|
1
|
Gastaldi S, Festa MG, Nieddu A, Zavagno G, Cau E, Barbieri C, Beccaria E, D'Ancona F. Identification of essential contents and a standard framework for the development of an Infection Prevention and Control manual for healthcare facilities: A scoping review. Am J Infect Control 2024; 52:358-364. [PMID: 37689122 DOI: 10.1016/j.ajic.2023.08.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 08/31/2023] [Accepted: 08/31/2023] [Indexed: 09/11/2023]
Abstract
BACKGROUND Several international organizations have outlined the components of infection prevention and control (IPC) programs. To successfully implement an IPC program, hospital staff may adopt a manual that provides support for implementing the IPC measures, even requiring significant efforts. This study aims to identify essential aspects and develop a standardized structure for an IPC manual. The IPC manual framework can be customized and utilized by any health care facility, thereby facilitating adherence to international and national legislation. METHODS The study was conducted using the Joanna Briggs Institute methodology for scoping reviews. Reporting followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews standard. The search for evidence was performed on PubMed and Web of Science. Methodological quality was evaluated blindly by 2 reviewers using the Critical Appraisal Skills Program checklist. RESULTS Nineteen papers were included in the review. Data extraction considered the most recent guidelines and the categorization into the 8 Core Components established by the World Health Organization. Through the literature review, the essential elements and challenges of an IPC hospital manual were identified, and a framework was proposed. CONCLUSIONS By incorporating these essential elements into their IPC manual, health care facilities can establish a robust IPC framework. A potential future development stemming from this work could involve the creation of a standardized national IPC manual tailored for hospital settings.
Collapse
Affiliation(s)
- Silvana Gastaldi
- National Association of Nurses for Prevention of Hospital Infections (ANIPIO), Bologna, Italy.
| | | | - Alma Nieddu
- HAI Group Contact, Hospital and Territory Clinical Government Operating Unit, USL Parma, Parma, Italy
| | - Giulia Zavagno
- Sant'Antonio Hospital, San Daniele del Friuli (ASUFC-Azienda Sanitaria Universitaria Friuli Centrale), Udine, Italy
| | - Ennio Cau
- Azienda Ospedaliero Universitaria Policlinico "G.Rodolico - San Marco", Catania, Italy
| | - Corinna Barbieri
- AULSS 3 Serenissima, Medical Department Ospedale dell'Angelo - Mestre, Venice, Italy
| | | | - Fortunato D'Ancona
- Department of Communicable Diseases, Istituto Superiore di Sanità, Rome, Italy
| |
Collapse
|
|
2
|
Parreira P, Santos-Costa P, Pardal J, Neves T, Bernardes RA, Serambeque B, Sousa LB, Graveto J, Silén-Lipponen M, Korhonen U, Koponen L, Myllymäki M, Yurrebaso Macho A, Mayens ALW, Picado Valverde EM, Guzmán Ordaz R, Juanes Méndez JA, Iglesias JLP, Canelo JAM, Jankowiak-Bernaciak A, Patrzała A, Bączyk G, Basa A, do Sacramento Costa Reis AM, Simões JA, Torres AL, do Rosário Pinto M, Salgueiro-Oliveira A. Nursing Students’ Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience in Portugal. J Pers Med 2022; 12:jpm12020180. [PMID: 35207668 PMCID: PMC8880596 DOI: 10.3390/jpm12020180] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 01/21/2022] [Accepted: 01/24/2022] [Indexed: 02/04/2023] Open
Abstract
Healthcare-associated infections (HAI) are one of the major concerns worldwide, posing significant challenges to healthcare professionals’ education and training. This study intended to measure nursing students’ perceptions regarding their learning experiences on HAI prevention and control. In the first phase of the study, a cross-sectional and descriptive study with a convenience sample composed of undergraduate nursing students from Portugal, Spain, Poland, and Finland was conducted to develop the InovSafeCare questionnaire. In the second phase, we applied the InovSafeCare scale in a sample of nursing students from two Portuguese higher education institutions to explore which factors impact nursing students’ adherence to HAI prevention and control measures in clinical settings. In phase one, the InovSafeCare questionnaire was applied to 1326 students internationally, with the instrument presenting adequate psychometric qualities with reliability results in 14 dimensions. During phase two, the findings supported that Portuguese nursing students’ adherence to HAI prevention and control measures is influenced not only by the curricular offerings and resources available in academic settings, but also by the standards conveyed by nursing tutors during clinical placements. Our findings support the need for a dedicated curricular focus on HAI prevention and control learning, not only through specific classroom modules, innovative resources, and pedagogical approaches, but also through a complementary and coordinated liaison between teachers and tutors in academic and clinical settings.
