thesis - prevention of nosocomial infections as percieved by staff nurses
TRANSCRIPT
CHAPTER I
The Problem and Its Background
INTRODUCTION
Nursing is a profession of art and science that involves interaction with the client
equipped with a touch of care. Unlike the other jobs, it opts to give care to those who are
sick with a sense of desire to promote wellness and provide treatment. As promoters of
health, nurses teach, give care, and treat patients who are physically, emotionally, mentally
and socially sick and ill. It is a profession that offers the individual the chance to touch
other people’s lives and be sensitive to them.
Nurses are the heart and hands of the team and they are sensitive to the needs of
the client that enables them to have a good nurse-client relationship by being more
emphatic as well as rendering services in a hands-on manner. This would mean constant
contact and exposure with the various nosocomial infections present in the hospital setting.
It is the duty and responsibility of the nurse to strictly comply and adhere to the hospital’s
preventive measures against nosocomial infections and other infectious diseases.
Furthermore, nurses as health care workers should be aware of the ways to slow or
prevent the transmission of infectious diseases and be knowledgeable of its potential risk
to the client and hospital staffs.
As future nurses, the study aims to identify the ways of preventing nosocomial
infections in Far Eastern University – Dr. Nicanor Reyes Medical Center as well as the
different kinds of preventive measures that are implemented and foreseen as an effective
way in breaking down the chain of infection.
This study would serve as a baseline guide for further development and growth of
nursing care and enhance the preventive strategies used to minimize nosocomial infection
from the patient or client, hospital setting, and care giver itself.
STATEMENT OF THE PROBLEM
The study aims to determine the prevention of nosocomial infection as perceived by
staff nurses of Far Eastern University –Dr. Nicanor Reyes Medical Center. Specifically, it
attempts to answer the following questions:
1. What is the demographic profile of the respondents in terms of:
1.1 Age
1.2 Gender
1.3 Educational Attainment
1.4 Length of service
2. What is the nature of nosocomial infection in terms of:
2.1 Mode of transmission
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2.2 Prognosis
2.3 Prevention and treatment
3. How effective are the preventive measures implemented by FEU-NRMF Medical
Center in terms of:
3.1 Hand washing
3.2 Use of protective gears
3.3 Proper sanitation
3.4 Controlling spread of infection
3.5 Sterilization
3.6 Surveillance
3.7 Isolation
3.8 Personal hygiene
3.9 Safe injection practices
3.10 Cleaning of the hospital environment
3.11 Disinfection of patient’s equipments
4. What are the implications of results and findings of the study to the improvement of
nursing profession and service of the institution?
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OBJECTIVE
The purpose of this study is to determine the most effective preventive measures
applied and implemented in Far Eastern University-Dr. Nicanor Reyes Medical Center in
slowing down or preventing the spread of nosocomial infections. Moreover, it also aims to
seek an effective way to prevent and avoid the acquisition of nosocomial infections without
affecting the quality of health care rendered by the nurse.
CONCEPTUAL FRAMEWORK
In this area of study, the researchers present concepts tackled in the course of
study. These concepts are essential in guiding and directing the researchers toward data
analysis and interpretation.
One significant conceptual framework of this study was depicted from an integration
of Leavell and Clark’s Ecologic Model: Agent-Host-Environment. This is effective for
assessing and examining the causes of disease in an individual. The agent, host and
environment interact in a manner that creates risk factors, and understanding these is
important for the maintenance and promotion of health. An agent is a stressor or an
environmental factor that must be absent or present for a disease to occur. A host is a
living organism capable of being infected by an agent. Leavell and Clark emphasize health
concepts and disease acquisition as:
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1. The model is used primarily in preventing illness rather than promoting wellness,
although identification of risk factors that result from interaction of agent-host-
environment is helpful in promoting and maintaining health.
2. The model consist of dynamic interaction of three elements:
2.1.Agent. Any environmental factor or stressor (biologic, chemical, mechanical,
physical or psychosocial) that by its presence or absence can lead to illness
or disease.
2.2.Host. Person(s) who may or may not be at risk of acquiring a disease.
2.3.Environment. All factors external to the host that may predispose the person
to develop disease.
