评估澳大利亚住院养老院的感染预防和控制计划:一项多方法的横截面研究
Joanne Tropea1,2, Jill J Francis3,4,5,6, Noleen Bennett7,8,9
1Department of Aged Care, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Geriatrics & gerontology international
|January 3, 2024
概括
住宅老年护理设施通常具有强大的感染预防和控制计划. 然而,诸如医疗保健相关感染监测和抗菌药物管理政策等领域需要改进.
科学领域:
- 预防和控制感染的预防和控制.
- 老年护理医学 老年护理医学
- 公共卫生 公共卫生
背景情况:
- 有效的感染预防和控制 (IPC) 计划在住宅老年护理设施 (RACF) 中至关重要,以保护弱势居民.
- 评估最佳实践IPC组件的实施对于确定优势和弱点的领域至关重要.
研究的目的:
- 评估澳大利亚住宅老年护理设施中感染预防和控制计划的现状.
- 确定IPC计划的最佳实践核心组成部分的遵守,包括培训,政策,治理和监督.
主要方法:
- 一项涉及调查和结构化访谈的横截面研究在澳大利亚维多利亚州的10个RACF中进行.
- 感染预防和控制护士领导完成调查,随后采访员工,住户和访客以验证数据.
主要成果:
- 所有被调查的设施都有一个IPC主管护士和一个委员会监督IPC计划,并制定了标准和基于传播的预防措施的政策.
- 在医疗保健相关感染监测政策 (1个设施) 和抗微生物药物管理政策 (2个设施) 中发现了差距.
- 虽然提供了关于手部卫生和个人防护设备的员工培训,但能力评估并没有一致执行.
结论:
- RACF IPC 计划通常是强大的,但在特定领域需要有针对性的改进.
- 建议进一步评估IPC计划组件的质量,包括教育,培训和政策.
- 持续评估和完善IPC计划对于老年护理机构的持续有效性至关重要.
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