Collapse
Affiliation(s)
- Pedro Parreira
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Paulo Santos-Costa
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
- Correspondence:
| | - João Pardal
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Teresa Neves
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Rafael A. Bernardes
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Beatriz Serambeque
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
- Coimbra Institute for Clinical and Biomedical Research (iCBR) Area of Environment Genetics and Oncobiology (CIMAGO), University of Coimbra, 3000-548 Coimbra, Portugal
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
| | - Liliana B. Sousa
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - João Graveto
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| | - Marja Silén-Lipponen
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Ulla Korhonen
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Leena Koponen
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Mikko Myllymäki
- Savonia University of Applied Sciences, Health and Social Care, 70201 Kuopio, Finland; (M.S.-L.); (U.K.); (L.K.); (M.M.)
| | - Amaia Yurrebaso Macho
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Alexander L. Ward Mayens
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Eva Maria Picado Valverde
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Raquel Guzmán Ordaz
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Juan Antonio Juanes Méndez
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Jose Luis Pérez Iglesias
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - José Antonio Mirón Canelo
- Salamanca University, 37008 Salamanca, Spain; (A.Y.M.); (A.L.W.M.); (E.M.P.V.); (R.G.O.); (J.A.J.M.); (J.L.P.I.); (J.A.M.C.)
| | - Aleksandra Jankowiak-Bernaciak
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
| | - Amelia Patrzała
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
| | - Grażyna Bączyk
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
- Department of Practice Nursing, Poznan University of Medical Sciences, 61-701 Poznan, Poland
| | - Anna Basa
- Hipolit Cegielski State University of Applied Sciences in Gniezno, 62-200 Gniezno, Poland; (A.J.-B.); (A.P.); (G.B.); (A.B.)
| | | | - Joaquim Augusto Simões
- Escola Superior de Saúde, IP Santarem, 2040-413 Santarém, Portugal; (A.M.d.S.C.R.); (J.A.S.); (A.L.T.); (M.d.R.P.)
| | - Ana Luísa Torres
- Escola Superior de Saúde, IP Santarem, 2040-413 Santarém, Portugal; (A.M.d.S.C.R.); (J.A.S.); (A.L.T.); (M.d.R.P.)
| | - Maria do Rosário Pinto
- Escola Superior de Saúde, IP Santarem, 2040-413 Santarém, Portugal; (A.M.d.S.C.R.); (J.A.S.); (A.L.T.); (M.d.R.P.)
| | - Anabela Salgueiro-Oliveira
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (J.P.); (T.N.); (R.A.B.); (B.S.); (L.B.S.); (J.G.); (A.S.-O.)
| |
Collapse
|
|
3
|
Lee MH, Lee GA, Lee SH, Park YH. Effectiveness and core components of infection prevention and control programmes in long-term care facilities: a systematic review. J Hosp Infect 2019; 102:377-393. [PMID: 30794854 DOI: 10.1016/j.jhin.2019.02.008] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Accepted: 02/13/2019] [Indexed: 12/20/2022]
Abstract
BACKGROUND Infection prevention and control (IPC) is a measure to prevent healthcare-associated infections in healthcare settings. There is limited evidence of the effectiveness of IPC programmes in long-term care facilities (LTCFs). AIM To review and analyse the effectiveness and the components of IPC programmes in LTCFs for older adults. METHODS Electronic databases (PubMed, EMBASE, CINAHL and Cochrane CENTRAL) were searched systematically for English-language articles assessing IPC interventions in LTCFs, published over the last decade (2007-2016). The components of IPC programmes were analysed based on the World Health Organization (WHO) manuals for improving IPC activities. Two reviewers independently assessed the quality of studies using the Cochrane risk-of-bias tool and the risk-of-bias assessment tool for non-randomized studies. FINDINGS Seventeen studies met the eligibility criteria; 10 studies were randomized trials (58.8%) and the others were non-randomized trials to examine the impact of IPC programmes on infection and/or performance outcomes of healthcare workers. None of the included studies implemented all of the WHO core components. Behavioural change strategies using education, monitoring and feedback were reported to be successful interventions for reducing the threat of healthcare-associated infections. Generally, studies using four or more elements of the WHO multi-modal strategy reported significant reductions in infection rates. CONCLUSIONS There is some evidence for the effectiveness of IPC interventions using education, monitoring, feedback and four or more elements of the WHO multi-modal strategy to control healthcare-associated infections in LTCFs.