3. Defines health as ever-changing state; when variable are balanced, health is
maintained, when variables are not in balanced, disease occurs.
Another significant conceptual framework of this study is one of Leavell and Clark’s
Three Levels of Prevention primarily the Primary Prevention which states that:
1. Primary prevention is the action taken prior to the onset of the disease that
removes the possibility that the disease will occur.
2. Primary prevention can be accomplished by measures of specific
protection and health promotion.
3. It signifies intervention in the pre-pathogenesis phase of a disease.
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4. Primary prevention can be accomplished by measures or procedures
designed to promote well-being, general health and quality of life of people
or by certain protective measures.
5. Primary prevention includes the concept of positive health, a concept that
promotes maintenance and achievement of an acceptable level and degree
of health that will allow every individual to lead a normal and productive life.
6. The strategy for prevention starts from the identification of the populations
at high disease risk, assessing their exposure, conducting research on
mechanisms, applying population-based intervention programs, evaluating
the intervention programs and ending by modifying the existing intervention
programs.
7. Primary prevention is a holistic approach.
8. Primary prevention keeps the disease process from becoming established
by increasing resistance to the disease or eliminating causes of disease.
9. Primary prevention refers to health promotion, which promotes wellness
and thus reduces the likelihood of premature death, disease and disability
in a nonspecific way, as well as particular protection against the inception
of disease.
10. Primary prevention precedes dysfunction or disease and is applied to
generally healthy individuals or groups.
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Fig. 1 Conceptual Paradigm
OutputImplication to Effective Preventive Measures and Modes of Control.
Input1. Demographic profile of the respondents
1.1 Age 1.2 Gender 1.3 Educational Attainment 1.4 Length of Service2. Nature of the nosocomial infection 2.1 Mode of transmission 2.2 Prognosis 2.3 Prevention and treatment3. Preventable Measures to avoid and minimize nosocomial infection and the transmission of other diseases. 3.1 Hand washing 3.2 Use of protective gears 3.3 Proper sanitation 3.4 Controlling spread of infection 3.5 Sterilization 3.6 Surveillance 3.7 Isolation 3.8 Personal hygiene 3.9 Safe injection practices 3.10 Cleaning of the hospital environment 3.11 Disinfection of patient’s equipments 4. Implications to the improvement of nursing profession and services of the institution.
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ThroughputEvaluation of the preventive measures implemented in Far Eastern University-Dr. Nicanor Reyes Medical Center in slowing down or preventing the spread of nosocomial infections.
1. nosocomial infection encountered and acquired
2. Preventive measures
ASSUMPTION
Based on the related problems:
1. Primary causes of nosocomial infection originate from the client having contagious
disease, hospital environment, and hospital personnel or health care provider.
2. Preventive measures play a vital role in breaking down the chain of infection.
SIGNIFICANCE OF THE STUDY
The researcher believed that the study could further help and contribute to the following:
To the nurse. This study is significant in the sense that it could improve the nurses’ health
awareness and early prevention skills and method thus, suppressing the possibility of the
spread and transmission of nosocomial infections. It could also further contribute to the
growth of the nursing profession thus allowing them to grow professionally.
To the hospital administrators. This study may determine the most effective preventive
measures in slowing down or preventing the spread of nosocomial infections. Thus, can
serve as bases of promoting and implementing standard precautionary measures for the
clients, care givers and hospital administrators welfare.
To the future researchers. The findings in this research can help other studies that are
related to prevention of nosocomial infection.
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SCOPE AND DELIMITATIONS OF THE STUDY
This study is focused on the prevention of nosocomial infections as perceived by
staff nurses of Far Eastern University-Dr. Nicanor Reyes Medical Center with a particular
description of the preventive measures implemented and foreseen as effective in
preventing the spread of nosocomial infections.
It is limited to the hospital settings in terms of the preventive measures and modes
of control that are implemented, practiced and seen as effective in slowing down and
preventing the transmission of nosocomial infections among the clients, hospital setting,
and care giver itself.
DEFINITION OF TERMS
Aerosolized- in the form of ultramicroscopic liquid or solid particles suspended in air.
Agent- an environmental factor that must be absent or present for a disease to occur.
Airborne transmission- occurs by dissemination of either small particles or airborne
droplet nuclei containing the infectious agent.
