Effect of Educational Intervention on The Knowledge of Health Workers Regarding Exposures to Blood borne Pathogens

Authors

  • Garba Jamiu Olalekan Ishola MAHSA UNIVERSITY
  • Nahla Abduljaleel Alsaidi MAHSA University

Keywords:

healthcare workers, knowledge, attitudes, practices, occupational safety and health, Blood borne Pathogen

Abstract

Introduction:

Healthcare workers (HCWs) face a multitude of occupational hazards, including the risk of blood borne infections resulting from sharp instrument injuries and exposure of skin and mucous membranes to contaminated blood and body fluids (BBF). Existing empirical evidence, albeit limited, indicates a deficiency in the knowledge of occupational safety among health workers, consequently raising concerns about their adherence to safety-related practices. Nonetheless, numerous studies have demonstrated that enhanced knowledge regarding safety precautions can mitigate the risk of exposure to diseases transmitted through blood and body fluids.

Objective:

The purpose of this study was to find out the effectiveness of educational intervention in improving knowledge of universal precautions among Health workers about exposures to blood pathogens. Specifically, it examined literature published between 2017 and 2023.

Methods:

This study conducted a literature review on published articles about the effectiveness of educational programs on knowledge of health workers about safety measures against exposure to blood pathogens.

Results:

There were disparities in baseline knowledge levels among healthcare workers. While some studies indicated poor knowledge pre-intervention, others reported relatively high levels, particularly regarding certain aspects such as injection safety or HIV guidelines. However, educational interventions significantly improved workers' knowledge regarding blood borne pathogens and reduced exposure risks.

Conclusion:

All studies highlighted the effectiveness of educational interventions in improving healthcare workers' knowledge of blood borne pathogens. Significant increases in knowledge scores were observed post-intervention across various studies, indicating the efficacy of educational programs in enhancing understanding and awareness.

References

Kisting S, Wilburn S, Protsiv M, Hsu LN. Improving health workers’ access to HIV and TB prevention, treatment, care and support services. World Hosp Health Serv. 2010;46(4).

Wilburn SQ, Eijkemans G. Preventing needlestick injuries among healthcare workers: A WHO-ICN collaboration. Vol. 10, International Journal of Occupational and Environmental Health. 2004.

World Health Organization, WHO, World Health Organization. Occupational safety and health in public health emergencies: Ginebra, Suiza: World Health Organization. 2018.

Aluko OO, Adebayo AE, Adebisi TF, Ewegbemi MK, Abidoye AT, Popoola BF. Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers. BMC Res Notes. 2016;9(1).

Giard M, Laprugne-Garcia E, Caillat-Vallet E, Russell I, Verjat-Trannoy D, Ertzscheid MA, et al. Compliance with standard precautions: Results of a French national audit. Am J Infect Control. 2016;44(1).

Mbah CCE, Elabor ZB, Omole OB. Occupational exposure to blood and body fluids among primary healthcare workers in johannesburg health district: High rate of underreporting. South African Family Practice. 2020;62(1).

Wnuk AM. Occupational exposure to HIV infection in health care workers. Medical Science Monitor. 2003;9(5).

Beltrami EM, Williams IT, Shapiro CN, Chamberland ME. Risk and management of blood-borne infections in health care workers. Vol. 13, Clinical Microbiology Reviews. 2000.

Trim JC, Elliott TSJ. A review of sharps injuries and preventative strategies. Vol. 53, Journal of Hospital Infection. 2003.

Hosoglu S, Akalin S, Sunbul M, Otkun M, Ozturk R. Healthcare workers’ compliance with universal precautions in Turkey. Med Hypotheses. 2011;77(6).

Hanafi MI, Mohamed AM, Kassem MS, Shawki M. Needlestick injuries among health care workers of University of Alexandria hospitals. Eastern Mediterranean Health Journal. 2011;17(1).

Nugmanova Z, Patel N, Nurbakhyt A, Akhmetova GM, Kovtunenko N, Trumova Z, et al. Universal precautions in Central Asia: The need for multiple strategies in this window of opportunity. Journal of Hospital Infection. 2015;89(3).

Stein AD, Makarawo TP, Ahmad MFR. A survey of doctors’ and nurses’ knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals. Journal of Hospital Infection. 2003;54(1).

Hesse A, Adu-Aryee N, Entsua-Mensah K, Wu L. Knowledge, attitude and practice universal basic precautions by medical personnel in a Teaching Hospital. Ghana Med J. 2006;40(2).

