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It was aimed to evaluate the effect of care-oriented practical training on the intensive and critical care competencies of nurses, the hand hygiene compliance rate of nurses and care support staff, and HAI indicators.
Does care-oriented practical training increase nurses's intensive and critical care competencies? Does care-oriented practical training increase the hand hygiene compliance rate of nurses and care support staff? Does care-oriented practical training reduce HAI indicators in intensive care units?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Care-oriented group | Experimental | Care-oriented practical training intervention is a 2-hour care-oriented applied group training program for intensive care nurses in groups of 13-15 people. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Care-oriented Practical Training | Behavioral | The training content includes evidence-based practice recommendations for intensive and critical care, hand hygiene, hygiene practices in patients with special needs, and prevention and control of common HAIs. In the first stage of the training, practical training will be given by the intensive care coordinator and infection control nurse on the application model. In the second stage, patient care practices of a care team consisting of an intensive care nurse and care support staff will be observed. The training will be conducted interactively with narration, demonstration and question and answer techniques. |
| Measure | Description | Time Frame |
|---|---|---|
| Intensive and Critical Care Nursing Competence Scale | The mean score of Intensive and Critical Care Nursing Competence Scale | Before the Care Oriented Practical Training Intervention (October 2023) and one month after the training (November 2023) |
| Nurse hand hygiene compliance | Nurse hand hygiene compliance rate (%) | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention. |
| Care support staff hand hygiene compliance | hand hygiene compliance rate (%) of care support staff | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention. |
| Central catheter-associated bloodstream infections | Central catheter-associated bloodstream infections rate (%) | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention |
| Ventilator-associated Event | Ventilator-associated Event rate (%) | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention |
| Catheter-associated Urinary Tract Infections | Catheter-associated Urinary Tract Infections rate (%) | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Klebsiella spp. | Klebsiella spp. n (%) | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention |
| Enterococcus spp. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Şenay TAKMAK, Asst. Prof. | Kütahya Health Sciences University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Akdeniz University | Konyaalti | Antalya | 07070 | Turkey (Türkiye) |
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It is planned to give a care-oriented applied training program to intensive care nurses in groups of 13-15 people for 2 hours. The training content includes evidence-based practice recommendations for intensive and critical care, hand hygiene, hygiene practices in patients with special needs, and prevention and control of common HAIs. In the first stage of the training, practical training will be given by the intensive care coordinator and infection control nurse on the application model. In the second stage, patient care practices of a care team consisting of an intensive care nurse and care support staff will be observed. The training will be conducted interactively with narration, demonstration and question and answer techniques.
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|
Enterococcus spp.n (%)
| Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention |
| Acinetobacter spp | Acinetobacter spp. n (%) | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention |
| Pseudomonas spp. | Pseudomonas spp. n (%) | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention |
| Enterobacterales | Enterobacterales, n (%) | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention |
| Candida | Candida, n (%) | Health care-associated infection indicators in the intensive care unit 3 months before the Care-Oriented Practical Training Intervention and 3 months after the intervention |
| ID | Term |
|---|---|
| D003428 | Cross Infection |
| ID | Term |
|---|---|
| D007239 | Infections |
| D007049 | Iatrogenic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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