Construction and effect evaluation of a hierarchical training system for nosocomial infection based on hospitals at all levels




Nosocomial infection, Hierarchical training


INTRODUCTION: Nosocomial infection is a critical global public health issue. The education of medical personnel can effectively enhance compliance with nosocomial infection protocols and reduce the incidence of such infections. However, the current training provided to third-party staff is inadequate, necessitating an urgent enhancement of their knowledge on nosocomial infection through effective and tailored training programs.

OBJECTIVES: The objective is to establish a hierarchical training system for nosocomial infection, customized to meet the specific requirements of hospitals at all levels, and evaluate its efficacy.

METHODS: A questionnaire survey was conducted among third-party staff members at hospitals of different levels to assess their understanding of nosocomial infection prevention measures. Based on the survey results, a hierarchical training system was developed for nosocomial infection among the participants. After the training, a post-training assessment was carried out to evaluate the participants' comprehension of nosocomial infections.

RESULTS: A total of 561 third-party employees participated in the baseline hospital infection knowledge questionnaire. The baseline findings unveiled disparities in the extent to which third-party staff members across various tiers of medical institutions have mastered their knowledge on nosocomial infections. After undergoing hierarchical training, the deficiencies of hospitals at all levels have been rectified, thereby effectively enhancing the level of knowledge regarding nosocomial infections among third-party personnel. The results of multivariate analysis indicate that individuals with limited work experience should enhance their training in medical waste disposal and acquire a deeper understanding of personal protection measures related to nosocomial infections. Moreover, infrequent annual training sessions may impede the comprehension of nosocomial infection among third-party staff.

CONCLUSION: The knowledge of hospital infection among third-party staff at all levels of medical institutions exhibits varying deficiencies. Implementing a hierarchical training approach is a meaningful strategy that effectively enhances the level of hospital infection knowledge among these staff members.


Download data is not yet available.


CAVAILLON J M, CHRéTIEN F. From septicemia to sepsis 3.0-from Ignaz Semmelweis to Louis Pasteur. Genes Immun, 2019, 20(5): 371-82. DOI:

Liu L Y, Xu D H. Team building is essential for enhancing the standard of infection control. China Health, 2021, 10(2) :40-41.

POSTGRADUATEER V C, DEMONSTRATOR R B D. International Journal of Nursing Practice, 2015.

ANDRE, FLEER, TANNETTE, et al. Improvement of Adherence to Hand Hygiene Practice Using a Multimodal Intervention Program in a Neonatal Intensive Care. Journal of Nursing Care Quality, 2011, 26(1):22-9. DOI:

Liu L Y. Existing Problems and Managing Countermeasures of Disinfection and Sterilization in Hospitals. Chinese Journal of Nosocomiology 2001, 1(03):1-3.

Wang Y, Zhang F F. Investigation on Visiting Doctors' Training Needs in a Obstetrics and Gynecology Hospital inShanghai City. Medicine and Society, 2019, 32(04): 128-131.

Zhang J F, Tao L H, Shen R H. Hand hygiene among undergraduate medical students: current status and analysis. Shanghai Medical Journal, 2018, 41(01):43-46.

Xu S F. Effect evaluation of training for disinfection staff in primary hospitals. Modern health preservation, 2016, 3(1): 181-181.

Wang M. On the Medical Security of Labor Dispatching Workers:Taking Cleaners as the Example. Value Engineering, 2015, 30(3): 70-72.

Guo F H, Zhong X H, Yan L, et al. The training of the operating room cleaners and the hospital infection control and management. China Modern Medicine, 2012, 19(2): 167-168.

Shen Y,Liu C M. Product thinking as applied in designing the training model of hospital infection knowledge for cleaning staff of hospitals. Chinese Journal of Hospital Administration, 2020, 11(4): 912-915.

Liu Y Y, Shi L Y, Liu R, et al. Application effect of personnel stratified training method at disinfection and supply center. Xinjiang Medical Journal, 2018, 4(4): 451-454.




How to Cite

Chang R, Meng D. Construction and effect evaluation of a hierarchical training system for nosocomial infection based on hospitals at all levels. EAI Endorsed Trans Perv Health Tech [Internet]. 2023 Nov. 2 [cited 2024 Jun. 17];9. Available from: