- Title
- Educational interventions for primary caregivers related to infection prevention and control in stroke patients in a rural setting of Mutasa district, Zimbabwe
- Creator
- Chikanya, Violet Kestha
- Subject
- Educational interventions -- Zimbabwe
- Subject
- Cross infection -- Prevention -- Zimbabwe
- Subject
- Primary caregivers
- Date Issued
- 2022-12
- Date
- 2022-12
- Type
- Doctoral theses
- Type
- text
- Identifier
- http://hdl.handle.net/10948/60133
- Identifier
- vital:63146
- Description
- Infection prevention and control offer safe and effective practices for patients and healthcare workers in any setting, including the home environment. Understanding and applying principles are based on knowledge and training of caregivers. The incidence of stroke has increased significantly in some sub-Saharan countries. Most patients with stroke are admitted into hospital during the acute phase of care, and are then discharged for further care and management at home. Recovery at home after a stroke takes a long time under the care of primary caregivers with either little or no health care training, exposing these patients to a variety of risky infections. Education on infection prevention and control is therefore encouraged to guide primary caregivers in caring for these patients. The study objectives sought to explore and describe knowledge and practices of primary caregivers, and information given by village health workers to primary caregivers to prevent and control chest infections, skin infections and urinary tract infections in home-based stroke patients in a rural setting in Mutasa district, Zimbabwe. The study also sought to develop and validate educational interventions for primary caregivers to prevent and control chest infections, skin infections and urinary tract infections in home-based stroke patients. A quantitative research paradigm was used in the study. Multistage random sampling was used to select 20 wards and 200 villages. Using a margin of error of 5% and 95% confidence, the sample consisted of 200 primary caregivers and 200 village health workers. The study was conducted in three phases. Phase One comprised data collection from primary caregivers and village health workers regarding prevention and control of chest, skin, and urinary tract infections. Data were collected using a structured interviewer-administered questionnaire for primary caregivers and a self-administered questionnaire for village health workers. The research instruments collected data on socio-demographics, knowledge, practices and infection prevention and control information given by village health workers to primary caregivers. The Visual Basic for Applications package was used for data analysis. x The study results revealed that a significant number of primary caregivers had low knowledge levels in terms of stroke and infections that frequently occur in home-based stroke patients. About a third of primary caregivers did not know the standard infection prevention and control measures to prevent infections, and a substantial proportion of the primary caregivers did not practise the recommended measures to prevent and control chest, skin and urinary tract infections in home-based stroke patients. It was found that village health workers provided limited health education on stroke, its complications, and measures to prevent and control chest, skin and urinary tract infections to primary caregivers. In Phase Two, educational interventions in the form of a job aid comprising worksheets for primary caregivers to prevent and control chest, skin and urinary tract infections in home-based stroke patients in a rural setting were developed. In Phase Three, the draft job aid was reviewed by an eight-member expert panel. Feedback from the reviewers was used to develop the final job aid for enhancing the knowledge and practices of primary caregivers in terms of infection prevention and control in home-based stroke patients. Throughout the study, the researcher adhered to ethical considerations, namely respect for persons, beneficence, and justice. The quality of data collected was ensured by applying the principles of validity and reliability in the development stage of the questionnaire and by conducting a pilot study. Rigorous evaluation of the developed job aid is required to establish its validity. It is recommended that the job aid be included in nurse training and continuing education programs. The trainings should be cascaded to the village health workers and primary caregivers of other bed-ridden patients. The job aid will also reach more caregivers if translated to other local languages.
- Description
- Thesis (PhD) -- Faculty of Health Sciences, 2022
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (xxvi, 368 pages)
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
- Rights
- All Rights Reserved
- Rights
- Open Access
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Chikanya,V Dec 2022.pdf | 7 MB | Adobe Acrobat PDF | View Details Download |