Design and Validation of an Infection Prevention and Control Achievement Test for Undergraduate Nursing Students

Authors

  • Muhammad Rehan Assistant Professor, Dow University of Health Sciences, Karachi, Pakistan
  • Lim Gek Mui Dean/ Association Professor, MAHSA University, Malaysia

DOI:

https://doi.org/10.47067/ramss.v8i2.518

Keywords:

Infection Prevention and Control (IPC), Nursing Education, Test Construction, Item Analysis, Difficulty Index, Discrimination Index, Kuder-Richardson Formula 20, Reliability, Validity, Achievement Test

Abstract

This research was conducted in order to develop a valid and reliable test in Infection Prevention and Control (IPC) among undergraduate nursing learners. Two research questions were identified to facilitate the determination of validity and reliability of the Infection Prevention and Control Achievement Test (IPCAT). It is 50 items multiple-choice objective test that is of 4 alternatives per question. A random sample of 191 staff nurses in some of the government healthcare facilities in Karachi, Pakistan, who attended special training courses on Infection Prevention and Control (IPC). These trainings were the planned project by the World Health Organization (WHO) along with the Government of Sindh in order to adopt random sample as a way of verifying and establishing the test validity and reliability. Following an item analysis; the outcome was that Infection Prevention and Control Achievement Test (IPCAT) is of high face and content validity. Difficulty and discrimination index was used to determine the test item validity. The formula of correction of guessing was applied and a difficult index or p-value of 0.5 in every item was observed. Discrimination index was created by means of points biserial statistics when at least 0.3 was the coefficient of correction in each of the items. This test has reliability coefficient of 0.939 determined on basis of Kuder-Richardson formula 20. They are a valid and reliable test to be used within the school to help in gauging students and thus prepare them to do the external tests. The results of this research present useful data to the nursing education fraternity as it allows a general test to help evaluate competence in infection management. Through its implementation, the quality of infection prevention training may improve and result in improved patient safety outcomes within the healthcare environment.

References

Agreli, H. F., Murphy, M., Creedon, S., Bhuachalla, C. N., O’Brien, D., Gould, D., Savage, E., Barry, F., Drennan, J., & Smiddy, M. P. (2019). Patient involvement in the implementation of infection prevention and control guidelines and associated interventions: a scoping review. BMJ open, 9(3), e025824.

Allegranzi, B., Kilpatrick, C., Storr, J., Kelley, E., Park, B. J., & Donaldson, L. (2017). Global infection prevention and control priorities 2018–22: a call for action. The Lancet Global Health, 5(12), e1178-e1180.

Allegranzi, B., Tartari, E., Kilpatrick, C., Storr, J., Bellare, N., Bana, J., Santos, A. F., Charnaud, S., Ross, A. L., & Schwaber, M. J. (2025). WHO global research agenda for hand hygiene improvement in health care: a Delphi consensus study. Infection Control & Hospital Epidemiology, 1-16.

Asghar, S., Atif, M., & Masood, I. (2025). An intersectional analysis of infection prevention and control practices in Pakistan: A nationwide survey based on the Infection Prevention and Control Assessment Framework. American Journal of Infection Control.

Asogwa, P. U., Basil, B., Adiri, W. N., Ugwu, N., Anigbo, G. E., Offia, E., & Orjioke, C. (2025). An atypical presentation of autoimmune hepatitis with delayed menarche in a Nigerian adolescent: a case report. Journal of Medical Case Reports, 19(1), 34.

Belay, Y. D., Moges, N. A., Teshome, M., & Tefera, K. T. (2022). The Effect of appointment spacing model of care on virological suppression and associated factors among HIV positive individuals on antiretroviral therapy at public health facilities of Debre Markos town, northwest Ethiopia: Interrupted time series design.

Desta, M., Ayenew, T., Sitotaw, N., Tegegne, N., Dires, M., & Getie, M. (2018). Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos referral hospital, Northwest Ethiopia. BMC health services research, 18, 1-10.

Du, J., Chen, X., Wang, T., Zhao, J., & Li, K. (2023). The effectiveness of the fully online flipped classroom for nursing undergraduates during the COVID?19: Historical control study. Nursing Open, 10(8), 5766-5776.

Ebel, F., Wanderer, S., Jesse, C. M., Schär, R. T., Zubak, I., Ulrich, C. T., & Raabe, A. (2021). A standardized model for in vitro testing of sutures and patches for watertight dural closure. Journal of neurosurgery, 136(5), 1485-1494.

Filip, R., Gheorghita Puscaselu, R., Anchidin-Norocel, L., Dimian, M., & Savage, W. K. (2022). Global challenges to public health care systems during the COVID-19 pandemic: a review of pandemic measures and problems. Journal of personalized medicine, 12(8), 1295.

Flanagan, J., & Beck, C. T. (2024). Polit & Beck's nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins.

Haboush-Deloye, A., Marquez, E., Dunne, R., & Pharr, J. R. (2023). The importance of community voice: Using community-based participatory research to understand the experiences of African American, native American, and Latinx people during a pandemic. Preventing Chronic Disease, 20, E12.

Jeong, D., Park, C., & Eun, Y. (2023). Effects of infection control education program using flipped learning based on the ARCS model for nursing students: A mixed method. Healthcare,

Kim, Y., Gwack, J., Kwon, Y., Cheong, M. J., & Lee, J.-H. (2025). Public Health & Preventive Medicine. J Korean Med Sci, 40(1), e23.

Labrague, L. J. (2024). Nurses' adherence to patient safety protocols and its relationship with adverse patient events. Journal of Nursing Scholarship, 56(2), 282-290.

Labrague, L. J. (2025). A Systematic Review on Nurse-Physician Collaboration and Its Relationship With Nursing Workforce Outcomes: Implications for Nursing Administration. JONA: The Journal of Nursing Administration, 55(3), 157-164.

