الفهرس 
Dental work related health risk factorsOnly 14 pages are availabe for public view
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Abstract
Adherence to infection prevention and control guidelines is critical to improving the quality of dental care based on their efficacy in reducing the occurrence of infections that compromise patients’ outcome. Nurses are front line of protecting themselves and clients
from infectious disease. Nurses perform clinical procedures or other
activities that can generate waste and expose themselves and clients to
potentially infectious disease. This put nurses to be at higher risk for
acquiring blood borne pathogens at health care facilities (Mandourh,
Alhomaidhi, Fatani, Alsharif, Ujaimi and Afifi, 2017). The aim of the study was to examine effect of infection control
training program on dental clinics nurses’ knowledge and practice at
rural health units. Quasi experimental design with pre and post-test was used to achieve the aim of the study. This study was conducted at 120 out of
175 dental clinics at rural health units of Ministry of health and population in six districts in Menoufia Governorate. Setting was selected by using multistage random sample technique. Study instruments Data was collected using the following instruments:. Self-administered structured questionnaire:
It was designed by the researchers based on review of relevantliteratures to elicit the needed information (Australian DentalAssociation, 2015; CDC 2016). It consists of two main parts:
A- Personal characteristics: It was developed by researcher,included nurses’ age, marital status, level of education, years oexperience, HBV vaccination status, number of doses received
post vaccination screening test, previous attending training
programs related to infection control, and when attended the lastprogram.
B- knowledge of dental nurses related to infection controlIt was developed by Australian Dental Association (2015)
&CDC (2016) and modified by the researcher to be suitable with the
Egyptian culture, included 25 items to assess knowledge of dentalnurses about infection transmission during dental practice, infection control measures that should be performed routinely, sharp and non sharp waste disposal, disinfection and sterilization measures of dental instruments as burs and hand piece Infection control practices (observational checklistsheet):
It was adopted from CDC (2016), included 40 items, it was observed by the researcher and used to assess hand hygiene practices before wearing and after removing gloves, practices of using personal protective equipment, using of aseptic technique practices, dealing with environmental surfaces, sharps and non sharp waste management, disinfection and sterilization. III. Dental clinic observational checklist sheet: It was developed by CDC (2018), included twenty items for describing infection control logistics and resources at the dental clinics, responses were in form of yes or no, it included observations about the availability of hand hygiene resources, personal protective equipment, infection control measures in clinical area, availability of infection control guidelines as guidelines for decontamination of spills of blood or other body fluids and post exposure management plan. Dental clinic checklist was filled by researcher.
Sum
mary
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Main results
The majority of participating nurses had good knowledge
responses of different infection control measures with exception
of report injury incident to infection control committee and no
extra precautions should be followed when dealing with patient
infected with blood borne pathogen at pre intervention which
increased at post intervention
The majority of participating nurses displayed good practices of
different infection control procedures, with the exception of hand
hygiene practice and using personal equipment at pre intervention
which improved at post intervention
At pre intervention, more than three fourths of dental nurses had
good level of knowledge which statistically significant increased
to one hundred percent at post infection control training program.
Also, the grand mean total knowledge score were statistically
significant increased from 41.0 ± 2.1 pre intervention to 49.3±0.1
post intervention (p=0.000)
At pre intervention, there was only 17.5% of studied nurses had a
risky practice and 82.5% had safe practice compared to post
infection control training program, there was statistically
significant decrease in risky practice to 4.2% and improved safe
practice to 95.8%.Also, the total mean score of practice was
statistically significant increased from 23.4± 3.1 pre ICTP
to33.7±5.7 post ICTP.
There were no statistical significant differences between studied
nurses’ personal characteristics and the levels of knowledge &
practices about infection control.
There were no statistical significant differences between levels of
knowledge and practice of studied nurses about infection control Conclusion
Infection control training had a profound effect on the knowledge, and practices of dental nurses about infection controlmeasures.Recommendations
Based on the results of this study, the following recommendations were suggested:
The need for ongoing infection control training programs for
dental nurses are critical for ensuring that infection prevention
measures are implicated and followed.
Periodic in-service education and training program for dental
clinics nurses for enhancing knowledge and improving practice evel under supervision of oral health directorate and infection control directorate of Ministry of health and population.
The need to raise the awareness of health care personnels about the importance hepatitis B vaccination and post screening test.Enhancing the role of Infection Control Committee that will beresponsible for planning, monitoring, and evaluation of infection control resources, policies and logistics in all dental clinics of Ministry of health and population.