scholarly journals Evaluation of infection prevention and control preparedness in acute care nurses: Factors influencing adherence to standard precautions

2020 ◽  
Author(s):  
Siew Hoon Lim ◽  
Stéphane L. Bouchoucha ◽  
Fazila Aloweni ◽  
Nur 'Azzah Bte Suhari
Keyword(s):  
Acute Care ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Standard Precautions ◽  
Acute Care Nurses ◽  
Factors Influencing ◽  
And Control

scholarly journals EXPLORING THE KNOWLEDGE AND PRACTICES OF AUSTRALIAN MEDICAL STUDENTS REGARDING INFECTION PREVENTION AND CONTROL IN HOSPITALS: A PILOT STUDY

2022 ◽  
Vol 71 (6) ◽  
pp. 2236-41
Author(s):  
Maha Pervaz Iqbal ◽  
Kerry Uebel ◽  
Md. Saiful Islam ◽  
Victoria Jabbour ◽  
Dr. Victoria Jabbour ◽  
...  
Keyword(s):  
Medical Students ◽  
Hand Hygiene ◽  
Infection Control ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Standard Precautions ◽  
Knowledge And Practice ◽  
And Control

Objective: To assess the knowledge and practice of medical students regarding standard precautions in an Australian undergraduate medical programme. Study Design: Cross sectional study. Place and Duration of Study: University of New South Wales, Australia, duration of study was six-years. Methodology: Fifty medical students who were involved in clinical practice, were invited to complete a comprehensive questionnaire on standard precautions. Results: The majority of participants agreed that hand hygiene was the most important factor in infection control. Only 32 (16%) knew to use a full personal protective equipment for Ebola. Regarding sharps disposal, 46 (92%) students always disposed used needles in the recommended bin, 27 (54%) indicated they sometimes recapped used needle while 25 (20%) sometimes bent used needles. Conclusion: This study showed that there is a gap between knowledge and practice of medical students regarding hand hygiene and other infection control measures. There is a need for standardized and regular student training in the use of standard precautions in infection prevention and control.

scholarly journals Prevention and Control of Infections

2021 ◽  
pp. 1-9
Author(s):  
Robin Sebastian ◽  
. Gopalakrishnan ◽  
P. Sanil Kumar ◽  
Lal Prashanth ◽  
Darly Jose
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Human Populations ◽  
Infectious Agents ◽  
Standard Precautions ◽  
Viral Pathogens ◽  
Contact Precautions ◽  
Route Of Transmission ◽  
And Control

Over the last 10 years several new viral pathogens have appeared in human populations in India. We have also seen the emergence of infectious diseases like COVID-19. It is time to reassess our current practice patterns and commit to a ‘NEW STANDARD’ for infection prevention and control. A two-tiered approach to precautions is used to interrupt the mode of transmission of infectious agents. Standard precautions to work practices that are applied to all patients receiving care in health facilities and Transmission-based precautions are precautions required to be taken based on the route of transmission of organisms like contact precautions, airborne precautions, etc.   If successfully implemented, standard and transmission-based precautions prevent any infection from being transmitted.

scholarly journals The Impact of COVID-19 on Patient Safety: A Survey of Acute-Care Registered Nurses in New Jersey

2021 ◽  
Vol 1 (S1) ◽  
pp. s54-s55
Author(s):  
Monika Pogorzelska-Maziarz ◽  
Mary Lou Manning ◽  
Angela Gerolamo ◽  
Mary Johansen ◽  
Irina Grafova ◽  
...  
Keyword(s):  
Patient Safety ◽  
New Jersey ◽  
Registered Nurses ◽  
Acute Care ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Care Delivery ◽  
Infection Prevention And Control ◽  
And Control ◽  
The Impact

