The Construction Of The Core Knowledge Of Hospital Infection Prevention And Control Training

[Background] Nosocomial infection burdens patients, hospitals and public health burden, and it has been an important medical research. To prevent and control nosocomial infection depends on health care providers’knowledge and implementation of he prevention and control of nosocomial infection. Nursing was closely related to the prevention and control of nosocomial infection, therefore nurse plays an important role in prevention and control of nosocomial infection. Nursing students contact with clinic work initially, due to their poor knowledge of nonsocomial infection, unskilled operation, and they need to provide direct patient care, so there is a potential risk of nosocomial infection. Therefore, it is necessary to train nursing students of prevention and control of nosocomial infection. Developing core knowledge of training of nonsocomial infection control for nursing students is the foundation and a guarantee of training quality and effectiveness.[Objective] This study aims to construct prevention and control of nonsocimal infection training core knowledge for nursing students and weight each contents. It will be as a reference for training nursing student of nonsocomial infection prevention and control, thereby enhancing their knowledge and awareness of prevention and control of nosocomial infection in clinical practice, further to reduce the incidence of nosocomial infections.[Methods] The Delphi inquiry questionnaire was deveoped by refering to guidelines about nonsocomial infection, such as Patient Safety Curriculum Guide:Multi-Professional Edition in the prevention and control of nosocomial infection issues by the World Health Organization. Combining with semi-structure interview which the theme about training of prevention and control of nosocomial infection for nursing students. The experts who are in the field of nonsocomial infection control, clinical nursing and nursing education were selected to evaluate the importance of each item for Delphi consultation. Item with an average score of the improtant<4 or (and) the coefficient of variation (CV)>2.0 was deleted after research panel have discussed. In the second round consultation, weighting of each itme was involved[Results] After 2 rounds of Delphi consultations, the Kendall harmonious coefficient was 0.37 for the first level items and 0.35 for the second level items at the second round, both of them had statistical significance (p=.000*) means that experts agree the importance of items consistent high level. The response rate was 83.3% at first round and 86.7% at second round. The co-coefficients of expert authority were 0.90 and 0.91 respectively, both were>0.70 means the result has a high degree of credibility. Finally the core knowledge includes 8 level items and 50 second level items. First level items include summary of nonsocomial infection, prevention and control of multi-drug resistant infection, the common nonsocomial infections, occupational exposures, standard precautions, nonsocomial infection control in major department, medical waste management and microbiological specimen collection. The maximum proportions are occupational exposure and standards prevention, respectively 25%.[Conclusions] This research formed inital Delphi consulation questionnaire through literature research and semi-structured interview. After two rounds of the Delphi consultation, the "core knowledge of nosocomial infection prevention and control training for nursing students" was constructed. The research constructed core knowledge of training for nursing students combined nursing students’ requirements of nonsocomial infection knowledge, job duties as well as the views of experts, and based on training requirements of the nonsocomial infection prevention and control guideline. The core knowledge totally includ 8 first level items,50 second level items, and weight distribution of each point This study defines the knowledge and skills of prevention and control of nosocomial infections that nursing students need to master. It is reliable and valid to provide guidance and reference for the nursing students’ training.