The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: a scoping review

Background and PurposeOnly a limited number of items involved in missed nursing care inventories specifically focused on infection control practices. The study aimed to adapt and evaluate psychometric properties of the Czech and Slovak version of the Infection Control Missed Care survey; and to assess and compare the amount, type, and reasons for missed nursing care in infection prevention and control among Czech and Slovak nurses.MethodsThe convenience sample of 1459 nurses from the Czech and Slovak republic was recruited. Analysis of the nurses' responses to both subscales of the surveys and validation of their data was undertaken using the item response theory (Rasch scaling).ResultsThe now-modified Czech version consists only of 20 items measuring the type and frequency of missed care and 11 items focusing on the reasons for missed care. The now modified Slovak version consists of 34 items measuring the type and frequency of missed care and 17 items measuring the reasons for missed care. Reliability estimates with the removal of unreliable items showed acceptable reliability estimates for both sub-scales of the instrument.ConclusionsWith modification to the two subscales used in the survey (removal of poorly fitting items) it should be reliable, and the resulting data could be used for further investigation such as factor analysis or modelling. The modified Infection Control Missed Care survey could be useful in further research investigating a relationship between nurse staffing, skill mix, and infection control outcomes in acute care hospitals.

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Health system influences on the implementation of tuberculosis infection prevention and control at health facilities in low-income and middle-income countries: a scoping review

BMJ Global Health ◽

10.1136/bmjgh-2020-004735 ◽

2021 ◽

Vol 6 (5) ◽

pp. e004735

Author(s):

Gimenne Zwama ◽

Karin Diaconu ◽

Anna S Voce ◽

Fiona O'May ◽

Alison D Grant ◽

...

Keyword(s):

Health System ◽

Scoping Review ◽

Prevention And Control ◽

Infection Prevention ◽

Health Facilities ◽

Tuberculosis Infection ◽

Infection Prevention And Control ◽

Middle Income ◽

Middle Income Countries ◽

And Control

BackgroundTuberculosis infection prevention and control (TB-IPC) measures are consistently reported to be poorly implemented globally. TB-IPC guidelines provide limited recognition of the complexities of implementing TB-IPC within routine health systems, particularly those facing substantive resource constraints. This scoping review maps documented system influences on TB-IPC implementation in health facilities of low/middle-income countries (LMICs).MethodsWe conducted a systematic search of empirical research published before July 2018 and included studies reporting TB-IPC implementation at health facility level in LMICs. Bibliometric data and narratives describing health system influences on TB-IPC implementation were extracted following established methodological frameworks for conducting scoping reviews. A best-fit framework synthesis was applied in which extracted data were deductively coded against an existing health policy and systems research framework, distinguishing between social and political context, policy decisions, and system hardware (eg, information systems, human resources, service infrastructure) and software (ideas and interests, relationships and power, values and norms).ResultsOf 1156 unique search results, we retained 77 studies; two-thirds were conducted in sub-Saharan Africa, with more than half located in South Africa. Notable sociopolitical and policy influences impacting on TB-IPC implementation include stigma against TB and the availability of facility-specific TB-IPC policies, respectively. Hardware influences on TB-IPC implementation referred to availability, knowledge and educational development of staff, timeliness of service delivery, availability of equipment, such as respirators and masks, space for patient separation, funding, and TB-IPC information, education and communication materials and tools. Commonly reported health system software influences were workplace values and established practices, staff agency, TB risk perceptions and fears as well as staff attitudes towards TB-IPC.ConclusionTB-IPC is critically dependent on health system factors. This review identified the health system factors and health system research gaps that can be considered in a whole system approach to strengthen TB-IPC practices at facility levels in LMICs.

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Patient involvement in the implementation of infection prevention and control guidelines and associated interventions: a scoping review

BMJ Open ◽

10.1136/bmjopen-2018-025824 ◽

2019 ◽

Vol 9 (3) ◽

pp. e025824 ◽

Cited By ~ 5

Author(s):

Heloise Fernandes Agreli ◽

Michael Murphy ◽

Sile Creedon ◽

Cliodhna Ni Bhuachalla ◽

Deirdre O’Brien ◽

...

Keyword(s):

Scoping Review ◽

Prevention And Control ◽

Infection Prevention ◽

Patient Involvement ◽

Grey Literature ◽

Infection Prevention And Control ◽

Reference List ◽

Clear Understanding ◽

Role Clarity ◽

And Control

ObjectiveTo explore patient involvement in the implementation of infection prevention and control (IPC) guidelines and associated interventions.DesignScoping review.MethodsA methodological framework was followed to identify recent publications on patient involvement in the implementation of IPC guidelines and interventions. Initially, relevant databases were searched to identify pertinent publications (published 2013–2018). Reflecting the scarcity of included studies from these databases, a bidirectional citation chasing approach was used as a second search step. The reference list and citations of all identified papers from databases were searched to generate a full list of relevant references. A grey literature search of Google Scholar was also conducted.ResultsFrom an identified 2078 papers, 14 papers were included in this review. Our findings provide insights into the need for a fundamental change to IPC, from being solely the healthcare professionals (HCPs) responsibility to one that involves a collaborative relationship between HCPs and patients. This change should be underpinned by a clear understanding of patient roles, potential levels of patient involvement in IPC and strategies to overcome barriers to patient involvement focusing ontheprofessional–patient relationship (eg, patient encouragement through multimodal educational strategies and efforts to disperse professional’s power).ConclusionsThere is limited evidence regarding the best strategies to promote patient involvement in the implementation of IPC interventions and guidelines. The findings of this review endorse the need for targeted strategies to overcome the lack of role clarity of patients in IPC and the power imbalances between patients and HCPs.

