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Updated: May 10, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Patient and provider perspectives on methicillin-resistant Staphylococcus aureus: a qualitative assessment of
Jennifer N Hill1, Charlesnika T Evans, Kenzie A Cameron
1Edward Hines Jr VA Hospital, Hines, IL, USA. Jennifer.Hill@va.gov
Background:
Methicillin-resistant Staphylococcus aureus (MRSA) is a frequent cause of healthcare-associated infection. Individuals with spinal cord injuries and disorders (SCI/D) are at high risk of MRSA colonization and infection. The Department of Veterans Affairs (VA) released guidelines to prevent the spread of MRSA in Veterans with SCI/D; however, available patient educational materials did not address the unique issues for this population.
Objective:
To assess perceptions of SCI/D providers and Veterans with SCI/D regarding MRSA and their educational needs about MRSA prevention, with an ultimate goal of developing patient educational materials that address the issues unique to SCI/D.
Methods:
Purposive samples of SCI/D providers (six groups) and Veterans with SCI/D (one group) at two VA facilities participated in 60-90-minute focus group sessions. Qualitative data were analyzed using latent content and constant comparative techniques to identify focal themes.
Participants:
Thirty-three providers (physicians and nurses working in inpatient, outpatient, and homecare settings) and eight Veterans participated.
Results:
Three overarching themes emerged from the analysis: knowledge about MRSA, hand hygiene, and barriers to educating Veterans with SCI/D.
Conclusions:
SCI/D providers and Veterans with SCI/D identified gaps in general MRSA knowledge, gaps in knowledge of good hand hygiene practices and of required frequency of hand hygiene, and barriers to educating Veterans with SCI/D during inpatient stays. Future educational materials and strategies should address these gaps.
Insights
Veterans with spinal cord injuries and disorders (SCI/D) and their providers need better education on Methicillin-resistant Staphylococcus aureus (MRSA) prevention. Addressing knowledge gaps and barriers is crucial for developing effective patient materials.
Area of Science:
- Infectious Diseases
- Public Health
- Healthcare Education
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant cause of healthcare-associated infections.
- Individuals with spinal cord injuries and disorders (SCI/D) face elevated risks of MRSA colonization and infection.
- Existing VA educational materials lack specific guidance for SCI/D patients on MRSA prevention.
Purpose of the Study:
- To evaluate SCI/D provider and Veteran perceptions of MRSA.
- To identify educational needs for MRSA prevention among Veterans with SCI/D.
- To inform the development of targeted patient educational materials for the SCI/D population.
Main Methods:
- Focus group sessions were conducted with purposive samples of SCI/D providers and Veterans with SCI/D.
- Qualitative data were gathered from 33 providers and 8 Veterans across inpatient, outpatient, and homecare settings.
- Latent content and constant comparative techniques were employed for data analysis.
Main Results:
- Key themes identified include knowledge deficits regarding MRSA and hand hygiene.
- Barriers to educating Veterans with SCI/D were highlighted.
- Specific gaps in understanding MRSA, hand hygiene practices, and frequency were noted.
Conclusions:
- Both SCI/D providers and Veterans with SCI/D recognize significant gaps in MRSA and hand hygiene knowledge.
- Barriers to effective patient education within the SCI/D population were identified.
- Future educational initiatives must address these identified knowledge gaps and barriers for improved MRSA prevention strategies.
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