标准预防措施合规工具的评估:使用COSMIN方法的系统审查
Marzia Lommi1, Anna De Benedictis2, Barbara Porcelli1
1UOC Care to the Person, Local Health Authority Roma 2, 00159 Rome, Italy.
Healthcare (Basel, Switzerland)
|May 27, 2023
概括
大多数测量医疗保健工作者遵守标准预防措施 (SPs) 的工具质量低至中等. 未来的研究必须改进仪器验证和心理测量特性,以准确测量SP坚持.
科学领域:
- 医疗保健的质量和安全.
- 预防和控制感染.
- 职业健康 职业健康 职业健康 职业健康
背景情况:
- 标准预防措施 (SP) 对于保护医疗保健工作者 (HCW) 和预防与医疗保健相关的感染 (HAI) 至关重要.
- 需要有效的测量工具来评估HCW是否符合SPs.
- 准确的合规数据为培训和质量改善举措提供了信息.
研究的目的:
- 识别测量HCW符合SPs的仪器.
- 为了评估这些仪器的心理测量特性.
- 为研究和实践指导选择高质量的测量工具.
主要方法:
- 对SP合规性的自我评估工具的系统审查.
- 根据Cosmin指南对心理特征的评估.
- 在PubMed,CINAHL和APA PsycInfo数据库中进行的搜索.
主要成果:
- 确定了13种工具,按重点分类 (通用预防措施,SP遵守,手部卫生,基于传播的预防措施).
- 许多仪器表现出不满意的心理测量特性和方法上的局限性.
- 只有四种仪器被认为是高质量的测量.
结论:
- 目前用于测量HCW符合SP的现有仪器通常质量低至中等.
- 需要进一步的研究来增强可用的仪器的验证和心理测量特性.
- 改进的测量工具对于在医疗保健机构中可靠评估SP遵守是必不可少的.
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