ผลของการโค้ชต่อความรู้และการปฏิบัติในการป้องกันการแพร่กระจายเชื้อดื้อยาต้านจุลชีพหลายขนานในพยาบาลในโรงพยาบาลมหาวิทยาลัย

Abstract

Multidrug-resistant organisms (MDROs) are a critical problem in healthcare systems globally. Medical units in university hospitals have reported a high incidence of MDROs infection and risk of transmission. Accurate knowledge and practices of nurses in preventing of MDROs transmission are crucial. This quasi-experimental research aimed to examine the effects of coaching on nurses' knowledge and practices in preventing MDROs transmission in a university hospital. This study was conducted during November 2020 to June 2021. The sample was 25 registered nurses working in the medical unit of a university hospital. The research instruments included a demographic data questionnaire, a knowledge test, a practice observational recording form, and a coaching plan for prevention of MDROs transmission. Data were analyzed using descriptive statistics, a t-test, a Chi-square test, and Fisher's exact test. The results of the study revealed that after implementing coaching, the participants significantly increased their knowledge scores on prevention of MDROs transmission compared with before implementation, from 14.32 to 16.88 points (p < .001), and the proportion of correct practices in prevention of MDROs transmission significantly increased compared with before implementation, from 69.62% to 89.76%(p <.001). The results of the study showed that coaching could improve knowledge and practices in prevention of MDROs transmission among nurses in the medical unit. Coaching should be implemented for enhancing knowledge and practices in prevention of MDROs transmission in other medical units.