Improving ICU Nurses’ Compliance with IPC Protocols: Challenges and Practical Strategies

This study aimed to assess ICU nurses' compliance with infection prevention and control (IPC) protocols, identify factors influencing compliance, examine challenges faced in adhering to IPC standards, and propose practical strategies to improve IPC practices in ICU settings. Conducted at a Level II private hospital in Albay, Philippines, the research employed qualitative methods, including interviews and observations, to gather data from ICU nurses. The study found that while nurses demonstrated a high level of awareness of IPC protocols, gaps in compliance were evident, particularly in hand hygiene, personal protective equipment (PPE) usage, and the management of invasive devices. Factors influencing compliance included risk perception, leadership support, and the availability of resources, while challenges such as heavy workloads, time pressure, and emergencies were identified as significant barriers to adherence. Based on these findings, a Workplace Application Plan (WAP) was proposed, which includes ongoing training, real-time observation, peer and supervisor involvement, and recognition to improve compliance and reduce healthcare-associated infections (HAIs). This study provides valuable insights for healthcare institutions aiming to enhance IPC practices and improve patient safety in critical care environments.