Collapse
Affiliation(s)
- M H Lee
- The Research Institute of Nursing Science, College of Nursing, Seoul National University, Seoul, Republic of Korea
| | - G A Lee
- College of Nursing, Seoul National University, Seoul, Republic of Korea
| | - S H Lee
- College of Nursing, Seoul National University, Seoul, Republic of Korea
| | - Y-H Park
- The Research Institute of Nursing Science, College of Nursing, Seoul National University, Seoul, Republic of Korea.
| |
Collapse
|
|
4
|
Galiczewski JM, Shurpin KM. An intervention to improve the catheter associated urinary tract infection rate in a medical intensive care unit: Direct observation of catheter insertion procedure. Intensive Crit Care Nurs 2017; 40:26-34. [PMID: 28237090 DOI: 10.1016/j.iccn.2016.12.003] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2016] [Revised: 12/06/2016] [Accepted: 12/10/2016] [Indexed: 11/25/2022]
Abstract
BACKGROUND Healthcare associated infections from indwelling urinary catheters lead to increased patient morbidity and mortality. AIM The purpose of this study was to determine if direct observation of the urinary catheter insertion procedure, as compared to the standard process, decreased catheter utilization and urinary tract infection rates. METHODS This case control study was conducted in a medical intensive care unit. During phase I, a retrospective data review was conducted on utilsiation and urinary catheter infection rates when practitioners followed the institution's standard insertion algorithm. During phase II, an intervention of direct observation was added to the standard insertion procedure. RESULTS The results demonstrated no change in utilization rates, however, CAUTI rates decreased from 2.24 to 0 per 1000 catheter days. CONCLUSION The findings from this study may promote changes in clinical practice guidelines leading to a reduction in urinary catheter utilization and infection rates and improved patient outcomes.
Collapse
Affiliation(s)
- Janet M Galiczewski
- Stony Brook University School of Nursing, United States; Long Island Jewish Medical Center, United States.
| | | |
Collapse
|
|
5
|
MacBeth D, Hall L, Halton K, Gardner A, Mitchell BG. Credentialing of Australian and New Zealand infection control professionals: An exploratory study. Am J Infect Control 2016; 44:886-91. [PMID: 26996266 DOI: 10.1016/j.ajic.2016.01.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Revised: 01/12/2016] [Accepted: 01/19/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Despite evidence from overseas that certification and credentialing of infection control professionals (ICPs) is important to patient outcomes, there are no standardized requirements for the education and preparation of ICPs in Australia. A credentialing process (now managed by the Australasian College of Infection Prevention and Control) has been in existence since 2000; however, no evaluation has occurred. METHODS A cross-sectional study design was used to identify the perceived barriers to credentialing and the characteristics of credentialed ICPs. RESULTS There were 300 responses received; 45 (15%) of participants were credentialed. Noncredentialed ICPs identified barriers to credentialing as no employer requirement and no associated remuneration. Generally credentialed ICPs were more likely to hold higher degrees and have more infection control experience than their noncredentialed colleagues. CONCLUSIONS The credentialing process itself may assist in supporting ICP development by providing an opportunity for reflection and feedback from peer review. Further, the process may assist ICPs in being flexible and adaptable to the challenging and ever-changing environment that is infection control.
Collapse
Affiliation(s)
- Deborough MacBeth
- Infection Control, Gold Coast Hospital and Health Service, Griffith University, Gold Coast, QLD, Australia
| | - Lisa Hall
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
| | - Kate Halton
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
| | - Anne Gardner
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Dickson, ACT, Australia
| | - Brett G Mitchell
- Avondale College of Higher Education, Wahroonga, NSW, Australia; Australian Catholic University, Dickson, ACT, Australia.