Aseptic- using methods to keep free of pathological microorganisms.
Compliance- acting in accordance to certain accepted standards, procedures, rules and
preventive measures.
Direct contact- involves skin-to-skin contact and physical transfer of microorganisms to a
susceptible host from an infected person.
Disease- a condition of abnormal functioning or an impairment of health.
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Droplet transmission- contact of the mucous membranes of the mouth or nose or the
conjunctivae of a susceptible person with large- particle droplets containing infectious
microorganisms generated from a person who is a carrier of the microorganism or has a
clinical disease.
Ecologic- interdependence of living organisms in an environment.
Effectiveness- capability of producing desired results.
Environment- all factors external to the host that may predispose the person to develop
disease.
Epidemiology- branch of science that deals with the transmission and control of diseases.
Fomite- any inanimate object or substance capable of carrying infectious organisms and
thus transferring them from one individual to another.
Hand washing- universal precaution in the prevention of the spread of disease.
Host- a living organism capable of being affected or infected by an agent.
Implemented- ensure observance of rules, procedures and preventive measures or laws
that are enforced and followed.
Inanimate- non-living things; object
Inception- an event that is a beginning; origin
Indirect- contact- involves contact of a susceptible host with a contaminated intermediate
or inanimate object in the patient’s environment.
Infirm- lacking muscular or body strength.
Isolation- separation between infectious and non-infectious groups or persons.
Measure- steps or standards in preventing the acquisition of nosocomial diseases.
Morbidity- relative incidence of a particular disease.
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Mortality- ratio of deaths in an area to the population of that area; expressed per 1000 per
year.
Nosocomial Infections- hospital-acquired infection or infections that develop as a result of
stay in the hospital or are produced by viruses and infectious agents acquired during
hospitalization.
Preventive- slows or hinders the course of a disease or illness.
Process- particular course of action intended to achieve a result.
Rapport- a relationship of mutual trust and understanding between people.
Sanitation- making the environment free from germs or state of being clean, neat and
conducive to health.
Surveillance- close observation of a person or group.
Vector- any agent that carries and transmits a disease.
Wellness- a healthy state of well-being free from disease and infirmity.
Acronyms:
AHA- American Hospital Association
CDC- Centers for Disease Control and Prevention
DOH- Department of Health
FEU-NRMF- Far Eastern University- Dr. Nicanor Reyes Medical Foundation
ICC- Infection Control Committee
JCAHO- Joint Commission on Accreditation of Health Care Organizations
SHEA- Society for Hospital Epidemiology of America
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CHAPTER 2
REVIEW OF RELATED LITERATURE AND STUDIES
This chapter presents the literature, reading, and studies that are related to the
present study which is prevention of nosocomial infections as perceived by staff nurses of
Far Eastern University-Dr. Nicanor Reyes Medical Center.
FOREIGN LITERATURE
Katrena Wells (2009) in her article “Best Ways to Prevent Nosocomial Infections”
suggests five ways to help prevent the spread of infections in hospital. These are hand
hygiene, avoiding infecting others if you are sick, using a tissue when you cough or
sneeze, ensuring that you are up-to-date on any necessary vaccines, and supplies should
be sanitized before they touch your skin.
Other methods of preventing nosocomial infections include observance of aseptic
technique, frequent hand washing especially between patients, careful handling, cleaning,
and disinfection of fomites, air filtration within the hospital, and use of single-use
disposable items (Abedon, Stephen 2009).
Hospitals may bring diseases and infections to nurses while attending to all the
patients' needs because they are the primary caregivers of patients and are more in
contact with the patients. Preventive measures are being implemented for the patients and
to the nurses as well in order to prevent nosocomial infections. Some precautionary
measures must be implemented in the event of any social conflict within the area like using
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of gloves as a protective gear to prevent transmission of diseases from patients onto the
nurses and proper hand washing. The head nurse must be informed immediately as soon
as the nurse starts to manifest any signs and symptoms of a possible communicable
disease (Smith, John 2009).
According to John Bosso (2004), Hand washing by health care workers is crucial in
preventing and controlling the spread of nosocomial infection. Only through staff education
and awareness, ongoing surveillance, and appropriate intervention can this common
problem be alleviated.
