ผลของการแก้ปัญหาอย่างสร้างสรรค์ต่อการปฏิบัติในการป้องกัน การแพร่กระจายเชื้อดื้อยาต้านจุลชีพหลายขนานของพยาบาล ในโรงพยาบาลทั่วไป

Abstract

The correct practices in prevention of multidrug-resistant organism (MDRO) transmission of nurses can prevent hospital-associated infections. The purpose of this quasi-experimental study was to compare the practices in prevention of MDRO transmission of nurses in a general hospital before and after using the creative problem solving process. Duration of the study was from May 2019 to April 2020. The samples were 14 ICU nurses of a general hospital. The study tools included the creative problem-solving meeting plan, the demographic data questionnaire, and the observation checklist of practices in prevention of MDRO transmission. Data was analyzed by using descriptive statistics and chi-square test. The activities proposed by the samples to prevent MDRO transmission using the creative problem solving process included reviewing knowledge on prevention of MDRO transmission, preparing of ready to use personal protect equipment, hand hygiene promotion by conducting hand hygiene contest, providing knowledge on hand hygiene board, and increasing hand hygiene equipment. After implementing the creative problem-solving process, correct practices in prevention of MDRO transmission of the samples increased significantly from 59.9 % to 76 % (p<0.01).This study revealed that the creative problem-solving process can be used to determine appropriately problem-solving in the context of working units and increase correct practices in prevention of MDRO transmission among nurses.