Making infection prevention and control everyone's business? Hospital staff views on patient involvement

Background: Patient and staff safety at healthcare facilities during outbreaks hinges on a prompt infection prevention and control response. Physicians leading these programmes have encountered numerous obstacles during the pandemic. Aim/objective: The aim of this study was to evaluate infection prevention and control practices and explore the challenges in Pakistan during the coronavirus disease 2019 pandemic. Methods: We conducted a cross-sectional study and administered a survey to physicians leading infection prevention and control programmes at 18 hospitals in Pakistan. Results: All participants implemented universal masking, limited the intake of patients and designated separate triage areas, wards and intensive care units for coronavirus disease 2019 patients at their hospitals. Eleven (61%) physicians reported personal protective equipment shortages. Staff at three (17%) hospitals worked without the appropriate personal protective equipment due to limited supplies. All participants felt overworked and 17 (94%) reported stress. Physicians identified the lack of negative pressure rooms, fear and anxiety among hospital staff, rapidly evolving guidelines, personal protective equipment shortages and opposition from hospital staff regarding the choice of recommended personal protective equipment as major challenges during the pandemic. Discussion: The results of this study highlight the challenges faced by physicians leading infection prevention and control programmes in Pakistan. It is essential to support infection prevention and control personnel and bridge the identified gaps to ensure patient and staff safety at healthcare facilities.

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Patient Involvement Can Affect Clinicians’ Perspectives and Practices of Infection Prevention and Control

International Journal of Qualitative Methods ◽

10.1177/1609406917690171 ◽

2017 ◽

Vol 16 (1) ◽

pp. 160940691769017 ◽

Cited By ~ 9

Author(s):

Mary Wyer ◽

Rick Iedema ◽

Su-Yin Hor ◽

Christine Jorm ◽

Claire Hooker ◽

...

Keyword(s):

Prevention And Control ◽

Infection Prevention ◽

Patient Involvement ◽

Infection Prevention And Control ◽

And Control

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Re-imagining patient involvement in infection prevention and control and antimicrobial stewardship

Infection Disease & Health ◽

10.1016/j.idh.2019.09.014 ◽

2019 ◽

Vol 24 ◽

pp. S4

Author(s):

Holly Seale ◽

Brett Mitchell ◽

Pamela Konecny ◽

Alex Broom ◽

Michael Maley ◽

...

Keyword(s):

Antimicrobial Stewardship ◽

Prevention And Control ◽

Infection Prevention ◽

Patient Involvement ◽

Infection Prevention And Control ◽

And Control

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Core components of infection prevention and control programs at the facility level in Georgia: key challenges and opportunities

Antimicrobial Resistance and Infection Control ◽

10.1186/s13756-020-00879-3 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Anna Deryabina ◽

Meghan Lyman ◽

Daiva Yee ◽

Marika Gelieshvilli ◽

Lia Sanodze ◽

...

Keyword(s):

Hand Hygiene ◽

Prevention And Control ◽

Infection Prevention ◽

Hospital Staff ◽

Training System ◽

World Health ◽

Infection Prevention And Control ◽

Standard Case ◽

Core Components ◽

And Control

Abstract Background The Georgia Ministry of Labor, Health, and Social Affairs is working to strengthen its Infection Prevention and Control (IPC) Program, but until recently has lacked an assessment of performance gaps and implementation challenges faced by hospital staff. Methods In 2018, health care hospitals were assessed using a World Health Organization (WHO) adapted tool aimed at implementing the WHO’s IPC Core Components. The study included site assessments at 41 of Georgia’s 273 hospitals, followed by structured interviews with 109 hospital staff, validation observations of IPC practices, and follow up document reviews. Results IPC programs for all hospitals were not comprehensive, with many lacking defined objectives, workplans, targets, and budget. All hospitals had at least one dedicated IPC staff member, 66% of hospitals had IPC staff with some formal IPC training; 78% of hospitals had IPC guidelines; and 55% had facility-specific standard operating procedures. None of the hospitals conducted structured monitoring of IPC compliance and only 44% of hospitals used IPC monitoring results to make unit/facility-specific IPC improvement plans. 54% of hospitals had clearly defined priority healthcare-associated infections (HAIs), standard case definitions and data collection methods in their HAI surveillance systems. 85% hospitals had access to a microbiology laboratory. All reported having posters or other tools to promote hand hygiene, 29% had them for injection safety. 68% of hospitals had functioning hand-hygiene stations available at all points of care. 88% had single patient isolation rooms; 15% also had rooms for cohorting patients. 71% reported having appropriate waste management system. Conclusions Among the recommended WHO IPC core components, existing programs, infrastructure, IPC staffing, workload and supplies present within Georgian healthcare hospitals should allow for implementation of effective IPC. Development and dissemination of IPC Guidelines, implementation of an effective IPC training system and systematic monitoring of IPC practices will be an important first step towards implementing targeted IPC improvement plans in hospitals.

