Assessment of cognitive and psychomotor domains regarding biomedical waste management and hand hygiene among various categories of health‑care professionals at a tertiary care center in Northern India
نویسندگان
1 Department of Pathology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
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5 Department of Virology, Institute of Liver and Biliary Sciences, New Delhi, India
6 Department of Psychiatry, Dr. Yashwant Singh Parmar Medical College, Nahan, Sirmour, Himachal Pradesh, India
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چکیده
BACKGROUND: Health care‑associated infections (HAIs) are associated with high morbidity,mortality, and costs in the health‑care sector. Large proportions of HAIs are preventable by followinginfection prevention activities such as hand hygiene (HH) and biomedical waste management (BMWM).AIM: The aim was to evaluate the effectiveness of a structured teaching session on the cognitiveand psychomotor domains of BMWM and HH practices in a tertiary health‑care institute.MATERIALS AND METHODS: Every participant was evaluated for pretest knowledge assessmentusing a prestructured format along with skill demonstration. The training included interactive sessions,open discussion, and demonstration of various skills with the active participation of various participantsby trained faculty and infection control nursing officers. On completion, every participant underwentposttest evaluation.RESULTS: During 11‑month study period, 450 health‑care professionals (HCPs) participated inthe training program. Cognitive domain score increased from 16.3 ± 2.4 to 21.3 ± 2.0 from pre‑ topost‑test, respectively. In psychomotor domain, pre‑ and post‑test scores for HH were 8.3 ± 3.5and 14.3 ± 1.4, for BMWM, the corresponding values were 8.6 ± 2.1 and 9.8 ± 0.7, respectively.Overall change in the mean (± standard deviation) score between pre‑ and post‑test for variousdomains of assessment was 5.0 (±2.7), 6.0 (±3.5), 1.1 (±1.8), and 12.2 (±5.3) for knowledge, HHskill demonstration, BMW segregation skill, and cumulative assessment, respectively.CONCLUSION: The initiation of a structured training program can result in a significant increase inparticipants’ cognitive and psychomotor domains of learning, which may have an indirect impact onthe prevention of HAIs.