| |
Collapse
|
|
6
|
Russo PL, Chen G, Cheng AC, Richards M, Graves N, Ratcliffe J, Hall L. Novel application of a discrete choice experiment to identify preferences for a national healthcare-associated infection surveillance programme: a cross-sectional study. BMJ Open 2016; 6:e011397. [PMID: 27147392 PMCID: PMC4861107 DOI: 10.1136/bmjopen-2016-011397] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To identify key stakeholder preferences and priorities when considering a national healthcare-associated infection (HAI) surveillance programme through the use of a discrete choice experiment (DCE). SETTING Australia does not have a national HAI surveillance programme. An online web-based DCE was developed and made available to participants in Australia. PARTICIPANTS A sample of 184 purposively selected healthcare workers based on their senior leadership role in infection prevention in Australia. PRIMARY AND SECONDARY OUTCOMES A DCE requiring respondents to select 1 HAI surveillance programme over another based on 5 different characteristics (or attributes) in repeated hypothetical scenarios. Data were analysed using a mixed logit model to evaluate preferences and identify the relative importance of each attribute. RESULTS A total of 122 participants completed the survey (response rate 66%) over a 5-week period. Excluding 22 who mismatched a duplicate choice scenario, analysis was conducted on 100 responses. The key findings included: 72% of stakeholders exhibited a preference for a surveillance programme with continuous mandatory core components (mean coefficient 0.640 (p<0.01)), 65% for a standard surveillance protocol where patient-level data are collected on infected and non-infected patients (mean coefficient 0.641 (p<0.01)), and 92% for hospital-level data that are publicly reported on a website and not associated with financial penalties (mean coefficient 1.663 (p<0.01)). CONCLUSIONS The use of the DCE has provided a unique insight to key stakeholder priorities when considering a national HAI surveillance programme. The application of a DCE offers a meaningful method to explore and quantify preferences in this setting.
Collapse
Affiliation(s)
- Philip L Russo
- Institute of Health and Biomedical Innovation, School of Public Health and Welfare, Queensland University of Technology, Kelvin Grove, Queensland, Australia
- School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia
| | - Gang Chen
- Flinders Health Economics Group, School of Medicine, Flinders University, Repatriation General Hospital, Daw Park, South Australia, Australia
| | - Allen C Cheng
- Infectious Diseases Epidemiology Unit, Department of Epidemiology and Preventive Medicine, Infection Prevention and Healthcare Epidemiology Unit, Monash University, Alfred Health, Prahran, Victoria, Australia
| | - Michael Richards
- Faculty of Medicine, Dentistry and Health, University of Melbourne, Parkville, Victoria, Australia
| | - Nicholas Graves
- Institute of Health and Biomedical Innovation, School of Public Health and Welfare, Queensland University of Technology, Kelvin Grove, Queensland, Australia
| | - Julie Ratcliffe
- Flinders Health Economics Group, School of Medicine, Flinders University, Repatriation General Hospital, Daw Park, South Australia, Australia
| | - Lisa Hall
- Institute of Health and Biomedical Innovation, School of Public Health and Welfare, Queensland University of Technology, Kelvin Grove, Queensland, Australia
| |
Collapse
|
|
7
|
Mitchell BG, Ferguson JK. The use of clinical coding data for the surveillance of healthcare-associated urinary tract infections in Australia. Infect Dis Health 2016. [DOI: 10.1016/j.idh.2016.03.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
|
8
|
Mitchell BG, Hall L, Halton K, MacBeth D, Gardner A. Time spent by infection control professionals undertaking healthcare associated infection surveillance: A multi-centred cross sectional study. Infect Dis Health 2016. [DOI: 10.1016/j.idh.2016.03.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
|
9
|
Mitchell BG, Wilson F, Wells A. Evaluating environment cleanliness using two approaches: a multi-centred Australian study. ACTA ACUST UNITED AC 2015. [DOI: 10.1071/hi15009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
|
10
|
Mitchell BG, Collignon PJ, McCann R, Wilkinson IJ, Wells A. Reply to Worth et al. Clin Infect Dis 2014; 59:1809-10. [PMID: 25210021 PMCID: PMC4243700 DOI: 10.1093/cid/ciu692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Brett G. Mitchell
- Avondale College of Higher Education, Wahroonga, New South Wales
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University
| | - Peter J. Collignon
- Canberra Hospital and Medical School
- Australian National University, Canberra, Australian Capital Territory
| | - Rebecca McCann
- Healthcare Associated Infection Unit, Department of Health, Perth, Western Australia
| | - Irene J. Wilkinson
- Department of Health, Infection Control Service, Adelaide, South Australia
| | - Anne Wells
- Tasmanian Infection Prevention and Control Unit, Department of Health and Human Services, Hobart, Australia
| |
Collapse
|
|
11
|
Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: a cross-sectional study. BMC Nurs 2014; 13:43. [PMID: 25516721 PMCID: PMC4266973 DOI: 10.1186/s12912-014-0043-9] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2014] [Accepted: 11/24/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In recent year, national bodies have been actively addressing the increasing concern on the spread of healthcare-associated infections (HAIs). The current study measures the knowledge, intentions and beliefs of third-year Australian nursing students on key infection prevention and control (IPC) concepts. METHODS A cross-sectional study of final-year undergraduate nursing students from Schools of Nursing at six Australian universities was undertaken. Students were asked to participate in an anonymous survey. The survey explored knowledge of standard precautions and transmission based precautions. In addition intentions and beliefs towards IPC were explored. RESULTS 349 students from six universities completed the study. 59.8% (95% CI 58.8-60.8%) of questions were answered correctly. Significantly more standard precaution questions were correctly answered than transmission-based precaution questions (p < 0.001). No association was found between self-reported compliance with IPC activities and gender or age. Certain infection control issues were correlated with the percentage of correctly answered transmission-based precaution questions. The participants were most likely to seek infection control information from an infection control professional. CONCLUSION Knowledge on transmission-based precautions was substandard. As transmission-based precautions are the foundation of IPC for serious organisms and infections, education institutions should reflect on the content and style of educational delivery on this topic.