Maggie Edgar (1996) in her article “Preventing the Spread of Disease: Tips for
Providers, stated that care providers can stay healthier by following these guidelines: wash
hands properly and frequently, maintain current immunizations, especially tetanus, take
scheduled breaks and vacations, observe good nutrition, exercise regularly, rest sufficiently
each day, and engage in hobbies or other activities that do not involve caring for someone
else. Care providers who are ill should take care of themselves because they cannot
provide the usual quality of care and they can spread germs to others. A healthy care
provider is the key to a healthy, happy client care experience for clients and their families.
FOREIGN STUDY
JC Bridger (1997) conducted a study entitled a study of nurses’ views about the
nosocomial urinary tract infections which was conducted at school of nursing, Middlesex
university, Royal Free Hospital at London, UK. This study sought to discover the
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contribution of nursing practice to the prevention of hospital-acquired or nosocomial urinary
tract infections (NUTIs), the most commonly occurring nosocomial infection. This
qualitative study utilized unstructured interviews to explore the views of 12 registered
nurses about three key issues: first, what care do nurses give with the aim of preventing
catheter-associated NUTIs; secondly, what improvements in practice would further prevent
catheter-associated NUTIs; thirdly, what do nurses see as constraints to the prevention of
catheter-associated NUTIs? The nurses identified many of the measures that were cited in
the literature as effective for preventing NUTIs; however in reality, they stated that their
practice differed because of a lack of time to give care and to update themselves. Those
interviewed identified feelings of powerlessness in effecting preventative measures, and
identified not only the role of medical staff in influencing NUTIs but also their inconsistent
approach to care.
Improving Nurses’ Hand Washing Compliance (Journal of Hospital Infection, 2002)
is a study that explored the effectiveness of teaching strategies and the availability of
additional hand-carried alcohol dispensers on nurses' compliance with hand disinfection.
(2) Registered nurses and nurse assistants (n = 480) received standardized instruction on
alcohol hand disinfection. To determine the amount of disinfectant used, the volume of the
solution was measured before and after each study period. The clinical implications are
that hand disinfection is a critical step in minimizing nosocomial infections. This study
supports the premise that nurses and nursing assistants improve compliance with hand
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washing when teaching is provided. It also supports the importance of having hand-
washing supplies in adequate supply and readily available at the point of care.
A study was also conducted by Suzanne Beyea (2003) entitled Nosocomial
Infections; Hand-washing Compliance; Comparing hand hygiene protocols; Sensor-
operator faucets - Evidence For Practice. This prospective, controlled study was conducted
in eight medium-sized hospitals and examined the effect of appropriate quality
management activities on nosocomial infection rates during a 26-month period. The study
focused on surgical departments. Intensive care units (ICUs) were included to capture data
for patients requiring this type of treatment after surgery. The intervention group comprised
four hospitals, and the control group comprised four hospitals. The result was Clinicians
should be aware of opportunities to use quality improvement and surveillance activities as
strategies to reduce the risks of infection. In this study, clinicians from the units involved
were instrumental in evaluating infection control measures and relating and implementing
strategies to reduce the risk of infection.
Another study was conducted by Sau-Pin Won et. al (2004) which is the hand
washing program for the prevention of nosocomial infections in neonatal intensive care unit
that was held at a level-III NICU in a teaching hospital. The participants are Nurses,
physicians, and other healthcare workers in the NICU and the objective of this study is
to To evaluate the effects of a hand hygiene program on compliance with hand
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hygiene and the rate of nosocomial infections in a neonatal intensive care unit
(NICU). The result was improved compliance with hand washing was associated with a
significance decrease in overall rates of nosocomial infection and respiratory infections in
particular and that washing hands is a simple, economical and effective method for
preventing nosocomial infections.