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Core Components of Infection Prevention and Control Programs at the Facility Level in Georgia: Key Challenges and Opportunities

10.21203/rs.3.rs-36574/v1 ◽

2020 ◽

Author(s):

Anna Deryabina ◽

Meghan Lyman ◽

Daiva Yee ◽

Marika Gelieshvilli ◽

Lia Sanodze ◽

...

Keyword(s):

Hand Hygiene ◽

Prevention And Control ◽

Infection Prevention ◽

Hospital Staff ◽

Training System ◽

World Health ◽

Infection Prevention And Control ◽

Standard Case ◽

Core Components ◽

And Control

Abstract Background The Georgia Ministry of Labor, Health, and Social Affairs (MoLHSA) is working to strengthen its Infection Prevention and Control (IPC) Program, but until recently has lacked an assessment of performance gaps and implementation challenges faced by hospital staff. Methods In 2017, health care hospitals were assessed using a World Health Organization (WHO) adapted tool aimed at implementing the WHO’s IPC Core Components. The study included site assessments at 41 of Georgia’s 273 hospitals, followed by structured interviews with 109 hospital staff, validation observations of IPC practices, and follow up document reviews. Results IPC programs for all hospitals were not comprehensive, with many lacking defined objectives, workplans, targets, and budget. All hospitals had at least one dedicated IPC staff member, 66% of hospitals had IPC staff with some formal IPC training; 78% of hospitals had IPC guidelines; and 55% had facility-specific standard operating procedures. None of the hospitals conducted structured monitoring of IPC compliance and only 44% of hospitals used IPC monitoring results to make unit/facility-specific IPC improvement plans. 54% of hospitals had clearly defined priority healthcare-associated infections (HAIs), standard case definitions and data collection methods in their HAI surveillance systems. 85% hospitals had access to a microbiology laboratory. All reported having posters or other tools to promote hand hygiene, 29% had them for injection safety. 68% of hospitals had functioning hand-hygiene stations available at all points of care. 88% had single patient isolation rooms; 15% also had rooms for cohorting patients. 71% reported having appropriate waste management system. Conclusions Among the recommended WHO IPC core components, existing programs, infrastructure, IPC staffing, workload and supplies present within Georgian healthcare hospitals should allow for implementation of effective IPC. Development and dissemination of IPC Guidelines, implementation of an effective IPC training system and systematic monitoring of IPC practices will be an important first step towards implementing targeted IPC improvement plans in hospitals.

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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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Patient Involvement in Infection Prevention and Control (IPC) Practice: Knowledge and Perception Study

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.1169 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s493-s493

Author(s):

Bobson Derrick Fofanah ◽

Christiana Conteh

Keyword(s):

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

Patient Involvement ◽

Health Workers ◽

Care Plan ◽

Infection Prevention And Control ◽

Hospital Administrators ◽

Trade Names ◽

And Control

Background: Patient involvement is increasingly recognized as critical component for improved care, and patients has been identified of as having a potentially important role for better health outcome as a result of their involvement in their care plan. A usual saying that infection prevention and control is “everyone’s business” is frequently understood to include not only healthcare workers but also patients and their relatives, all of whom are seen as stakeholders with a part to play in ensuring a better patient outcome. There is limited evidence about knowledge and perception about involving patient and/or relatives in IPC implementation in a post–Ebola-outbreak country. Objectives: We aimed to ascertain the knowledge and perception of patient involvement in infection prevention and control (IPC) practice. Methods: We used a qualitative approach comprising interviews with patients and/or relatives and health workers sampled from 5 hospitals. Participants (n = 60) included 25 nurses, 25 patients and/or relatives, 5 IPC focal persons, and 5 hospital administrators. Interviews used a structured questionnaire to explore staff views on patient involvement. A separate questionnaire was used to survey patient perspectives and knowledge about basic hospital IPC practices. Results: Of 60 interviews, 64% of nurses supported involving patient in hospital IPC practice, saying that the patient can serve as a reminder during the time of care, whereas 36% disagreed with involving the patient because of fear of having confrontations with the patient. Also, 92% of patients and/or relatives agreed to their involvement because they viewed it as their right; only 8% did not accept involvement because they thought it was a burden and not their responsibility. All 5 IPC focal persons (100%) supported patient involvement; they thought it would enhance overall IPC compliance and keep healthcare workers reminded of IPC practice, most especially hand hygiene. Also, 100% of hospital administrators supported involving patients because they felt that patient should be involved in their care plan. Conclusions: From this study, it is evident that patient involvement is key in optimizing IPC compliance in hospitals. The study findings indicate that most patients have knowledge of the importance of hand washing since the Ebola outbreak; however, they lack knowledge on other practices such as waste disposal, cough etiquette, etc. There is need for IPC orientation on admission and continuous patient education.Funding: NoneDisclosures: NoneIf I am discussing specific healthcare products or services, I will use generic names to extent possible. If I need to use trade names, I will use trade names from several companies when available, and not just trade names from any single company.DisagreeChristiana Kallon

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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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