Evidence map›Paper›PMID 32678049›Full record

ArticleAntimicrobial resistance and infection control2020

Healthcare workers' perspectives on healthcare-associated infections and infection control practices: a video-reflexive ethnography study in the Asir region of Saudi Arabia.

Esther Paul, Ibrahim A Alzaydani Asiri, Ahmed Al-Hakami, Harish C Chandramoorthy, Sarah Alshehri, C M Beynon, Abdullah M Alkahtani, Ali H Asiri

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Article
  5. Observational
  6. Article
  7. Article
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  9. Article
  10. COVID-19 and Saudi Arabia: Awareness, Attitude, and Practice.Journal of multidisciplinary healthcare · 2022
    Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Esther PaulDepartment of Microbiology and Clinical Parasitology and Stem cell unit, College of Medicine, King Khalid University, PO Box: 641, Abha, 61421, Saudi Arabia. dr.estherpaul@outlook.com.
Ibrahim A Alzaydani AsiriDepartment of Paediatrics, Maternity and Children's Hospital, Ministry of Health, 62521 Emirate Al Shifa, Abha, Saudi Arabia.
Ahmed Al-HakamiDepartment of Microbiology and Clinical Parasitology and Stem cell unit, College of Medicine, King Khalid University, PO Box: 641, Abha, 61421, Saudi Arabia.
Harish C ChandramoorthyDepartment of Microbiology and Clinical Parasitology and Stem cell unit, College of Medicine, King Khalid University, PO Box: 641, Abha, 61421, Saudi Arabia.
Sarah AlshehriDepartment of Otolaryngology, Head & Neck Surgery, College of Medicine, King Khalid University, PO. Box: 641, Abha, 61421, Saudi Arabia.
C M BeynonHonorary Lecturer, Laureate International Universities, Abha, Saudi Arabia.
Abdullah M AlkahtaniDepartment of Microbiology and Clinical Parasitology and Stem cell unit, College of Medicine, King Khalid University, PO Box: 641, Abha, 61421, Saudi Arabia.
Ali H AsiriDepartment of Paediatrics, Maternity and Children's Hospital, Ministry of Health, 62521 Emirate Al Shifa, Abha, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare-associated infections (HAIs) are a global public health problem. For the fulfillment of Saudi Arabia's Vision 2030, the promotion of preventive care medicine through HAI management is a crucial issue. This study explores the perspectives of Saudi tertiary healthcare workers (HCWs) on HAIs and infection control measures.

methodsQuantitative data were assessed to determine HCWs' knowledge of HAI and their attitudes towards and practice of infection control measures. Semi-structured interviews were used to collect qualitative data from 40 doctors and nurses. The interviews were audio-recorded and transcribed verbatim. Further, routine sterile procedures in the wards and intensive care units were video recorded, and the footage was discussed by the infection control team and the personnel involved in the videos. This discussion was videographed and transcribed. Both interview data and reflective discussion of the video were analysed using thematic analysis. The quantitative data were analysed using the Kruskal-Wallis test and logistic regression analysis.

resultsKruskal-Wallis test revealed no difference in mean knowledge, attitude, or practice scores between nurses/ doctors or the genders. There was a significant difference in knowledge score and practice scores between the Intensive care unit & the Paediatric ward /infection control department with the maximum scores in knowledge and practice among participants from the intensive care unit. Logistic regression analysis for dependent variables (knowledge and attitude) and independent variables like age, gender, designation, and departments was not significant. The qualitative data yielded four themes: knowledge of HAI and infection control, infection control measures in practice, a shortfall in infection control measures and HAI, and required implementation. Video-reflexive ethnography (VRE) revealed lapses in handwashing practice and proper usage of personal protective equipment (PPE), especially surgical masks.

conclusionEarly introduction of training programmes in medical and nursing schools and video demonstrations of appropriate infection control practices during sterile procedures would be highly beneficial to HCWs. A possible reason for the outbreak of Middle East Respiratory Syndrome coronavirus in this part of Saudi Arabia could be a lapse in PPE usage. Intensive training programs for all the HCWs, strict vigilant protocols, and a willingness to change behaviour and practice, will significantly benefit the spread of outbreaks.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAdultCoronavirus InfectionsCross InfectionFemaleHand DisinfectionHumansInfection ControlMaleMiddle East Respiratory Syndrome CoronavirusNursesPersonal Protective EquipmentPhysiciansSaudi ArabiaSurveys and QuestionnairesHealthcare-associated infectionHealthcare workerInfection controlSaudi Arabia

Identifiers

PMID32678049
PMCPMC7363991

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.