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Design of a Nursing Home Infection Control Peer Coaching Program.

Grace F Wittenberg1, Ann Reddy1, David R Gifford2

  • 1Center for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, RI, USA.

Journal of the American Medical Directors Association
|January 28, 2023
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Summary
This summary is machine-generated.

This study piloted an infection control peer coaching program in nursing homes. The program was updated to a team-based approach with flexible communication methods to address staffing challenges and improve infection prevention.

Keywords:
Infection controlcoachinginfection preventionnursing homequality improvement

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Area of Science:

  • Healthcare quality improvement
  • Infection control in nursing homes
  • Peer coaching interventions

Background:

  • Nursing homes face challenges in maintaining robust infection control practices.
  • Effective infection prevention strategies are crucial to resident safety and public health.
  • Existing programs require adaptation to address real-world constraints like staffing shortages.

Purpose of the Study:

  • To pilot test and refine the Infection Control Amplification in Nursing Centers (ICAN) program.
  • To codesign an infection control peer coaching program in partnership with nursing home providers.
  • To adapt the program based on pilot feedback and identified implementation barriers.

Main Methods:

  • A pilot test of the ICAN program was conducted with infection preventionists (IPs) from seven Connecticut nursing homes.
  • The initial program involved peer coaches providing real-time feedback and utilizing audit data.
  • Feedback was collected through weekly calls, participant surveys, and pilot process observations.

Main Results:

  • Initial program alignment with facility needs was high, but implementation was hindered by short staffing and COVID-19 outbreaks.
  • Most IPs adapted program components to enhance feasibility and reduce staff burden.
  • The program was updated to a team-based approach with flexible communication strategies.

Conclusions:

  • A collaborative approach led to the development of an adaptable infection control peer coaching program.
  • The updated program offers flexibility for nursing homes to strengthen infection control practices.
  • Further implementation and evaluation of the refined program are recommended.