Knowledge, attitudes and practices of COVID-19 infection prevention and control among nurses in the intensive care unit at Groote Schuur Hospital, Cape Town
dc.contributor.advisor | English, Rene | en_ZA |
dc.contributor.advisor | Dramowski, Angela | en_ZA |
dc.contributor.author | Onga, Bangani | en_ZA |
dc.contributor.other | Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Global Health. Health Systems and Public Health. | en_ZA |
dc.date.accessioned | 2022-08-31T13:36:30Z | en_ZA |
dc.date.available | 2022-08-31T13:36:30Z | en_ZA |
dc.date.issued | 2022-03 | en_ZA |
dc.description | Thesis (MPhil)--Stellenbosch University, 2022. | en_ZA |
dc.description.abstract | ENGLISH ABSTRACT: Introduction: Critical care environments rapidly adapted infection prevention and control (IPC) practices in response to the COVID-19 pandemic. Critical care nurse’s knowledge, attitudes, and practices (KAP) regarding COVID-19 IPC may impact the risk of healthcare-associated COVID-19 transmission. Methods: A mixed-methods study was conducted among intensive care unit (ICU) nurses at Groote Schuur Hospital, Cape Town, South Africa between 20 April and 30 May 2021. Participants completed anonymous, self-administered, 33-item KAP questionnaires and individual interviews regarding their lived experiences and perceptions of COVID-19 IPC in critical care. Results: One hundred and sixteen ICU nurses participated (93.5% response rate) including 57 professional nurses (49.0%), 34 enrolled nurses (29.0%) and 25 enrolled nursing assistants (22.0%) with young females (31-49 years) predominating (99; 85.3%). Nurses’ overall COVID-19 IPC knowledge scores were moderate-good (78%), with professional nurses having significantly better knowledge regarding the route of SARS-CoV-2 transmission (p<0.001). ICU nurses’ attitude scores to COVID-19 IPC were low (55%), influenced by limited IPC training, insufficient time to implement IPC precautions and shortages of personal protective equipment (PPE). Respondents’ scores for self-reported COVID-19 IPC practices were moderate (65%); the highest compliance was reported for performing hand hygiene after touching patient surroundings (68%). Only half of the respondents (47%) had undergone N95 respirator fit-testing, despite working in a high-risk environment for COVID-19 transmission. Conclusion: Regular and intensive training on COVID-19 IPC precautions should be provided to equip ICU nurses with the requisite knowledge and skills to prevent healthcare-associated COVID-19 transmission. Enhanced IPC training and consistent PPE availability may contribute to more favourable attitudes and better IPC practices among ICU nurses. | en_ZA |
dc.description.abstract | AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. | en_ZA |
dc.description.version | Masters | en_ZA |
dc.format.extent | 37 pages : illustrations | en_ZA |
dc.identifier.uri | http://hdl.handle.net/10019.1/125675 | en_ZA |
dc.language.iso | en_ZA | en_ZA |
dc.publisher | Stellenbosch : Stellenbosch University | en_ZA |
dc.rights.holder | Stellenbosch University | en_ZA |
dc.subject | COVID-19 (Disease) -- Prevention | en_ZA |
dc.subject | Communicable diseases | en_ZA |
dc.subject | Intensive care units | en_ZA |
dc.subject | Medicine, Preventive | en_ZA |
dc.subject | Intensive care nursing -- Safety measures | en_ZA |
dc.subject | UCTD | en_ZA |
dc.title | Knowledge, attitudes and practices of COVID-19 infection prevention and control among nurses in the intensive care unit at Groote Schuur Hospital, Cape Town | en_ZA |
dc.type | Thesis | en_ZA |