Ancillary healthcare workers (AHCWs) are usually exposed to body fluids and blood-stained wastes, sharps, surfaces, equipment and various healthcare wastes, which predisposes them to hepatitis B infection. However, despite the availability of Hepatitis B vaccine, the uptake has been observed to be very low among this group of health workers. Therefore, this study assessed the effectiveness of a nurse-led intervention on work-related injury exposures and hepatitis B vaccination uptake among AHCWs of a teaching hospital in Osun State. The study utilized a quasi-experimental one group pre-test post-test design. The total population of the AHCWs was 170. The sample size of 121 was calculated using Taro Yamane. Wards were purposively selected based on the inclusion criteria. Stratied proportionate and simple random sampling techniques were used to select the required participants from each ward. Data were collected with structured questionnaires pre-intervention and eight weeks post-intervention. A one-and-a-half-hour educational training session was conducted daily for two days, in two weeks. Personal protective equipment was distributed to the participants after the training and posters on prevention of work-related hazards and hepatitis B infection were strategically placed to reinforce key messages. Data were analyzed using descriptive statistics of frequencies and percentages as well as inferential statistics of t-test at a 5% level of significance. The socio-demographic characteristics reveal that the majority of the participants, 45 (37.2%), were between the ages of 41-47 years and with a mean age of 46.28 ± 8.01. The participants were more female dominated 98, (81.0%), and the majority 99, (81.8%) were married. Educationally, the majority 55 (45.5%) had a tertiary education and 6-10 years of working experience. Study further reveals that majority workers as health attendants (83.5%), in maternity wards (13.2%), and pediatric wards (11.6%). Also, work 6 to 10 years within their facilities (32.2%). Result of the study showed that injury exposure level of pre intervention is high (65.2%) and very low at the post intervention level (15.7%). The level of effectiveness of the intervention program is very high (73%). Secondly, the Pre-intervention score of Hepatitis B vaccination uptake among participants is high (24.8%) and the Post-Intervention score levels of Hepatitis B vaccination uptake among participants is very high (75.2%) and the level of effectiveness is 50.4%. This study also revealed that there is a significant difference between Pre and Post Intervention HBV Vaccination doses 1-3 mean scores (t=13.279; df=120; P=0.000).. Lastly, there is a statistically significant relationship between pre and post-intervention uptake of HBV (t= 15.776; df = 120; P-value = 0.000). In conclusion, the nurse-led intervention decreased the work-related injury exposures and enhanced hepatitis B vaccination uptake among the ancillary healthcare workers of a teaching hospital in Osun State. It was therefore recommended that the management of the teaching hospital begin and maintain a routine training on the prevention of work-related injury exposures for the ancillary healthcare workers.
- ABOSEDE ADEKUNBI FAROTIMI
- ROSELINE O. FOLAMI;
- EMMANUEL O. FOLAMI;
- OLADAYO D. AKINWALE
- Effectiveness;NurseLed Intervention; Work-Related Injury Exposures; Hepatitis B Vaccination Uptake; Ancillary Healthcare Workers.
- EFFECTIVENESS-OF-A-NURSE-LED-INTERVENTION-ON-WORK-RELATED-INJURY-EXPOSURES
