Patient Education for Infection Prevention: Roles for Managers in Patient Engagement

Abstract The threat of catheter-associated bloodstream infections (CABSIs) among hemodialysis patients is present beyond health care settings. With the rise of antimicrobial-resistant infections, the benefits of partnering with patients in preventing CABSIs cannot be overemphasized. Patient education is the cornerstone of patient engagement, and a prerequisite for other involvement strategies. The responsibility for educating patients is multidisciplinary and must be accentuated at all stages of hemodialysis care. Enhancing patient self-efficacy in preventing CABSIs requires them to have an adequate level of knowledge on infection prevention and the skills and confidence to self-care in the community. Providing patient education is the first step to empower patients, facilitating their ownership of their journey in care and safeguarding them from infections.

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Engaging patients through Multi-Disciplinary Rounding – The case study at a Michigan hospital

Journal of Hospital Administration ◽

10.5430/jha.v7n5p17 ◽

2018 ◽

Vol 7 (5) ◽

pp. 17 ◽

Cited By ~ 3

Author(s):

Bryan L. Fowler ◽

Julie Johns ◽

Mohan R. Tanniru ◽

Venugopal Balijepally ◽

Yazan F. Roumani ◽

...

Keyword(s):

Patient Satisfaction ◽

Patient Education ◽

Patient Engagement ◽

Hospital Staff ◽

Process Innovation ◽

Second Phase ◽

Healthcare Outcomes ◽

Post Discharge ◽

Care Plans ◽

Long Run

Multi-Disciplinary Rounding (MDR) is a leading practice and a promising process innovation that seeks to enhance both patient experiences and healthcare outcomes for hospitals. It requires multiple hospital staff involved in patientcare visiting patients as a team at their bedside, so that they can address various issues related to patientcare and care transition and answer any patient questions. This paper discusses the implementation of two different models of patient engagement through MDR to gain input from patients while they are still in the hospital, as opposed to relying on patient satisfaction data, so that hospitals can alter their strategies to educate patients on care plans and help empower them to self-manage their care post-discharge. The MDR is implemented as a process innovation at a comprehensive community teaching hospital in Michigan, with the expectation that it can lead to improved organizational outcomes in both the short run (e.g., reduced length of stay [LOS]) and the long run (e.g., reduced patient readmission and improved patient satisfaction). The hospital implemented MDR in various units as a process innovation to improve patient engagement and patient satisfaction. The initial phase of MDR implementation was nurse-led to gain feedback from patients at three time periods (30, 60 and 90 days) on patient services. The hospital revised the MDR process in the second phase into a doctor led patient education process. While the results to date are not conclusive, they do show how MDR can be used by hospitals to engage patients inside the hospital to gain feedback for continuous improvement, using technology when appropriate, and support patient education on care plans post-discharge.

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Potential reach of mobile health for educating, empowering and engaging chronically diseased patients: evidence from a survey in Egypt

10.31219/osf.io/djhgv ◽

2019 ◽

Author(s):

Rehab A. Rayan

Keyword(s):

Diabetes Mellitus ◽

Health Literacy ◽

Patient Education ◽

Chronic Diseases ◽

Mobile Devices ◽

Mobile Health ◽

Patient Engagement ◽

Self Management ◽

Healthcare Technology ◽

Multiple Interventions

Patient education includes multiple interventions for teaching patients about their health to improve their outcomes. The term has evolved to the more active terms (patient engagement and empowerment). Patients, who are diagnosed with chronic diseases that cost patients lifelong treatmentand dangerous complications (e.g. Diabetes mellitus) need to be responsible for their health by self-management. With more computers and mobile devices owners globally, telehealth offers promising healthcare technology interventions to improve the patient’s health literacy.

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Family involvement, patient engagement and benefits of patient education interventions

Patient Education and Counseling ◽

10.1016/j.pec.2018.04.008 ◽

2018 ◽

Vol 101 (6) ◽

pp. 969 ◽

Cited By ~ 1

Author(s):

Arnstein Finset

Keyword(s):

Patient Education ◽

Family Involvement ◽

Patient Engagement ◽

Education Interventions

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Engaging patients and stakeholders in the process of designing a clinical trial and patient education platform.