Powers D, Armellino D, Dolansky M, Fitzpatrick J. Factors influencing nurse compliance with Standard Precautions. Am J Infect Control. 2016;44(1).

El Beltagy K, El-Saed A, Sallah M, Balkhy HH. Impact of infection control educational activities on rates and frequencies of percutaneous injuries (PIs) at a tertiary care hospital in Saudi Arabia. J Infect Public Health. 2012;5(4).

Alemie GA. Exploration of healthcare workers’ perceptions on occupational risk of HIV transmission at the University of Gondar Hospital, Northwest Ethiopia. BMC Res Notes. 2012;5.

Balkhy HH, El Beltagy KE, El-Saed A, Sallah M, Jagger J. Benchmarking of percutaneous injuries at a teaching tertiary care center in Saudi Arabia relative to United States hospitals participating in the Exposure Prevention Information Network. Am J Infect Control. 2011;39(7).

Darawad MW, Al-Hussami M. Jordanian nursing students’ knowledge of, attitudes towards, and compliance with infection control precautions. Nurse Educ Today. 2013;33(6).

Arinze-Onyia SU, Ndu AC, Aguwa EN, Modebe I, Nwamoh UN. Knowledge and practice of standard precautions by health-care workers in a tertiary health institution in Enugu, Nigeria. Niger J Clin Pract. 2018;21(2).

Kuwabara T, Chayama K, Tanaka S, Oka S, Hiyama T, Yoshihara M. Compliance with standard precautions among gastrointestinal endoscopists and endoscopy nurses in Japan. Vol. 40, American Journal of Infection Control. 2012.

Beyamo A, Dodicho T, Facha W. Compliance with standard precaution practices and associated factors among health care workers in Dawuro Zone, South West Ethiopia, cross sectional study. BMC Health Serv Res. 2019;19(1).

Hakim SA, Mohsen A, Bakr I. Knowledge, attitudes and practices of health-care personnel towards waste disposal management at Ain Shams University Hospitals, Cairo. Eastern Mediterranean Health Journal. 2014;20(5).

Gulifeiya1 A, Rahmah2 MA. Nurses awareness and attitude towards hiv/aids and universal precautions: a cross-sectional study in UKMMC. Vol. 14, Journal of Community Health. 2008.

Lam SC. Universal to standard precautions in disease prevention: Preliminary development of compliance scale for clinical nursing. Int J Nurs Stud. 2011;48(12).

Nagao Y, Baba H, Torii K, Nagao M, Hatakeyama K, Iinuma Y, et al. A long-term study of sharps injuries among health care workers in Japan. Am J Infect Control. 2007;35(6).

Almutairi NS, Tamrin SBBM, Guan NY, How V. Review of knowledge, attitude, and practice among laboratory workers towards occupational safety and health. Vol. 16, Malaysian Journal of Medicine and Health Sciences. 2020.

Jankovic S, Bojanic J, Jovic-Vranes A, Marinkovic J, Jankovic J. Knowledge, attitudes and practices towards blood-borne pathogens in healthcare workers in Banja Luka, Bosnia and Herzegovina. Cent Eur J Med. 2009;4(4).

Ogbondah BO. Effect of Health Education Intervention on Knowledge of Universal Safety Precaution Among Primary Health Care Workers in Rivers State, Nigeria. The Nigerian Health Journal. 2021;20(3):111–21.

AJALA EM, OJEDOKUN IM. EFFECTIVENESS OF OCCUPATIONAL HEALTH INTERVENTION PROGRAMME ON WORK PLACE ENVIRONMENTAL RISKS AND STRESS MANAGEMENT AMONG NURSES IN SOUTH-WEST NIGERIA. Journal of Humanities, Social Science and Creative Arts. 2017;11(1).

Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology: Theory and Practice. 2005;8(1).

Colquhoun HL, Levac D, O’Brien KK, Straus S, Tricco AC, Perrier L, et al. Scoping reviews: Time for clarity in definition, methods, and reporting. Vol. 67, Journal of Clinical Epidemiology. 2014.

The Joanna Briggs Institute. The Joanna Briggs Institute Reviewers’ Manual 2015: Methodology for JBI scoping reviews. Joanne Briggs Institute. 2015;

EPHPP. Quality assessment tool for quantitative studies. Effective Public Health Practice Project McMaster University, Toronto. 2010;(1998).

Thomas BH, Ciliska D, Dobbins M, Micucci S. A process for systematically reviewing the literature: Providing the research evidence for public health nursing interventions. Worldviews Evid Based Nurs. 2004;1(3).

