El-Desoky, E., Guirguis, W., Naguib, H., Nour El-Din, M. (2004). The Use of Continuous Quality Improvement Methodology to Improve Nurses’ Infection Control Practices at a General Hospital in Alexandria. test, 34(4), 961-984. doi: 10.21608/jhiph.2004.183694
Eman N. El-Desoky; Wafaa W. Guirguis; Hassanat H. Naguib; Moustafa M. Nour El-Din. "The Use of Continuous Quality Improvement Methodology to Improve Nurses’ Infection Control Practices at a General Hospital in Alexandria". test, 34, 4, 2004, 961-984. doi: 10.21608/jhiph.2004.183694
El-Desoky, E., Guirguis, W., Naguib, H., Nour El-Din, M. (2004). 'The Use of Continuous Quality Improvement Methodology to Improve Nurses’ Infection Control Practices at a General Hospital in Alexandria', test, 34(4), pp. 961-984. doi: 10.21608/jhiph.2004.183694
El-Desoky, E., Guirguis, W., Naguib, H., Nour El-Din, M. The Use of Continuous Quality Improvement Methodology to Improve Nurses’ Infection Control Practices at a General Hospital in Alexandria. test, 2004; 34(4): 961-984. doi: 10.21608/jhiph.2004.183694

The Use of Continuous Quality Improvement Methodology to Improve Nurses’ Infection Control Practices at a General Hospital in Alexandria

Journal of High Institute of Public Health
Article 15, Volume 34, Issue 4, October 2004, Pages 961-984
Document Type: Original Article
DOI: 10.21608/jhiph.2004.183694
Authors
Eman N. El-Desoky1; Wafaa W. Guirguis1; Hassanat H. Naguib2; Moustafa M. Nour El-Din1
1Hospital Administration, High Institute of Public Health, Alexandria University, Egypt
2Medical Surgical, Faculty of Nursing, Alexandria University, Egypt
Abstract
 
The aim of the present study was to assess the effectiveness of continuous quality improvement [CQI] methodology in improving selected nurses’ infection control practices at a general hospital in Alexandria. The study population consisted of important infection control practices performed by nurses. Important practices were defined as high-volume, high-risk, high-cost, and problem-prone activities. Based on these criteria, three practices were selected: [1] hand washing, [2] surgical site dressing, and [3] peripheral intravenous catheterization. The present study used pre-test post-test design to examine nurses’ practices before and after implementation of CQI project. It consisted of the following three distinct phases: [1] observation of nurses’ practice before intervention, [2] implementation of a quality improvement project, and [3] observation of nurses’ practices following implementation of the project. After implementation of CQI interventions, the percentage of times in which indicated hand washing/alcohol hand rubbing was performed increased from 1.7% to 2.8%, and the percentage of times nurses complied with recommended hand washing practices increased for 5 of actual 7 steps. Nurses’ practices of surgical site dressing technique showed statistically significant improvement in all 12 steps after implementation of CQI interventions. The proportion of occasions in which nurses complied with recommended procedure for peripheral intravenous catheterization significantly improved after implementation of CQI intervention in 9 of 12 steps.   
Keywords
Quality Improvement; Nurses’ Infection; Alexandria General Hospital
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