Journal of Clinical Oncology ◽

10.1200/jco.2015.33.29_suppl.63 ◽

2015 ◽

Vol 33 (29_suppl) ◽

pp. 63-63

Author(s):

Lauren M. Rosati ◽

Sarah Douglas ◽

Roger Leventer ◽

Laurie Singer Sievers ◽

Randall W. Swan ◽

...

Keyword(s):

Clinical Trial ◽

Patient Education ◽

Study Design ◽

Patient Engagement ◽

Performance Status ◽

Poor Performance Status ◽

Initial Survey ◽

Education Platform ◽

Study Participants

63 Background: Patient engagement during the initiation, development, and implementation of a study has been shown to improve the ethical nature of research and the appropriateness of treatment methods, and insights into how best to partner with patients are needed. We describe our patient engagement experience in developing a clinical trial for non-metastatic pancreatic cancer (PCA). Methods: A team of patient research partners (PRPs) was consulted to design a multi-institutional study to evaluate the efficacy of chemotherapy, stereotactic body radiation therapy, and early palliative care (EPC) in patients with PCA who are typically ineligible for clinical trials due to advanced age, poor performance status, or preexisting comorbidities. PRPs included patients, caregivers, clinical researchers, patient advocacy organizations, and pharmaceutical companies. A 22-item initial survey on personal interests and a 5-item follow-up survey on study design were anonymously completed after two in-person meetings. Results: Of 15 PRPs involved, 9 completed the initial survey and 10 completed the follow-up survey. PRPs were most interested in improving quality of life (QOL, 89%), care coordination (78%), symptom management (67%), stress/anxiety (56%), and survival (56%). Confidence in the care team, hope, QOL, education and understanding, dignity, and pain management were reported to be the most important factors throughout the cancer experience. The majority (89%) requested that study participants have access to the study protocol and research publications supporting the study design. Because all PRPs suggested that a personal website be used to provide information to study participants and to disseminate the results of the study, an online patient education platform was adopted and customized for patients (and caregivers). Furthermore, integration of EPC into the treatment regimen was unanimously endorsed. Conclusions: Engaging PRPs in the process of designing a clinical trial for PCA appears to be feasible and valuable in identifying the study objectives most important to patients. PRPs conveyed that maintaining a good QOL is essential, and adoption of EPC in these patients should be considered.

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Perspectives of hospital leaders and staff on patient education for the prevention of healthcare-associated infections

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2021.271 ◽

2021 ◽

pp. 1-6

Author(s):

Sarah R. MacEwan ◽

Eliza W. Beal ◽

Alice A. Gaughan ◽

Cynthia Sieck ◽

Ann Scheck McAlearney

Keyword(s):

Patient Education ◽

Infection Prevention ◽

Bloodstream Infections ◽

Central Line ◽

Healthcare Associated Infections ◽

Central Lines ◽

Challenges And Opportunities ◽

Hospital Leaders ◽

Tract Infections ◽

Healthcare Associated

Abstract Objective: Device-related healthcare-associated infections (HAIs), such as catheter-associated urinary tract infections (CAUTIs) and central-line–associated bloodstream infections (CLABSIs), are largely preventable. However, there is little evidence of standardized approaches to educate patients about how they can help prevent these infections. We examined the perspectives of hospital leaders and staff about patient education for CAUTI and CLABSI prevention to understand the challenges to patient education and the opportunities for improvement. Methods: In total, 471 interviews were conducted with key informants across 18 hospitals. Interviews were analyzed deductively and inductively to identify themes around the topic of patient education for infection prevention. Results: Participants identified patient education topics specific to CAUTI and CLABSI prevention, including the risks of indwelling urinary catheters and central lines, the necessity of hand hygiene, the importance of maintenance care, and the support to speak up. Challenges, such as lack of standardized education, and opportunities, such as involvement of patient and family advisory groups, were also identified regarding patient education for CAUTI and CLABSI prevention. Conclusions: Hospital leaders and staff identified patient education topics, and ways to deliver this information, that were important in the prevention of CAUTIs and CLABSIs. By identifying both challenges and opportunities related to patient education, our results provide guidance on how patient education for infection prevention can be further improved. Future work should evaluate the implementation of standardized approaches to patient education to better understand the potential impact of these strategies on the reduction of HAIs.

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