title: Impact Evaluation of Domains of Learning on Universal Work Precautions (UWP) Amongst Nursing Staff in a Tertiary Care Hospital, Western India.
abstract: BACKGROUND
  Second key strategy of National AIDS Control Program (NACP IV) is comprehensive care and support by providing quality services through zero stigma and discrimination. Quality of services can be improved by eliminating stigma and discrimination and making health care provider aware of associated occupational hazards. Nursing staff play crucial role and are more at risk therefore their understanding, perception and skill must be assessed in different domains of learning to improve the contents and methodology of trainings.
  
  
  METHODS
  Total 85 nursing staff underwent 1 day training in 3 batches focusing on Universal Work Precautions (UWP), Post Exposure Prophylaxis (PEP) and sensitization of the participants towards PLHA (People living with HIV/AIDS). Their learning was evaluated under different domains (cognitive, psychomotor and affective) using structured questionnaire.
  
  
  RESULTS
  In pretest evaluation scores showed minor and statistically not significant variations in terms of participant's gender, age, designation work experience and status of having received any similar training in the past. Impact of the training was visible as overall mean scores increased from 10.6 ± 2.7 to 13.8 ± 5.8; gain being statistically highly significant (P value < 0.001). Gain was highest in cognitive (from 58% to 77%) followed by psychomotor (from 48% to 62%) and minimal in affective domain (from 75% to 76%).
  
  
  CONCLUSIONS
  After undergoing the training, participants were benefitted more in cognitive domain than psychomotor and affective domain. Acquired knowledge, skill and communication skill if evaluated as done in this study will improve the methodology of such trainings making them more effective.
authors.affiliation: Department of Community Medicine, Gujarat Medical Education and Research Society (GMERS) Medical College, Sola, Ahmedabad, Gujarat, India.
authors.forename: Rashmi
authors.initials: R
authors.lastname: Sharma
authors.affiliation: Department of Community Medicine, Gujarat Medical Education and Research Society (GMERS) Medical College, Sola, Ahmedabad, Gujarat, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Kumar
authors.affiliation: Department of Community Medicine, Gujarat Medical Education and Research Society (GMERS) Medical College, Sola, Ahmedabad, Gujarat, India.
authors.forename: Brijesh
authors.initials: B
authors.lastname: Patel
authors.affiliation: Department of Community Medicine, Gujarat Medical Education and Research Society (GMERS) Medical College, Sola, Ahmedabad, Gujarat, India.
authors.forename: Sanju
authors.initials: S
authors.lastname: Gajjar
keywords: Domains of learning; nursing staff; post exposure prophylaxis (PEP); universal work precautions (UWP)