Effect of Instructional Guidelines on Nurses' Compliance Toward Infection Control Standard Precautions in Dialysis Unit | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 130, Volume 100, Issue 1, July 2025, Pages 3456-3464 PDF (957.88 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2025.445977 | ||
| Abstract | ||
| Background: Infection control in hemodialysis units remains a critical challenge due to patients’ increased vulnerability and the complex care environment. Nurses, as the primary caregivers, play a vital role in preventing healthcare-associated infections through consistent adherence to standard precautions. Objective: This study aimed to assess the effect of instructional guidelines on nurses’ compliance toward infection control standard precautions in the dialysis unit. Subjects and Methods: A pre-experimental one-group pretest-posttest design was used, involving a convenience sample of sixty female nurses working in the hemodialysis unit. Data were collected using an interview questionnaire and observational checklist to evaluate personal characteristics and nurses’ compliance before and after implementing the instructional guidelines. The intervention included educational sessions and printed materials focused on standard precautions. Compliance scores were analyzed using descriptive and inferential statistics, including paired t-tests and chi-square tests. Results: Post-intervention, there were significant improvements in nurses’ compliance scores regarding hand hygiene, personal protective equipment, clinical practices, specimen handling, waste management, and linen handling (all p < 0.001). The overall compliance rate increased by 32% after the program. Environmental assessment revealed that most areas met infection control standards, with some gaps in equipment storage and ventilation. Positive correlations were also found between compliance levels and both nurses’ experience and prior training. Conclusion: Instructional guidelines proved effective in improving nurses’ compliance with infection control standard precautions in the dialysis unit. Ongoing education and organizational support are recommended to sustain these improvements. | ||
| Keywords | ||
| Dialysis Unit; Instructional Guidelines; Nurses' Compliance | ||
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