Another study was conducted by Torregrossa M.V., Valentino L., Cucchiara P.,
Masellis M., Sucameli M. (2000) entitled Prevention of Hospital-Acquired Infections in the
Palermo Center. This study reports on an extensive epidemiological survey of the
microbiological monitoring of the environment, staff, and patients in the Intensive Care Unit
of the Palermo Bums Centre (Italy). The aim of the survey was to evaluate the presence
and distribution of environmental sources of pathogens and opportunistic bacterial agents
of nosocomial infection in immunocompromised hosts. Strains collected from air, tap water,
and medical and nursing staff were compared with strains isolated from burn patients in
order to study the potential transmission route of bacteria. The results showed
environmental strains presenting a profile identical to that of the clinical strains, suggesting
a link between the environment, staff, and the patients. A programme of routine
microbiological monitoring proved to be effective as a surveillance programme for the
reduction of nosocomial infection.
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LOCAL LITERATURE
Nosocomial infections according to Rep. Narciso D. Santiago III (Party-list, ARC), is
a result of treatment in a hospital or a health care service unit, but secondary to the
patient’s original condition. It is a hospital- acquired infection or more generally known as
healthcare-associated infections that is responsible for the large number of deaths in the
world. Hand washing and improving hygiene practices in the hospital is the most effective
way for reducing the spread of these infectious agents.
The House Bill 5905 suggests that all hospitals should maintain and gather records
of data on the hospital-acquired infection cases for a particular surgical procedure and
surveillance in the intensive care units. Under the house bill, the Secretary of Health shall
determine the different types of infections present in the hospital. (Camero, Jazmin, 2009)
House Bill 5905 also known as the "Hospital-Acquired Infections Disclosure Act of
2009" requires all hospitals to submit a yearly report of all the collected data regarding
hospital- acquired infection cases to the Department of Health then, the DOH will submit a
report to the congress summarizing all the data submitted by the hospitals. (Camero,
Jazmin, 2009)
The Department of health shall also appoint members of the advisory committee
which includes the physicians, representation of infection control department of both
private and public hospitals, academic researchers, epidemiologists, health maintenance
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organization and health insurers who will help the department formulate and establish
standards, rules and regulations needed to execute this bill. (Camero, Jazmin, 2009)
According to Tessa Tan-Torres, M.D., “surveillance is the close and continuing
observation of an individual or group. Its goal, in the hospital is the collection of accurate,
reliable and timely data on infections and notifiable diseases acquired within the hospital.
Surveillance data also includes information on risk factors, etiologic agents and
antimicrobial susceptibility.”
The specific aims of surveillance are the following:
1. detect the areas of concern in terms of infection control;
2. identify potential epidemics;
3. assess and consider the effectiveness of infection control measures;
4. remind the personnel about the infection control practices.
5. give and provide a basis for comparison with other services.
Surveillance of nosocomial infections is not a control measure by itself and the
presence of ICC personnel can possibly lead to a stricter adherence on infection control
practices among the hospital staff.
In the Philippine journal of microbiology and infectious diseases, it was stated that
“nosocomial infections continue to be of major clinical and epidemiological importance” and
this might be because of the continuous incidence of transmission of nosocomial
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infections; which is greatly associated with improper delivery of health. This kind of
infection develops during a client’s confinement at the clinical facility, but not also that this
can be manifested even after the client is discharge. Moreover, nosocomial infections are
not limited to patients but also the health care workers can also acquire this situation which
usually gives a significant effect on the health workers lifestyle.
LOCAL STUDY
A study about the incidence of nosocomial infections within a tertiary hospital was
formulated by “Bienvido Alora, M.D., Enrique Carandang, M.D. and Ludovico Jurao, Jr
M.D.” they stated that “the problem of hospital-acquired or nosocomial infections have
baffled physicians for a long time. The awareness of the extent and significance of this
problem became apparent in the past two or three decades as more studies have been
published.” With this the researchers can say that due to the increase of the studies made
for this topic the incidence of nosocomial infection within a hospital is still on hand.
Moreover, according to Rebecca Littaua, M.D. and Thelma Tupasi, M.D, they stated,
“despite major advances in antimicrobial therapy, nosocomial infections continue to be of
major clinical and epidemiologic importance. Because nosocomial infections constitute a
major source of morbidity, mortality and expense for the hospitalized patient, a prospective
study was undertaken to determine the incidence and identify the major determinants of
morbidity and mortality to serve as basis for recommending preventive measures against
nosocomial infection.”
