Adherence to evidence-based recommendations for surgical site infection prevention: Results among Italian surgical ward nurses

Autoři: Rossella Zucco aff001;  Francesco Lavano aff001;  Carmelo G. A. Nobile aff002;  Rosa Papadopoli aff001;  Aida Bianco aff001
Působiště autorů: Department of Health Sciences, University of Catanzaro "Magna Græcia", Catanzaro, Italy aff001;  Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Cosenza, Italy aff002
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: 10.1371/journal.pone.0222825



The aims of the study were to assess the level of knowledge, the attitudes and the adherence to evidence-based recommendations for surgical site infection (SSI) prevention and to describe any influences that may motivate nurses to adopt evidence-based practices for SSI prevention.


The present study was a national cross-sectional survey conducted from June to November 2017. For each hospital that agreed to participate, 30 nurses were randomly selected. The questionnaire was aimed at exploring socio-demographic and practice characteristics, knowledge of, attitudes toward, and reported practices regarding evidence-based procedures for SSI prevention.


Out of 55 hospitals that were contacted, 36 agreed to participate (a response rate of 65%). Of the original sample of 1313 nurses, a total of 1305 returned the questionnaire, a response rate of 99.4%. Regarding knowledge, only 53.8% knew that preoperative hair removal, if necessary, should take place shortly before surgery, and 28.9% of the sample did not know the right definition of “bundle”. Over three quarters of participants stated that they always perform hand antisepsis before and after biological sample collection while 9.7% considered that wearing gloves during this practice is sufficient to prevent SSI. Furthermore, 91% of nurses reported that they always performed hand antisepsis before and after invasive procedures.


The study findings highlight the areas that were most lacking in nurses’ training and for which targeted activities are needed. These data could support healthcare managers to implement interventions focused at enabling adherence to effective prevention practices to reduce risk to all patients.

Klíčová slova:

Adhesives – Italian people – Medical risk factors – Nosocomial infections – Nurses – Questionnaires – Surgical and invasive medical procedures – Vascular surgery


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