Infection prevention knowledge and perceptions: a nationwide survey among nurses and physicians in adult intensive care units in Finland.

<h4>Background</h4>Healthcare-associated infections are a major complication of care for patients in intensive care, causing costs and additional mortality. Infection prevention practices, such as hand hygiene, have been suboptimal globally. This study aimed to explore the level of knowl...

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Main Authors: Kirsi Terho, Eliisa Löyttyniemi, Esa Rintala, Sanna Salanterä
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0325323
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author Kirsi Terho
Eliisa Löyttyniemi
Esa Rintala
Sanna Salanterä
author_facet Kirsi Terho
Eliisa Löyttyniemi
Esa Rintala
Sanna Salanterä
author_sort Kirsi Terho
collection DOAJ
description <h4>Background</h4>Healthcare-associated infections are a major complication of care for patients in intensive care, causing costs and additional mortality. Infection prevention practices, such as hand hygiene, have been suboptimal globally. This study aimed to explore the level of knowledge and perceptions of critical care staff regarding healthcare-associated infections as insufficient knowledge contributes to an increased burden of these infections.<h4>Methods</h4>A nationwide survey of physicians and nurses working in intensive care units of Finnish tertiary care hospitals was conducted to gain knowledge and explore perceptions regarding the prevention of healthcare-associated infections in intensive care units. Descriptive statistics were used to describe the study data, and a mainly nonparametric method was used to compare the groups.<h4>Results</h4>The respondents demonstrated moderately good knowledge of hand hygiene and infection prevention, with a median of 36 correct responses (Q1, Q3: 34, 37). However, there were notable gaps in their knowledge in infection prevention regarding the routes of infection transmission, with a median score of 4 (Q1, Q3: 4, 6). Conversely, perceptions of infection prevention were generally positive. The median score for perceptions was 51 (Q1, Q3: 47, 55), but no significant association was found between perceptions and knowledge levels.<h4>Conclusions</h4>The level of knowledge about healthcare-associated infections is not satisfactory. In particular, there is a lack of in-depth understanding of the mechanisms of infection transmission and prevention. Providing unit-tailored feedback on performance, along with education on the transmission mechanisms and infection prevention for healthcare workers is essential.
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spelling doaj-art-e28c67c2138748c3b51bbc2c84b7da7e2025-08-20T02:10:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e032532310.1371/journal.pone.0325323Infection prevention knowledge and perceptions: a nationwide survey among nurses and physicians in adult intensive care units in Finland.Kirsi TerhoEliisa LöyttyniemiEsa RintalaSanna Salanterä<h4>Background</h4>Healthcare-associated infections are a major complication of care for patients in intensive care, causing costs and additional mortality. Infection prevention practices, such as hand hygiene, have been suboptimal globally. This study aimed to explore the level of knowledge and perceptions of critical care staff regarding healthcare-associated infections as insufficient knowledge contributes to an increased burden of these infections.<h4>Methods</h4>A nationwide survey of physicians and nurses working in intensive care units of Finnish tertiary care hospitals was conducted to gain knowledge and explore perceptions regarding the prevention of healthcare-associated infections in intensive care units. Descriptive statistics were used to describe the study data, and a mainly nonparametric method was used to compare the groups.<h4>Results</h4>The respondents demonstrated moderately good knowledge of hand hygiene and infection prevention, with a median of 36 correct responses (Q1, Q3: 34, 37). However, there were notable gaps in their knowledge in infection prevention regarding the routes of infection transmission, with a median score of 4 (Q1, Q3: 4, 6). Conversely, perceptions of infection prevention were generally positive. The median score for perceptions was 51 (Q1, Q3: 47, 55), but no significant association was found between perceptions and knowledge levels.<h4>Conclusions</h4>The level of knowledge about healthcare-associated infections is not satisfactory. In particular, there is a lack of in-depth understanding of the mechanisms of infection transmission and prevention. Providing unit-tailored feedback on performance, along with education on the transmission mechanisms and infection prevention for healthcare workers is essential.https://doi.org/10.1371/journal.pone.0325323
spellingShingle Kirsi Terho
Eliisa Löyttyniemi
Esa Rintala
Sanna Salanterä
Infection prevention knowledge and perceptions: a nationwide survey among nurses and physicians in adult intensive care units in Finland.
PLoS ONE
title Infection prevention knowledge and perceptions: a nationwide survey among nurses and physicians in adult intensive care units in Finland.
title_full Infection prevention knowledge and perceptions: a nationwide survey among nurses and physicians in adult intensive care units in Finland.
title_fullStr Infection prevention knowledge and perceptions: a nationwide survey among nurses and physicians in adult intensive care units in Finland.
title_full_unstemmed Infection prevention knowledge and perceptions: a nationwide survey among nurses and physicians in adult intensive care units in Finland.
title_short Infection prevention knowledge and perceptions: a nationwide survey among nurses and physicians in adult intensive care units in Finland.
title_sort infection prevention knowledge and perceptions a nationwide survey among nurses and physicians in adult intensive care units in finland
url https://doi.org/10.1371/journal.pone.0325323
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