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The management of blood and body fluids in a Kenyan university hospital : a nursing perspective

Thesis (MCur (Nursing Science))--University of Stellenbosch, 2008.

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Main Author: Ngesa, Anna Adhiambo
Other Authors: Marais, Frederick
Format: Thesis
Language:English
Published: Stellenbosch : University of Stellenbosch 2008
Subjects:
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access_status_str Open Access
author Ngesa, Anna Adhiambo
author2 Marais, Frederick
author_browse Marais, Frederick
Ngesa, Anna Adhiambo
author_facet Marais, Frederick
Ngesa, Anna Adhiambo
author_sort Ngesa, Anna Adhiambo
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MCur (Nursing Science))--University of Stellenbosch, 2008.
format Thesis
id oai:scholar.sun.ac.za:10019.1/1044
institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:46:04.365Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2008
publishDateRange 2008
publishDateSort 2008
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/1044 The management of blood and body fluids in a Kenyan university hospital : a nursing perspective Ngesa, Anna Adhiambo Marais, Frederick University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Nursing Science. Precaution policy Body fluids Pathogenic microorganisms Nurses -- Education Industrial safety Dissertations -- Nursing Theses -- Nursing Assignments -- Nursing Thesis (MCur (Nursing Science))--University of Stellenbosch, 2008. ENGLISH ABSTRACT: The purpose of this study was to determine the knowledge of Universal Precautions Policy by Registered Nurses at Kenyatta National Hospital (Kenya) and their perception of occupational risk of exposure to blood-borne pathogens. The study also assessed management of blood and body fluids of patients and identified the types and frequency of occupational exposure common among these Registered Nurses. A structured 24-item, self-administered questionnaire was distributed to 185 randomly sampled Registered Nurses in selected departments at this hospital. Compliance with Universal Precautions practices was also observed using a checklist. Data analysis was done by use of a computer software package, Statistical Package for Social Sciences (SPSS) version 11.0. The study findings suggest: 1) lack of continuous education demonstrated by a high level of non-response about knowledge of Universal Precautions Policy with only 19% of the respondents having attended an in-service course in Universal Precautions Policy, and 2) inaccurate understanding of transmission modes of blood-borne pathogens. The majority of nurses surveyed were using Universal Precautions; with indications that nurses were not as familiar with Universal Precautions as they think they were. Respondents admitted modifying personal protection habits based on subjective judgment regarding patient’s perceived blood-borne infectious state. Non-compliant behaviours with barrier precautions were identified, which included failure to use gloves, gowns and protective eyewear, failure to wash hands, and recapping used needles. Compliance with barrier precautions was associated with patients’ perceived blood-borne status. The study revealed a high level of occupational exposures, of which the majority went unreported. Although respondents were aware of the risk of occupationally acquired blood-borne infections, their irregular practice of Universal Precautions Policy is likely to perpetuate the risks. The findings suggest a need for more educational interventions, which may result into integration of concepts into practice. Educational programmes should focus on the epidemiology of occupationally acquired blood-borne pathogens and their modes of transmission, risk of occupationally acquired blood-borne infections at work place, and with emphasis on the principle and practice of Universal Precautions Policy and current protocol of reporting mechanisms in Kenya. 2008-06-19T13:11:07Z 2010-05-31T12:35:31Z 2008-06-19T13:11:07Z 2010-05-31T12:35:31Z 2008-03 Thesis http://hdl.handle.net/10019.1/1044 en University of Stellenbosch application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Precaution policy
Body fluids
Pathogenic microorganisms
Nurses -- Education
Industrial safety
Dissertations -- Nursing
Theses -- Nursing
Assignments -- Nursing
Ngesa, Anna Adhiambo
The management of blood and body fluids in a Kenyan university hospital : a nursing perspective
title The management of blood and body fluids in a Kenyan university hospital : a nursing perspective
title_full The management of blood and body fluids in a Kenyan university hospital : a nursing perspective
title_fullStr The management of blood and body fluids in a Kenyan university hospital : a nursing perspective
title_full_unstemmed The management of blood and body fluids in a Kenyan university hospital : a nursing perspective
title_short The management of blood and body fluids in a Kenyan university hospital : a nursing perspective
title_sort management of blood and body fluids in a kenyan university hospital a nursing perspective
topic Precaution policy
Body fluids
Pathogenic microorganisms
Nurses -- Education
Industrial safety
Dissertations -- Nursing
Theses -- Nursing
Assignments -- Nursing
url http://hdl.handle.net/10019.1/1044
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