Another important contribution is Katz SS. M.D. who made an unpublished study
about treatments and guidelines for nosocomial infections. According to her, “Health care
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workers should be equipped with requisite knowledge, skills and attitudes for good
infection control practices. The infection control team should: assess training needs of the
staff and provide required training through awareness programs, in-service education and
on-the-job training; organize regular training programs for the staff for essential infection
control practices that are appropriate to their job description; provide periodic re-training or
orientation of staff; and review the impact of training.” Hence the researchers further belief
that the study should not only focus on the frequency of the nosocomial infections but also
the preventive strategies that can be used to lessen the incidence rate of the problem.
RELEVANCE OF THE REVIEWED LITERATURE AND STUDIES TO THE PRESENT
STUDY
The researcher’s present study relates to the previously gathered and reviewed
literatures which show the relevance on the study about the prevention of nosocomial
infections as perceived by staff nurses of FEU-NRMF.
The present study conducted by the researchers used a descriptive method such
like other studies and made use of questionnaires that be given to the respondents and to
be answered while interviewing the respondents.
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CHAPTER III
Research Methodology
RESEARCH DESIGN
This study used the descriptive research. It is used to determine if there is certain
relationship between variables. Descriptive research was defined as “research studies in
which phenomena are described on the relationship between variables is examined; no
attempt is made to determine the cause-and-effect relationships”.
SUBJECT
This study about the prevention of nosocomial infections as perceived by the staff
nurses involved a target total of 33 nurses positioned within the service wards of selected
station of Far Eastern University – Dr. Nicanor Reyes Medical Center as our respondents.
RESEARCH INSTRUMENTS
The researchers used the questionnaire for gathering and researching the
information needed in the study. It is aimed towards determining the prevention of
nosocomial infections as perceived by staff nurses of Far Eastern University – Dr. Nicanor
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Reyes Medical Center. The questionnaire was formulated with the use of the researcher’s
basic knowledge acquired from literary sources and class discussions.
The questionnaire contains three parts. The first part was used to gather data about
the personal profile of the respondents, including the name, age, civil status, educational
attainment, nurse’s action and the length of service. The second part contains gathered
data about the most common nosocomial infections present and encountered in the
hospital as perceived by the staff nurses of FEU-NRMF. The third part contains gathered
data about the respondent’s practiced precautionary measures.
DATA GATHERING PROCEDURE
The descriptive method was used by the researchers of this study. After the retrieval
of the questionnaires, the obtained data are carefully and manually tabulated and tallied by
the researchers. The items with the most frequency were identified in order to arrive at an
accurate interpretation of the results. The percentage of each item is also reflected on the
tabulation to help the researchers have a clearer analysis of the survey’s result.
STATISTICAL TREATMENT
The following are statistical tools we used to treat research data for in depth solution
of problems:
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1. Slovin’s Formula- is the scientific way of determining a representative or acceptable
sample size from any given population.
Formula: n = N
(1+Ne^2)
Where:
n= sample size
N= population size
e= margin of error (usually 0.05, since the preferred confidence level in sampling is
95%).
2. Frequency Distribution - is the tabulation of data by category or class intervals with
corresponding frequency with each class.
3. Relative Frequency – is used to convert distribution to percentage distribution.
Formula: % = f / n x 100
Where: % = is the relative frequency
f = frequency
n = number of respondents
4. Percentage- is computed to determine the proportional part to a whole such as given
numbers of respondents in relation to the entire population.
Formula: P = f / n x 100
Where: P = percentage
f = frequency
n = total umber of respondents
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5. Ranking is used to determine the order of decreasing or increasing magnitude of
variables. The largest frequency is ranked 1 and the second is 2 and so and so on
down to the last rank.
6. Weighted Mean – is the sum of item values times the weight divided by the number
of items; is used in determining the perceptions of the respondents on effects of
physical environment in reducing nursing care.
7. Likert Scale – summated rating scale; is the most widely used scale; the sum of all
responses are calculated to arrive at degree at which an individual possesses the
attribute measured.
BIBLIOGRAPHY
Fundamentals of Nursing; Seventh Edition, Kozier and Erb, 2004
Nosocomial Infection in a Tertiary Hospital: a Two Year surveillance at Sto. Tomas Hospital. ,
B. Alora, MD. Et al.
Nosocomial Infection at Makati Medical Center: A Prospective Study and Analysis of Risk
Factors, R. Littaua, MD.
