Boosting Knowledge, Attitudes, and Practices: An Experimental Controlled Study Evaluating the Effectiveness of M-health Training on Antimicrobial Resistance for Hemodialysis Nurses

Overview

Journal SAGE Open Med

Publisher Sage Publications

Specialty General Medicine

Date 2025 Feb 13

PMID 39943979

Authors

Hossam Alhawatmeh

Mohammed Aljarrah

Issa M Hweidi

Nezam Al-Nsair

Mohammad S Alyahya

Sawsan Abuhammad

Affiliations

Soon will be listed here.

Abstract

Aim/objective: To evaluate the impact of an m-health training program on nurses' knowledge, attitudes, and practices concerning antimicrobial resistance within hemodialysis units.

Background: Hemodialysis patients face high infection risks, driving antimicrobial use and resistance. Nurses' antimicrobial resistance knowledge gaps underscore the need for effective training.

Design: A parallel group randomized controlled trial.

Methods: A convenience sample of 64 nurses was cluster-randomized into either an m-health group ( = 32) or a control group ( = 32). The m-health group received antimicrobial resistance education through a WhatsApp Chatbot, while the control group received no information on the study topic. However, they were provided the study intervention after the evaluation was completed. The nurses' knowledge, attitudes, and practices regarding antimicrobial resistance were assessed with self-developed instruments at three time points: Baseline (Time 1), immediately after the intervention (Time 2), and 1 month later (Time 3).

Results: Repeated-measures Analysis of Variance (ANOVA) (within-subject) tests indicated significant differences in mean scores for antimicrobial resistance knowledge, attitudes, and practices across the three time points in the m-health group. The repeated-measures ANOVA (mixed model) tests revealed significant interaction effects in antimicrobial resistance knowledge, attitudes, and practice.

Conclusions: m-Health training program significantly enhanced dialysis nurses' knowledge, attitudes, and practice toward antimicrobial resistance. It is recommended to communicate the findings of this study to managers and policymakers to equip them with the information needed to develop and implement effective strategies, policies, and multidisciplinary interventions aimed at reducing antimicrobial resistance in hemodialysis units.

References

Pandit R, Awal B, Shrestha S, Joshi G, Rijal B, Parajuli N . Extended-Spectrum -Lactamase (ESBL) Genotypes among Multidrug-Resistant Uropathogenic Clinical Isolates from a Teaching Hospital of Nepal. Interdiscip Perspect Infect Dis. 2020; 2020:6525826. PMC: 7181012. DOI: 10.1155/2020/6525826. View

Terpos E, Ntanasis-Stathopoulos I, Elalamy I, Kastritis E, Sergentanis T, Politou M . Hematological findings and complications of COVID-19. Am J Hematol. 2020; 95(7):834-847. PMC: 7262337. DOI: 10.1002/ajh.25829. View

Hendy A, Al-Sharkawi S, Hassanein S, Soliman S . Effect of educational intervention on nurses' perception and practice of antimicrobial stewardship programs. Am J Infect Control. 2022; 51(1):41-47. DOI: 10.1016/j.ajic.2022.05.001. View

Abbasian F, Naghizadeh M, Ahmadian L . Effect of WhatsApp Messenger-based education on the knowledge of health ambassadors about home care for minor illnesses. BMC Health Serv Res. 2024; 24(1):1515. PMC: 11607794. DOI: 10.1186/s12913-024-11988-9. View

Kpokiri E, Ladva M, Dodoo C, Orman E, Aku T, Mensah A . Knowledge, Awareness and Practice with Antimicrobial Stewardship Programmes among Healthcare Providers in a Ghanaian Tertiary Hospital. Antibiotics (Basel). 2022; 11(1). PMC: 8773036. DOI: 10.3390/antibiotics11010006. View

Lawson J, Niklason L, Roy-Chaudhury P . Challenges and novel therapies for vascular access in haemodialysis. Nat Rev Nephrol. 2020; 16(10):586-602. PMC: 8108319. DOI: 10.1038/s41581-020-0333-2. View

Dadgostar P . Antimicrobial Resistance: Implications and Costs. Infect Drug Resist. 2020; 12:3903-3910. PMC: 6929930. DOI: 10.2147/IDR.S234610. View

Nezamdoust S, Abdekhoda M, Rahmani A . Determinant factors in adopting mobile health application in healthcare by nurses. BMC Med Inform Decis Mak. 2022; 22(1):47. PMC: 8862523. DOI: 10.1186/s12911-022-01784-y. View

Sefah I, Akwaboah E, Sarkodie E, Godman B, Meyer J . Evaluation of Healthcare Students' Knowledge on Antibiotic Use, Antimicrobial Resistance and Antimicrobial Stewardship Programs and Associated Factors in a Tertiary University in Ghana: Findings and Implications. Antibiotics (Basel). 2022; 11(12). PMC: 9774439. DOI: 10.3390/antibiotics11121679. View

10.

Abutaha S, Al-Kharraz T, Belkebir S, Taha A, Zyoud S . Patterns of microbial resistance in bloodstream infections of hemodialysis patients: a cross-sectional study from Palestine. Sci Rep. 2022; 12(1):18003. PMC: 9605991. DOI: 10.1038/s41598-022-21979-7. View

11.

Abuhammad S, Alwedyan D, Hamaideh S, Al-Jabri M . Knowledge, Attitude, and Practices of Mothers Working as Nurses Toward Multidrug-Resistant: Impact of an Educational Program in Neonatal Intensive Care Unit. Infect Drug Resist. 2024; 17:1937-1950. PMC: 11104437. DOI: 10.2147/IDR.S461188. View

12.

Hallberg D, Salimi N . Qualitative and Quantitative Analysis of Definitions of e-Health and m-Health. Healthc Inform Res. 2020; 26(2):119-128. PMC: 7278507. DOI: 10.4258/hir.2020.26.2.119. View