Effects of Multimodal Strategies on Knowledge and Practices for Prevention of Multidrug-Resistant Organisms Transmission Among Nurses, Semi-Critical Care Unit, Regional Hospital


  • Prapatsorn Detsri Master of Nursing Science Program in Nursing Care for Patient with Infectious Disease and Infection Control, Faculty of Nursing, Chiang Mai University
  • Nongyao Kasatpibal Faculty of Nursing, Chiang Mai University
  • Nongkran Viseskul Faculty of Nursing, Chiang Mai University


Multidrug-resistant organisms, Multimodal strategies, Knowledge, Practices


Multidrug-resistant organisms (MDROs) are a major medical problem in every country, especially in semi-critical care units in Thailand. Knowledge and compliance with guidelines for prevention of MDROs transmission among nurses are important. This quasi-experimental research aimed to examine the effects of multimodal strategies on knowledge and practices for prevention of MDROs transmission. The study sample included 26 nurses in a semi-critical care unit at a regional hospital from November 2018 to February 2019. The multimodal strategies consisted of education, a reminder poster, feedback, and provision of mobile personal protective equipment (PPE). Research instruments included a demographic data questionnaire, a knowledge test, and an observational recording form. Data were analyzed using descriptive statistics, t-test, Chi-squared test, and Fisher exact test.

            After implementing these multimodal strategies, average knowledge scores on prevention of MDROs transmission increased significantly from 14.85 to 18.08 (p< .01) and the overall correct practices in prevention of MDROs transmission increased from 62.42% to 87.13% (p<. 001).   

            This research shows that multimodal strategies can enhance knowledge and practice in prevention of MDROs transmission among nurses in a semi-critical care unit. Application of multimodal strategies may improve knowledge and practices in prevention of MDROs transmission among nurses in other semi-critical care units.


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