Background: As the world grapples with the pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), it is important to consider the full impact of coronavirus disease 2019 (COVID-19) on healthcare delivery. Evidence from outbreaks of novel H1N1 and Ebola indicates that response to these types of outbreaks requires extraordinary resources, which are diverted from routine infection prevention and control activities. However, little is known about the impact of COVID-19 on adherence to patient safety protocols in hospitals, including infection prevention and control activities. We have described the reports of acute-care registered nurses (RNs) in adhering to patient safety protocols while delivering care to COVID-19 patients. Methods: In October 2020, we conducted a cross-sectional electronic survey of all active RNs in the state of New Jersey who provided direct patient care in a New Jersey hospital in an emergency or adult inpatient unit during the onset of the COVID-19 pandemic. Results: More than 3,027 RNs participated in the survey, for a 15% response rate based on number of eligible RNs. Moreover, 15% of respondents reported that they tested positive for COVID-19 during the initial peak of COVID-19 in New Jersey (March–June 2020). Most RNs reported that the number of patients they were assigned during the first peak of the pandemic affected their ability to adhere to patient safety protocols (eg, deep-vein thrombosis screening, central-line bundles, pressure ulcer prevention). In open-ended responses, they shared that being understaffed, the extra time it took for downing and doffing of PPE, the lack of access to ancillary staff (ie nursing assistants, runners), and the need to cluster care affected the quality of care. A nurse working in the intensive care unit (ICU) lamented, “We were sometimes given 4–5 ICU patients who were very sick and required a lot of care. Shortcuts had to be taken to prioritize the most important needs. Sometimes IVs remained longer than desired. Foleys remained in longer. To avoid PPE shortages, we didn’t go into the rooms nearly as much as we normally would, [and] things got missed.” Feelings of being overwhelmed and helpless permeated the nurses’ comments. Conclusions: When caring for COVID-19 patients, frontline nurses struggled with adherence to necessary patient safety protocols, which ultimately disrupted care delivery. Future research should quantify the extent to which the COVID-19 pandemic affected care delivery, including adherence to patient safety protocols among frontline providers.Funding: NoDisclosures: None

Healthcare worker mental models of patient care tasks in the context of infection prevention and control

2021 ◽  
pp. 1-6
Author(s):  
Joel M. Mumma ◽  
Jessica R. Howard-Anderson ◽  
Jill S. Morgan ◽  
Kevin Schink ◽  
Marisa J. Wheatley ◽  
...  
Keyword(s):  
Patient Care ◽  
Mental Models ◽  
Healthcare Worker ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Standard Precautions ◽  
Different Populations ◽  
Cognitive Determinants ◽  
And Control

Abstract Objective: Understanding the cognitive determinants of healthcare worker (HCW) behavior is important for improving the use of infection prevention and control (IPC) practices. Given a patient requiring only standard precautions, we examined the dimensions along which different populations of HCWs cognitively organize patient care tasks (ie, their mental models). Design: HCWs read a description of a patient and then rated the similarities of 25 patient care tasks from an infection prevention perspective. Using multidimensional scaling, we identified the dimensions (ie, characteristics of tasks) underlying these ratings and the salience of each dimension to HCWs. Setting: Adult inpatient hospitals across an academic hospital network. Participants: In total, 40 HCWs, comprising infection preventionists and nurses from intensive care units, emergency departments, and medical-surgical floors rated the similarity of tasks. To identify the meaning of each dimension, another 6 nurses rated each task in terms of specific characteristics of tasks. Results: Each HCW population perceived patient care tasks to vary along 3 common dimensions; most salient was the perceived magnitude of infection risk to the patient in a task, followed by the perceived dirtiness and risk of HCW exposure to body fluids, and lastly, the relative importance of a task for preventing versus controlling an infection in a patient. Conclusions: For a patient requiring only standard precautions, different populations of HCWs have similar mental models of how various patient care tasks relate to IPC. Techniques for eliciting mental models open new avenues for understanding and ultimately modifying the cognitive determinants of IPC behaviors.

scholarly journals Assessment of standard precaution related to infection prevention readiness of healthcare facilities in Bangladesh: Findings from a national cross-sectional survey

