Development of Nursing Practice Guidelines for Prevention of Infections in Prisons
Keywords:
Development, Practice Guidelines, Prevention of Infections, Prisons, Registered NurseAbstract
Prison-associated infections can impact the physical and mental health of both prisoners and personnel working in prisons. All prisons have to implement measures for prevention of infections and disease transmission. The aim of this developmental research was to develop a Nursing Practice Guidelines for Prevention of Infections in Prisons using Delphi Technique. The study was conducted from August to December 2016.
The researcher reviewed the guidelines for prevention of infections in prisons of many organizations, and developed draft guidelines that were tested for content validity by 17 infection prevention and control experts, which included physicians, nursing instructors, infection control nurses and registered nurses who had experiences in caring for prisoners. A self-administered questionnaire about the possibilities in applying the developed guidelines was sent by post to 142 registered nurses working in all the prisons in Thailand.
The results of the study revealed that nursing practice guidelines for prevention of infections in prisons consisted of ten main activities including contact precautions, droplet precautions, airborne precautions, hand hygiene, wearing personal protective equipment (PPE), prevention of needlestick and sharp injury (NSI), management of medical instrument and the environment, specimen collection, and linen and infectious waste management. One hundred and six registered nurses responded, with a response rate of 74.6%. For all of the ten main activities, 82.3% of respondents agreed that it was practical to follow the developed guidelines. The activity which respondents agreed was the most practical to practice was prevention of NSI (92.7%) followed by management of linen (85.6%), specimen collection (85.4%), droplet precautions (84.1%), hand hygiene (83.4%), contact and airborne precautions (81.1%), respectively. Less than 80% of respondents agreed that the activities that they could apply were the following: wearing PPE (77.8%), management of medical instrument and environment (77.1%), and infectious waste management (74.2%).
Prisons should promote these practices and support necessary equipment in the prevention of infections for registered nurses so that they can effectively prevent infection and disease transmission in the prisons.
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