Objective

2

To explore the effects of applying a four-step training method based on an attitude-skill-knowledge (ASK) model combined with workshops in training on the prevention and control of nosocomial infection among medical students

and to provide a reference for reforming nosocomial infection prevention and control training for medical students and establishing a nosocomial infection prevention and control training system.

Methods

2

Medical students from five medical schools entering clerkships during 2018 to 2020 were selected. They were divided into control group (218 medical students in 2018-2019 receiving conventional nosocomial infection control training) and experimental group (216 medical students in 2019-2020 receiving nosocomial infection control training based on the ASK model-based four-step method combined with workshops). The two groups were compared in terms of the compliance rate of hand hygiene

the pass rates of nosocomial infection control theory and skill examinations

the correct rate of medical waste disposal

the incidence of occupational exposure

and the degree of satisfaction with teaching.

Results

2

All the indices of the experimental group were significantly better than those of the control group: the compliance rate of hand hygiene (

χ

2

=4.92

P

=0.027)

the correct rate of medical waste disposal (

χ

2

=5.13

P

=0.023)

the pass rate of nosocomial infection control theory examination (

χ

2

=4.03

P

=0.038)

the pass rate of nosocomial infection control skill examination (

χ

2

=6.71

P

=0.010)

and the degree of satisfaction with teaching [(98.03±2.16) vs. (92.53±2.01)

P

<

0.001]. No one had occupational exposure in the experimental group

while there were three cases in the control group.

Conclusion

2

The ASK model-based four-step method combined with workshops is effective in nosocomial infection prevention and control training for medical students. This innovative training method improves students' satisfaction with clinical teaching

providing a basis for the establishment of a training system for the prevention and control of nosocomial infection.