الفهرس 
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Abstract
Background: Diseases such as Hepatitis B & C, known to be
transmitted through contaminated surgical instruments; there is a need to
adopt stricter guidelines for disinfection and sterilization. Aim: improve
the quality of work delivered in the central sterile supply department
through: Assessment of the central sterile supply department staff (nurses,
technicians and workers) level of knowledge and performance regarding
to the standards disinfection and sterilization process develop and apply
tailored training program based on the staff needs assessment and Evaluate
the effect of the training program on the quality of the work delivered at
the central sterile supply department. Design: A quasi experimental
design. Setting: conducted in the central sterile supply department
(CSSD), at El-demerdash Hospital, affiliated to Ain shams university
hospital. Subject and Tools: Convenience sample include all of the
available staff (12 nurses, 10 technicians and 8 workers) who are working
in the central sterile supply department. There were five tools used for
data collection: (1) A self administered questionnaire sheet, (2)
Observation checklist for the central sterile supply department staff, (3)
policy and procedure assessment sheet, (4) sterilization standards audit
checklist and (5) nurse supervisor’s openionaire structure sheet. Results:
there are highly statistically significant difference between total score for
nurses, technicians and workers regarding level of knowledge pre and
post, pre and follow up. There are highly statistically significant difference
between total score for nurses and technicians regarding level of practice
pre and post, pre and follow up. There are highly statistically significant
difference between total score for workers regarding level of practice pre
and post, pre and follow up. There are highly statistically significance
difference in head nurses supervisors‘ opinion regarding services provided
by central sterilization supply department, in the pre and post , pre follow
up and post and follow-up implementation of training program.
Conclusion: Highly statistically significant difference was observed
among central sterilization supply department staff (nurses and
technicians) related to level of knowledge and practice pre, post and
follow up implementation of training program and this answer the research
hypothesis. Recommendations; Periodic in-service training courses
should be provided to central sterilization supply department staff (nurses,
technicians) and workers in order to keep them with updated knowledge
and practice regarding to surgical and medical equipment sterilization.
Key wards: training program in CSSD, quality improvement.