Evaluation of an infection control link nurse program: an analysis using the RE-AIM framework.

Area of Science:

• Implementation Science
• Healthcare Management
• Infection Prevention and Control

Background:

• Effective infection control link nurse (ICLN) programs require stakeholder engagement, management support, and iterative improvement structures.
• The impact of comprehensive ICLN programs integrating these elements was previously unknown.

Purpose of the Study:

• To evaluate a comprehensive ICLN training and support program.
• To explore its impact on link nurses and infection prevention practices.

Main Methods:

• Utilized the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) for evaluation.
• Employed a mixed-methods approach to assess program outcomes.
• Collected data between 2014 and 2018.

Main Results:

• Achieved high participation rates: 91% of inpatient wards and 58% of outpatient clinics.
• Demonstrated improved guideline adherence in inpatient wards.
• Link nurses reported engagement and empowerment; ward managers valued ICLN contributions to infection prevention and control (IPC).

Conclusions:

• The ICLN program significantly enhanced infection prevention practices, especially in inpatient wards.
• Program adaptability and tailoring to ward-specific needs were crucial for success.
• The program was integrated into infection prevention policies for sustained effects.