hassanat

Last Name

Naguib

MiddleName

H.

Affiliation

Medical Surgical, Faculty of Nursing, Alexandria University, Egypt

Email

-

City

-

Orcid

-

First Name

Moustafa

Last Name

Nour El-Din

MiddleName

M.

Affiliation

Hospital Administration, High Institute of Public Health, Alexandria University, Egypt

Email

-

City

-

Orcid

-

Volume

34

Article Issue

4

Related Issue

26025

Issue Date

2004-10-01

Receive Date

2021-07-13

Publish Date

2004-10-01

Page Start

961

Page End

984

Print ISSN

2357-0601

Online ISSN

2357-061X

Link

https://jhiphalexu.journals.ekb.eg/article_183694.html

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https://jhiphalexu.journals.ekb.eg/service?article_code=183694

Order

15

Type

Original Article

Type Code

511

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

Publication Link

https://jhiphalexu.journals.ekb.eg/

MainTitle

The Use of Continuous Quality Improvement Methodology to Improve Nurses’ Infection Control Practices at a General Hospital in Alexandria

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Article

Created At

22 Jan 2023