Patient participation in infection prevention and control: A systematic review

Background: Government-directed policy plays an important role in the regulation and supervision of healthcare quality. Effective implementation of these policies has the potential to significantly improve clinical practice and patient outcomes, including the prevention of healthcare-associated infections. A systematic review of research describing the implementation of government-directed policy in the hospital setting was performed with the aim to identify policy intervention characteristics that influence implementation. Methods: A systematic search of four electronic databases was undertaken to identify eligible articles published between 2007 and 2017. Studies were included if published in the English language and described the implementation of government-directed policy in a high-income country hospital setting. Data on policy and implementation were extracted for each article and interpretive syntheses performed. Results: A total of 925 articles were retrieved and titles and abstracts reviewed, with 69 articles included after review of abstract and full text. Qualitative synthesis of implementation data showed three overarching themes related to intervention characteristics associated with implementation: clarity; infrastructure; and alignment. Conclusion: Better understanding and consideration of policy intervention characteristics during development and planning will facilitate more effective implementation although research describing implementation of government-directed policy in the hospital setting is limited and of variable quality. The findings of this study provide guidance to staff tasked with the development or implementation of government-directed policy in the hospital setting, infection prevention and control professionals seeking to maximise the impact of policy on practice and improve patient outcomes.

Download Full-text

Implementation of infection prevention and control in acute care hospitals in Mainland China – a systematic review

Antimicrobial Resistance and Infection Control ◽

10.1186/s13756-019-0481-y ◽

2019 ◽

Vol 8 (1) ◽

Cited By ~ 7

Author(s):

Jiancong Wang ◽

Fangfei Liu ◽

Jamie Bee Xian Tan ◽

Stephan Harbarth ◽

Didier Pittet ◽

...

Keyword(s):

Systematic Review ◽

Acute Care ◽

Prevention And Control ◽

Infection Prevention ◽

Mainland China ◽

Acute Care Hospitals ◽

Infection Prevention And Control ◽

And Control

Download Full-text

Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review

Antimicrobial Resistance and Infection Control ◽

10.1186/s13756-021-00957-0 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Saad Alhumaid ◽

Abbas Al Mutair ◽

Zainab Al Alawi ◽

Murtadha Alsuliman ◽

Gasmelseed Y. Ahmed ◽

...

Keyword(s):

Systematic Review ◽

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

English Language ◽

Meta Analysis ◽

The Body ◽

Infection Prevention And Control ◽

Online Library ◽

And Control

Abstract Background Knowledge of infection prevention and control (IPC) procedures among healthcare workers (HCWs) is crucial for effective IPC. Compliance with IPC measures has critical implications for HCWs safety, patient protection and the care environment. Aims To discuss the body of available literature regarding HCWs' knowledge of IPC and highlight potential factors that may influence compliance to IPC precautions. Design A systematic review. A protocol was developed based on the Preferred Reporting Items for Systematic reviews and Meta-Analysis [PRISMA] statement. Data sources Electronic databases (PubMed, CINAHL, Embase, Proquest, Wiley online library, Medline, and Nature) were searched from 1 January 2006 to 31 January 2021 in the English language using the following keywords alone or in combination: knowledge, awareness, healthcare workers, infection, compliance, comply, control, prevention, factors. 3417 papers were identified and 30 papers were included in the review. Results Overall, the level of HCW knowledge of IPC appears to be adequate, good, and/or high concerning standard precautions, hand hygiene, and care pertaining to urinary catheters. Acceptable levels of knowledge were also detected in regards to IPC measures for specific diseases including TB, MRSA, MERS-CoV, COVID-19 and Ebola. However, gaps were identified in several HCWs' knowledge concerning occupational vaccinations, the modes of transmission of infectious diseases, and the risk of infection from needle stick and sharps injuries. Several factors for noncompliance surrounding IPC guidelines are discussed, as are recommendations for improving adherence to those guidelines. Conclusion Embracing a multifaceted approach towards improving IPC-intervention strategies is highly suggested. The goal being to improve compliance among HCWs with IPC measures is necessary.

Download Full-text