Genberg BL, Shangani S, Sabatino K, Rachlis B, Wachira J, Braitstein P, et al. Improving Engagement in the HIV Care Cascade: A Systematic Review of Interventions Involving People Living with HIV/AIDS as Peers. AIDS Behav. 2016;20(10).

Shangani S, Escudero D, Kirwa K, Harrison A, Marshall B, Operario D. Effectiveness of peer-led interventions to increase HIV testing among men who have sex with men: a systematic review and meta-analysis. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2017;29(8).

N. EL, H ET, S S. EFFECT OF HEALTH EDUCATION PROGRAM ABOUT BLOOD BORNE PATHOGENS (BBPS) TRANSMISSION ON PRIMARY HEALTH CARE WORKERS IN ISMAILIA CITY (AN INTERVENTION STUDY). Egypt J Occup Med. 2013;37(2).

Saleh DA, Elghorory LM, Shafik MR, Elsherbini EE. Improvement of knowledge, attitudes and practices of health care workers towards the transmission of blood-borne pathogens: an intervention study. J Egypt Public Health Assoc. 2009;84(5–6).

Mohamed RA, Nour-Eldein H. Effect of Education Intervention on Prevention of Bloodborne Infections for Health Care Workers in Family Medicine Centers , Suez Canal University in Ismailia City , Egypt. World Family Medicine Journal/Middle East Journal of Family Medicine. 2016;14(2).

Bassyouni RH, Wegdan AA, El-Sherbiny NA. The fundamental role of educational intervention on improving health care workers’ knowledge, attitude and practice towards infection control precautions. Int J Infect Control. 2016;12(3).

Enwere OO kezie, Diwe KC hiekulie. Knowledge, perception and practice of injection safety and healthcare waste management among teaching hospital staff in south east Nigeria: an intervention study. Pan Afr Med J. 2014;17.

Akamike IC, Okedo-Alex IN, Uneke CJ, Uro-Chukwu HC, Chukwu OE, Ugwu NI, et al. Evaluation of the effect of an educational intervention on knowledge and adherence to hiv guidelines among frontline health workers in alex-ekwueme federal university teaching hospital abakaliki, Nigeria. Afr Health Sci. 2020;20(3).

Lin H, Wang X, Luo X, Qin Z. A management program for preventing occupational blood-borne infectious exposure among operating room nurses: an application of the PRECEDE-PROCEED model. Journal of International Medical Research. 2020;48(1).

Suchitra J, Lakshmi Devi N. Impact of education on knowledge, attitudes and practices among various categories of health care workers on nosocomial infections. Indian J Med Microbiol. 2007;25(3).

Shrestha I. Impact of Educational Intervention on Knowledge and Practice of Universal Precautions among Nurses. Journal of Patan Academy of Health Sciences. 2015;1(1).

Arcanjo RVG, Christovam BP, Souza NVD de O, Silvino ZR, da Costa TF. Knowledge and practices of nursing workers on occupational risks in primary health care: An intervention trial. Enfermeria Global. 2018;17(3).

Mehrdad R, Meshki M, Pouryagub G. Effects of training course on occupational exposure to bloodborne pathogens: A controlled interventional study. Int J Prev Med. 2013;4(11).

Lin H, Wang X, Luo X, Qin Z. A management program for preventing occupational blood-borne infectious exposure among operating room nurses: an application of the PRECEDE-PROCEED model. Journal of International Medical Research. 2020;48(1).

Ameen N, Soliman S, Ahmed A, Hussien M. EFFECT OF WEB-BASED COURSE ON KNOWLEDGE AND ATTITUDE OF HEALTH CARE PROFESSIONALS IN RELATION TO BLOOD BORNE PATHOGENS. Mansoura Nursing Journal. 2019;6(2).

Mukti AG, Treloar C, Suprawimbarti, Asdie AH, D’Este K, Higginbotham N, et al. A universal precautions education intervention for health workers in Sardjito and PKU Hospital Indonesia. Southeast Asian Journal of Tropical Medicine and Public Health. 2000;31(2).

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Published

2024-09-02

How to Cite

Olalekan Ishola, G. J., & Alsaidi, N. A. (2024). Effect of Educational Intervention on The Knowledge of Health Workers Regarding Exposures to Blood borne Pathogens. International Journal of Public Health Research, 14(2), 1937–1947. Retrieved from https://spaj.ukm.my/ijphr/index.php/ijphr/article/view/496