Effect of an educational intervention on nursing students' knowledge about COVID-19 and compliance with standard and transmission-based precautions: a quasi-experimental study

教育干预对护理学生新冠肺炎知识及遵守标准预防措施和基于传播途径的预防措施的影响:一项准实验研究

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Abstract

BACKGROUND: Teaching standard precautions during undergraduate courses in health-related fields is essential for preventing healthcare-associated infections (HAI). PURPOSE: To analyze the effect of an educational intervention on nursing students' knowledge of COVID-19, standard precautions (SP), transmission-based precautions, and compliance with SP, as well as the factors associated with knowledge. METHODS: A quasi-experimental pre- and post-test study was conducted with 80 nursing students at a higher education institution in the state of São Paulo, Brazil. The group received an intervention using combined teaching methods, including an interactive lecture, a video presentation, and an instructor-led demonstration of donning and doffing personal protective equipment (PPE). RESULTS: Regarding knowledge, after the educational intervention, an increase in correct answers was observed in 14 questions related to COVID-19 and SP measures, with seven showing statistically significant differences. In terms of SP compliance, significant improvements were observed in the following aspects: using alcohol-based products for hand hygiene, proper disposal of sharps containers, discarding PPE in designated locations, protecting wounds or injuries with waterproof dressings before patient contact, wearing gowns/aprons when exposed to bodily fluids, and disposing of contaminated materials in white plastic bags. No factors were found to be associated with knowledge or participant characteristics regarding COVID-19 training. CONCLUSIONS: The educational intervention proved to be an effective strategy for enhancing nursing students' knowledge of COVID-19, SP measures, and compliance with SP.

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