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Md Abdullah Al Jubayer Biswas ◽  
Md Zakiul Hassan ◽  
Mohammad Riashad Monjur ◽  
Md Saiful Islam ◽  
Aninda Rahman ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Mean Difference ◽  
World Health ◽  
Infection Prevention And Control ◽  
Standard Precautions ◽  
Health Crisis ◽  
Healthcare Facilities ◽  
Standard Precaution ◽  
And Control

Abstract Background: Baseline assessment of standard precaution relating to infection prevention and control (IPC) preparedness to fight health crisis within healthcare facilities at different levels and its associated factors in Bangladesh remains unknown. Methods: We analyzed the nationally representative Bangladesh health facility survey (BHFS) data conducted by the Ministry of Health and Family Welfare (MoHFW) during July–October 2017. We used the World Health Organization (WHO) Service Availability and Readiness Assessment (SARA) manual to determine the standard precautions related to the IPC readiness index. Using a conceptual framework and multivariable linear regression, we identified the factors associated with the readiness index. Results: We analyzed data for 1,524 surveyed healthcare facilities. On average, only 44% of the standard precaution elements were available in all facilities. Essential elements, such as guidelines for standard precautions (30%), hand-washing soap (29%), and pedal bins (38%), were not readily available in all facilities. The tuberculosis service area was least prepared, with 85% of elements required for standard precaution deficient in all facilities. Significantly lower readiness indexes were observed in the rural healthcare facilities (mean difference, −13.2), healthcare facilities administered by the MoHFW (mean difference, −7.8), and private facilities (mean difference, −10.1) compared to corresponding reference categories. Conclusions: Our study revealed a severe lack of standard precaution elements in most healthcare facilities, particularly in rural health centers. These data can provide a baseline from which to measure improvement in infection prevention and control (IPC) in these facilities and to identify areas of gaps for targeted interventions to improve IPC strategies that can improve the Bangladesh health system.

Infection prevention and control practices related to carbapenemase-producing Enterobacteriaceae (CPE) in acute-care hospitals in Ontario, Canada

2019 ◽  
Vol 40 (9) ◽  
pp. 1006-1012 ◽  
Author(s):  
Alainna J. Jamal ◽  
Felipe Garcia-Jeldes ◽  
Mahin Baqi ◽  
Sergio Borgia ◽  
Jennie Johnstone ◽  
...  
Keyword(s):  
Acute Care ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Indian Subcontinent ◽  
Acute Care Hospitals ◽  
Infection Prevention And Control ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Admission Screening ◽  
And Control

AbstractObjective:To determine infection prevention and control (IPAC) practices for carbapenemase-producing Enterobacteriaceae (CPE), an emerging threat, at acute-care hospitals in Ontario, Canada.Design:A descriptive cross-sectional survey.Methods:We surveyed IPAC directors and managers at all acute-care hospitals in Ontario, Canada, to gather information on IPAC practices related to CPE, including admission screening, other patient screening, environmental testing, use of precautions to prevent transmission, and outbreak management.Results:Of 116 acute-care hospitals, 105 (91%) responded. Admission screening included patients previously colonized or infected with CPE (n = 64, 61%), patients recently hospitalized outside of Canada (Indian subcontinent, n = 62, 59%; other countries, n = 56, 53%), and patients recently hospitalized in Canada (n = 22, 21%). Fifty-one hospitals (49%) screened patients for colonization during an outbreak. Almost all hospitals (n = 101, 96%) used precautions to prevent transmission from patients with CPE colonization or infection; most hospitals (n = 54, 53%) continued precautions indefinitely. Few hospitals (n = 19, 18%) performed environmental cultures. Eight hospitals (8%) reported at least 1 outbreak, and 6 hospitals (6%) reported transmission from sink or shower drains to patients.Conclusions:Variability in practices may result from lack of evidence and challenges in updating guidelines as evidence emerges. A coordinated approach to slow the emergence of CPE should be considered in our population.

Sign in / Sign up

Export Citation Format

Share Document