الفهرس 
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Abstract
Summary
Critically ill patients are at risk of resistant infection for several reasons, including, abnormal immune systems, high use of antibiotics, invasive procedures, decreased resistance to infection, reduced nutrition, and prevalence of resistant infections in intensive therapy unit. Assessment standard precautions are designed to protect healthcare professionals and patients from exposure to potentially infected blood and body fluids by applying the fundamental principles of infection prevention.
Aim of the study:
This study aimed to assess the extent of the nursing team commitment to infection control protocol in critical cases units.
Through the following:
1. Assess level of nurse’s knowledge regarding infection control protocol in critical cases units.
2. Assess level of nurse’s commitment to infection control protocol in critical cases units.
3. Assess the nurses opinion towards standards of commitment to infection control protocols in critical care.
Research questions:
1. What is the level of nurse’s knowledge in critical cases units as regarding infection control in ICU?
2. What is the level of nurse’s commitment as regarding protocol of infection control in ICU?
3. What is the nurses opinion towards standards of commitment to infection control protocols in ICU?
4. Is the relation between the level of nurse’s knowledge and their commitment of infection control protocol in ICU?
Subjects and Methods:
Research design:
A descriptive exploratory research design was used to achieve the aim of the current study.
Setting:
The study was conducted in critical care units at Main Asyut University Hospital.
Subjects:
A convenience sample of all available nurses including (50 nurses) who were working in critical care units at Main Asyut University Hospital, who are working at the above mentioned study setting and participated in this study.
Tools for data collection:
Two tools were used in the current study as the following:
Tool I- Nurses’ structured Interviewing questionnaire (Appendix I): this questionnaire was developed by the investigator in Arabic language based on relevant recent literature and adapted from (Al-Faouri et al., 2021, Donati et al., 2019& Houghton et al., 2020) (. it included two parts:
Part 1: Nurses’ Demographic characteristics: It concerned with demographic characteristics of the studied nurses involved five closed ended questions (age, gender, qualifications level, and years of experience, and infection control training course).
Part 2: Nurses’ Knowledge regarding infection control protocol in critical cases Units. this part used to assess nurses’ knowledge regarding infection control protocol in critical cases units
Tool II - Nurses’ Observation checklist commitment to infection control protocol in critical cases units (Appendix II): This part adapted from (WHO2020- CDC2021) and modified by their investigator according the aim of the current study.
Tool III - Nurses’ opinion questionnaire commitment to infection control protocols in critical care. (Appendix III): Its developed by the investigator in Arabic language based on relevant recent literature and adapted from (Alhumaid et al., 2021) & (Das et al., 2020) and include factors related to three major criterions as individual, organization and environment.
Field work:
1. Data were done 3 days /week by the researcher in morning and afternoon shifts. from Sunday to Thursday for 3 months starting from October 2022 to December 2022, it takes 8 hours from (9am to 1 pm and from 3 pm to 7 pm).
2. Before starting date collection, a written official permission was obtained from the responsible authorities in the study hospital. this was based on a letter sent from the dean of the faculty of nursing, Ain- shams university, explaining the aim of the study.
3. Before starting date collection, a written official permission was obtained from the responsible authorities in the study hospital. this was based on a letter sent from the dean of the faculty of nursing, Ain- shams university, explaining the aim of the study.
4. data were collected after meeting with the nurses included in the study to get their approval to participate in the study and explaining the aim of the study.
5. The questionnaire for knowledge administered to each nurses individually to be fulfilled while the checklist were fulfilled by the investigator through observing the nurses during work and the opinion questionnaire were administered to each nurses individually to be fulfilled.
6. The questionnaire for knowledge administered to each nurses took about 15-20 min while the checklist took about 30-45 min and opinion questionnaire took about 20-25 min to fulfilled.
Administrative design:
An official approval letters were issued from faculty of nursing, Ain Shams University to get permission from the director of Asyut University Hospital explaining the purpose of the study to obtain the permission for conducting this study.
Statistical design:
The data were tested for normality using the Anderson-Darling test and for homogeneity variances prior to further statistical analysis. Categorical variables were described by number and percent (N, %), where continuous variables described by mean and standard deviation (Mean, SD). Chi-square test and fisher exact test used to compare between categorical variables where compare between continuous variables by t-test \and ANOVA TEST. person Correlation Used to Appear the Association between Nurses’ Knowledge related to infection control and Observation checklist commitment related to infection control.
• Non-significant p > 0.05
• Significant p ≤ 0.05
• Highly Significant p < 0.05
Results:
- 62.0% of the studied nurses had unsatisfactory level of knowledge regarding commitment to infection control in critical care unit.
- 86.0% of the studied nurses had unsatisfactory level of commitment to infection control in critical care unit.
- 40% of total nurses opinion regarding the individual factors had strongly agreed towards standards of commitment to infection control protocols in critical care.
- 50% of total nurses opinion regarding the individual factors had disagreed towards standards of commitment to infection control protocols in critical care.
- There was a significant negative correlation between Nurses’ Knowledge and practice regarding commitment to infection control in critical care unit.
- There was no statistically significant deference between demographic data and nurse’s practice regarding commitment to infection control in critical care unit.
Conclusion:
Based on the results of the current study, it can be concluded that: more than two third of studied nurses had unsatisfactory level of knowledge. While, more majority of them had incompetant level of practice regarding commitment of infection control protocol in critical care units and more than one third of total nurses opinion regarding the individual factors had strongly agreed towards standards of commitment to infection control protocols in critical care In addition, there was a significant negative correlation between Nurses’ Knowledge and practice regarding commitment to infection control in critical care unit.
Recommendation:
Based on the results of this study the following recommendation was suggested:
• Continuous evaluation of nurse’s knowledge and practice to identify nurses educational needs regarding infection control protocol
• -Availability and accessibility of written guidelines in intensive care unit. - Continuing in service education for nurses based on the evidence based practices for application of for infection control protocol in critical care units.
• -Providing orientation programs for newly joined ICU nurses about infection control protocol.
• Further research is recommended to evaluate the effect of training program of nurse’s performance regarding infection control protocol.