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Infection prevention and control measures and recommendations for preterm infants discharged into the community: a scoping review protocol

10.21203/rs.3.rs-496540/v1 ◽

2021 ◽

Author(s):

Kathryn Carruthers ◽

Dorothy Hannis ◽

Jonathan Robinson ◽

Alan Armstrong

Keyword(s):

Preterm Infants ◽

Scoping Review ◽

Prevention And Control ◽

Infection Prevention ◽

Methodological Approach ◽

Grey Literature ◽

Control Measures ◽

Infection Prevention And Control ◽

Scoping Reviews ◽

And Control

Abstract Background: IPC recommendations aim to prevent illness and subsequent hospital re-admission. Cohesive guidance for parents of preterm infants has not been clearly established. The review objectives are to identify and map the global characteristics of infection prevention and control (IPC) measures and recommendations for parents of preterm infants discharged home to the community.Methods: The scoping review will be conducted using the JBI methodological approach for scoping reviews and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review extension. Electronic databases will be searched and limited by publication year (1990-present day). Grey literature, reference lists and expert provided sources will be searched against pre-determined criteria. A minimum of two authors will independently screen evidence sources and chart the evidence on a pre-determined charting form. Sources including IPC measures, or recommendations for parents of preterm infants during discharge planning or in the community/home will be permitted within inclusion criteria. Limits include human studies only and evidence from 1990-present day. There are no participant or type of source exclusions. Recommendations aimed at implementation by professionals will be excluded. A descriptive summary of findings will be presented along with diagrammatic and tabular representation.Discussion: Collated evidence will guide future targeted research which will subsequently aim to develop policy and enhance clinical approaches.Scoping Review Registration: This scoping review has been registered on the Open Science Framework (OSF) on the 4th May 2021, registration number (pending).

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The Perception of Healthcare Workers Toward Infection Prevention and Control Practices in Two Hospitals in Bo City

International Journal of Scientific and Research Publications (IJSRP) ◽

10.29322/ijsrp.9.11.2019.p9568 ◽

2019 ◽

Vol 9 (11) ◽

pp. p9568

Author(s):

Prince T. Lamin-Boima

Keyword(s):

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

Infection Prevention And Control ◽

And Control

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Effective infection prevention and control strategies in a large accredited psychiatric facility in Singapore

10.31234/osf.io/89uc5 ◽

2020 ◽

Author(s):

Daniel Poremski ◽

Sandra Henrietta Subner ◽

Grace Lam Fong Kin ◽

Raveen Dev Ram Dev ◽

Mok Yee Ming ◽

...

Keyword(s):

Mental Health ◽

Prevention And Control ◽

Infection Prevention ◽

Control Strategies ◽

Infection Prevention And Control ◽

Psychiatric Facility ◽

Essential Services ◽

Community Transmission ◽

And Control

The Institute of Mental Health in Singapore continues to attempt to prevent the introduction of COVID-19, despite community transmission. Essential services are maintained and quarantine measures are currently unnecessary. To help similar organizations, strategies are listed along three themes: sustaining essential services, preventing infection, and managing human and consumable resources.

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Barriers to infection prevention and control practice among Amhara region teaching hospitals in Ethiopia: Qualitative study

International Journal of Infection Control ◽

10.3396/ijic.v15i2.007.19 ◽

2019 ◽

Vol 15 (2) ◽

Author(s):

Walelegn Worku Yallew ◽

Abera Kumie ◽

Feleke Moges Yehuala

Keyword(s):

Healthcare Worker ◽

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

Teaching Hospitals ◽

Infection Prevention And Control ◽

Amhara Region ◽

Implementation Barriers ◽

Control Practice ◽

And Control

Healthcare workers have good perception towards infection prevention, but there has been a poor practice towards it. Therefore, the aim of this study was to explore barriers to practice of infection prevention and control practice in teaching hospitals in Amhara region. A phenomenological approach used to explore the lived experience of healthcare workers and management staffs towards infection prevention practice and control. The data was collected from ten in-depth interviews and 23 focus group discussion participants, by face to face interview using open ended interview performed in safe and quiet places. Data was managed using OpenCode software version 4.03 and contents were analyzed thematically. Totally ten different barriers were identified, such as availability of facilities, shortage of material supply, lack of maintenance of facilities and equipment, high patient flow, experience, emergency situation, healthcare worker behaviour and healthcare worker’s information about infection prevention, low awareness of patients and visitors and overflow of families and visitors to the hospital. For effective infection prevention practice implementation, barriers should be considered via identifying specific organizational, healthcare worker, patients and visitors as targets.

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