Nurses on Duty, by John Smith;2009
Preventing the Spread of Disease: tips for Providers, by Margie Edgar; 1996
Treatment and guidelines for Nosocomial Infection, by Katz Ss.
Supplemental lecture, by Stephen abedon; 2009
Prevention and Control of Nosocomial Infections, by John A. Bosso; 2004
Handwashing program for the prevention of nosocomial infections in neonatal intensive care
unit. By sau-pin won et. al 2004
24
Surveillance of Nosocomial Infections, by Tan-Torres, Tessa M.D.; 1997
Fourteenth Congress of the Republic of the Philippines, Second Regular Session, by
Senator Miriam Santiago; 2009
Solon moves to prevent the spread of hospital- acquired infection, by Jazmin Camero;
2009
Nosocomial Spread of Viral Disease, by Celia Aitken et. al., 2001
Best Ways to Prevent Nosocomial Infections by Katrena Wells, 2009
Bridger JC. A Study of Nurses’ Views about the Nosocomial Urinary Tract Infections 1997
Suzanne Beyea. Nosocomial Infections; Hand-washing Compliance; Comparing hand
hygiene protocols; Sensor-operator faucets - Evidence For Practice 2003
Improving Nurses’ Hand Washing Compliance by Journal of Hospital Infection, 2002
Torregrossa M.V. et. al. Prevention of Hospital-Acquired Infections in the Palermo Center
2000
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Dear respondents,
We are third year nursing students of Far Eastern University-Dr. Nicanor Reyes
Medical Foundation and we would like to ask you to honestly answer our questionnaire for
our thesis regarding the prevention of nosocomial infection as perceived by staff nurses of
Far Eastern University-Dr. Nicanor Reyes Medical Center.
We promise to keep your answers confidential. Thank You!
The researchers
Fill in the following needed information:
Name:
Age:
Civil Status:
Educational Attainment:
Length of service in the hospital:
Legend:
5- Always
4- Often
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3- Sometimes
2- Seldom
1- Never
Mark the item that corresponds to your answer:
1. How often do you encounter the following nosocomial infections in the hospital?
5 4 3 2 1
Chicken pox
Cholera
Dengue
Hemorrhagic
Fever (DHF)
Diarrhea
Diphtheria
Hepatitis A
Hepatitis B
Hepatitis C
Influenza
Measles
Mumps
Pertussis
Pneumonia
Tuberculosis
2. In your own opinion, how often do you perceive each modes of transmission as being
the common cause of incidence of nosocomial infection in the hospital setting?
5 4 3 2 1
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Direct
contact
Indirect
contact
Droplet
transmission
Airborne
transmission
Common
vehicle
transmission
Vector borne
transmission
3. In your own opinion, how frequent does the following symptoms of nosocomial infection
being exemplified, shown or referred to by the clients?
5 4 3 2 1
Breathing
difficulties
Fever
Inflammation
Infection
Night sweats
Pain
Swelling
4. How often do you practice the following precautionary measures in the hospital?
5 4 3 2 1
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Hand
washing
Use of
protective
gears (e.g.
cap, mask,
gloves)
Proper
Sanitation
Controlling
spread of
infection
Sterilization
Surveillance
Isolation
Personal
hygiene
Safe
injection
practices
Cleaning of
the hospital
environment
Disinfection
of patients
equipments
5. How often do you practice the following nursing responsibilities?
5 4 3 2 1
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■ promoting the improvement ofnursing techniques and review of asepticnursing policies■ monitoring of nursing adherence to rules and policies■ maintaining hygiene, consistent with hospitalpolicies ■ instructing collection of culturespecimens from patients showing any signs of having acommunicable disease, when the physician is notimmediately available and initiating patient isolation■ participating in the outbreak investigation■ Informing quickly the attending
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physician for any signs orevidence of infection in patients under the nurse’scare■ limiting client’s exposure to infections from hospital staff,visitor, other patients, or equipmentsused for treatment and diagnosis. ■ maintaining an adequate and safe supply of drugs or medications, wardequipments, and patient care supplies.■ monitoring aseptic techniques, including use of isolation and hand washing■ Excellent nursing practice on the ward
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