Collapse
|
|
12
|
Mitchell BG, Digney W, Ferguson JK. Prior room occupancy increases risk of methicillin-resistant Staphylococcus aureus acquisition. ACTA ACUST UNITED AC 2014. [DOI: 10.1071/hi14023] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
|
13
|
Attieh R, Gagnon MP, Krein SL. How can implementing an infection prevention and control (IPC) technology transform healthcare practices and outcomes for patients? ACTA ACUST UNITED AC 2014. [DOI: 10.1071/hi14003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
|
|
14
|
Mitchell BG. Clostridium difficile Infection: Incidence in an Australian Setting. Asian Nurs Res (Korean Soc Nurs Sci) 2014. [DOI: 10.1016/j.anr.2014.07.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
|
|
15
|
Mitchell BG, Collignon PJ, McCann R, Wilkinson IJ, Wells A. A Major Reduction in Hospital-Onset Staphylococcus aureus Bacteremia in Australia--12 Years of Progress: An Observational Study. Clin Infect Dis 2014; 59:969-75. [DOI: 10.1093/cid/ciu508] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
|
|
16
|
Mitchell BG, Digney W, Locket P, Dancer SJ. Controlling methicillin-resistant Staphylococcus aureus (MRSA) in a hospital and the role of hydrogen peroxide decontamination: an interrupted time series analysis. BMJ Open 2014; 4:e004522. [PMID: 24747791 PMCID: PMC3996814 DOI: 10.1136/bmjopen-2013-004522] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES The impact of surface disinfection versus detergent cleaning on healthcare associated infection rates remains unresolved. We aimed to evaluate the efficacy of hydrogen peroxide (HP) decontamination against methicillin-resistant Staphylococcus aureus (MRSA). DESIGN Single centred retrospective before and after study design. SETTING Launceston General Hospital, Tasmania, Australia. PARTICIPANTS Patients with MRSA infection or colonisation. INTERVENTIONS Rooms occupied by patients with MRSA infection or colonisation were cleaned following discharge with either detergent or HP. MAIN OUTCOME MEASURES MRSA room contamination following cleaning; new MRSA acquisition in patients. RESULTS Over 3600 discharge cleans were completed, with more than 32 600 environmental swabs processed. MRSA was isolated from 24.7% rooms following detergent cleaning and from 18.8% of rooms after HP (p<0.001). The incidence of MRSA acquisition reduced from 9.0 to 5.3 per 10 000 patient days in detergent and disinfectant arms, respectively (p<0.001). CONCLUSIONS Use of HP disinfection led to a decrease in residual MRSA contamination in patient rooms compared with detergent. It may also have encouraged the reduction in patient MRSA acquisition despite several confounders including staff feedback on terminal cleaning, additional MRSA screening and quicker laboratory methods. Infection control is best served by concurrent interventions targeting both the patient and healthcare environment.
Collapse
Affiliation(s)
- Brett G Mitchell
- Faculty of Nursing and Health, Avondale College of Higher Education, New South Wales, Australia
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Dickson, Australian Capital Territory, Australia
| | | | - Phil Locket
- Launceston General Hospital, Launceston, Tasmania, Australia
| | | |
Collapse
|