重新思考感染控制:在COVID-19大流行期间养老院管理员的经验
Joan F Brazier1, Elizabeth M White1, Amy Meehan1
1Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, USA.
概括
在COVID-19期间,养老院管理人员提高了感染控制意识和实践. 经验教训强调升级基础设施,标准化培训和改善应急准备,以应对未来的公共卫生危机.
科学领域:
- 医疗保健管理的管理
- 感染控制 感染控制
- 公共卫生准备情况 公共卫生准备情况
背景情况:
- 随着COVID-19大流行,护理院感染控制的脆弱性得到了强调.
- 了解管理员的观点对于改善疫情准备至关重要.
研究的目的:
- 审查养老院管理人员在COVID-19大流行期间对感染控制的观点.
- 确定未来公共卫生紧急情况的经验教训.
主要方法:
- 使用半结构面试进行的描述性定性研究.
- 对每个参与者 (n=156) 进行了4次采访,采访来自美国8个市场的40个养老院的管理人员 (2020年7月至2021年12月).
- 采用修改的基础理论和主题分析来进行定性数据解释.
主要成果:
- 由于严格的COVID-19协议,增加了对感染控制的重要性的认识和理解.
- 将更高的感染控制标准纳入政策,应急计划和员工培训.
- 重新评估和升级设施基础设施和运营流程,以提高准备能力.
结论:
- 研究结果表明,为了应对未来的流行病,应该重组和改进养老院的感染控制方案.
- 需要进行标准化的培训,升级物理结构 (通风,隔离),以及在紧急计划中更好地整合机构.
- 加强沟通,资源管理和协调反应对于未来的公共卫生危机至关重要.
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