Leach, M., Chapin, S., Porges, I., Portner, S., Charest, T., Downing, J., & Weinstein, L. C. (2021). Evaluation of risk factors for hepatitis C virus infection among Philadelphia's shelter-bound, homeless population: data from a student-run hepatitis C virus screening initiative. Population Health Management, 24(4), 448-453.

Lowe, H., Woodd, S., Lange, I. L., Janjanin, S., Barnett, J., & Graham, W. (2021). Challenges and opportunities for infection prevention and control in hospitals in conflict-affected settings: a qualitative study. Conflict and health, 15, 1-10.

Mallory, K. L., Taylor, J. A., Zou, X., Waghela, I. N., Schneider, C. G., Sibilo, M. Q., Punde, N. M., Perazzo, L. C., Savransky, T., & Sedegah, M. (2021). Messenger RNA expressing PfCSP induces functional, protective immune responses against malaria in mice. npj Vaccines, 6(1), 84.

Organization, W. H. (2020). Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected: interim guidance, 25 January 2020. World Health Organization.

Organization, W. H. (2021). WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention: use of mRNA tests for human papillomavirus (HPV). World Health Organization.

Organization, W. H. (2022). Global report on infection prevention and control. World Health Organization.

Organization, W. H. (2024). Global report on infection prevention and control 2024. World Health Organization.

Parczewski, M., Gökengin, D., Sullivan, A., de Amo, J., Cairns, G., Bivol, S., Kuchukhidze, G., Vasylyev, M., & Rockstroh, J. K. (2025). Control of HIV across the WHO European region: progress and remaining challenges. The Lancet Regional Health–Europe, 52.

Qureshi, M. O., Chughtai, A. A., & Seale, H. (2022). Recommendations related to occupational infection prevention and control training to protect healthcare workers from infectious diseases: a scoping review of infection prevention and control guidelines. BMC health services research, 22(1), 272.

Ranoto, L. Q., Ntimana, C. B., Mamogobo, P., & Maimela, E. (2025). Knowledge, Attitudes, and Practices of Infection Prevention and Control Nurses in Public Hospitals in the Limpopo Province: A Qualitative Study. International Journal of Environmental Research and Public Health, 22(1), 116.

Rodrigues, A., Struchiner, C. J., Coelho, L. E., Veloso, V. G., Grinsztejn, B., & Luz, P. M. (2021). Late initiation of antiretroviral therapy: inequalities by educational level despite universal access to care and treatment. BMC public health, 21, 1-9.

Saati, A. A., & Alkalash, S. H. (2022). Promotion of knowledge, attitude, and practice among medical undergraduates regarding infection control measures during COVID-19 pandemic. Frontiers in Public Health, 10, 932465.

Sahoo, M. K., Divi, S., Rathod, B., & Vekariya, H. (2023). India’s Prospects for Attaining Sustainable Development Goals on Health & Sanitation: A Critical Analysis of Swachh Bharat Abhiyan & Jal Jeevan Mission. International Journal of Environmental Sciences, 9(2), 74-87.

Shakoor, S., Owais, M., Hasan, R., & Irfan, S. (2019). Nosocomial and healthcare-associated NTM infections and their control. In Nontuberculous Mycobacteria (NTM) (pp. 177-190). Elsevier.

Tafere, T. Z., Belachew, T. B., Feleke, D. G., & Adal, G. M. (2024). Assessment of knowledge and practice of nurses regarding infection prevention and associated factors at Debre Tabor Comprehensive Specialized Hospital, Northwest Ethiopia. Frontiers in Public Health, 11, 1225570.

Talbot, T. R., Baliga, C., Crapanzano-Sigafoos, R., Bubb, T. N., Fakih, M., Fraser, T. G., Kalu, I. C., Mony, V., Neelakanta, A., & Nyquist, A.-C. (2025). SHEA/APIC/IDSA/PIDS multisociety position paper: Raising the bar: necessary resources and structure for effective healthcare facility infection prevention and control programs. Infection Control & Hospital Epidemiology, 1-19.

Tartari, E., Tomczyk, S., Pires, D., Zayed, B., Rehse, A. C., Kariyo, P., Stempliuk, V., Zingg, W., Pittet, D., & Allegranzi, B. (2021). Implementation of the infection prevention and control core components at the national level: a global situational analysis. Journal of Hospital Infection, 108, 94-103.

Thakur, A. S., Namdeo, S., Vaishnav, V., Deshmukh, D., Sahu, B., Mishra, J., & Sonwani, H. P. (2025). Nanoparticle delivery system, highly active antiretroviral therapy, and testicular morphology: The role of stereology. Cuestiones de Fisioterapia, 54(3), 5290-5314.

Tomczyk, S., Twyman, A., de Kraker, M. E., Rehse, A. P. C., Tartari, E., Toledo, J. P., Cassini, A., Pittet, D., & Allegranzi, B. (2022). The first WHO global survey on infection prevention and control in health-care facilities. The Lancet Infectious Diseases, 22(6), 845-856.

Wang, L., Zhang, D., Liu, J., Tang, Y., Zhou, Q., Lai, X., Zheng, F., Wang, Q., Zhang, X., & Cheng, J. (2023). The mediating role of incentives in association between leadership attention and self-perceived continuous improvement in infection prevention and control among medical staff: a cross-sectional survey. Frontiers in Public Health, 11, 984847.

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Published

2025-06-19

How to Cite

Rehan, M., & Mui, L. G. . (2025). Design and Validation of an Infection Prevention and Control Achievement Test for Undergraduate Nursing Students. Review of Applied Management and Social Sciences, 8(2), 805-829. https://doi.org/10.47067/ramss.v8i2.518