在大流行期间,在养老院实施COVID-19感染控制最佳实践
Gail C D'Souza1, Jennifer L Kraschnewski2,3, Erica Francis4
1Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, United States of America.
BMC health services research
|August 17, 2024
概括
养老院在COVID-19感染控制实践中发生了混合变化. 虽然一些做法有所改善,但其他做法,如访问政策下降,文化压力增加影响了实施.
科学领域:
- 公共卫生 公共卫生
- 感染控制 感染控制
- 医疗保健管理的管理
背景情况:
- COVID-19大流行严重影响了美国的养老院,导致居民和工作人员的死亡率很高.
- 进行了一项集群随机对照试验 (RCT),以加强养老院的COVID-19感染控制实践.
- 评估这些做法的实施对于抗击疫情至关重要.
研究的目的:
- 评估老年院内COVID-19感染控制最佳实践中的变化.
- 确定可能影响感染控制措施实施的内部设置因素.
- 了解培训干预对感染控制遵守的影响.
主要方法:
- 一个集群随机对照试验 (RCT) 涉及136个养老院.
- 在基线和6个月后对38名养老院管理人员 (NHAs) 进行调查.
- 疾病控制和预防中心 (CDC) 验证的项目评估了80种感染控制活动和7种内部设置因素.
主要成果:
- 11个最佳实践的实施发生了变化;信息材料,手洗手剂使用和死后护理计划的显著增加.
- 在四个访问政策和三个社区限制做法 (p < 0.05) 中观察到显著下降.
- 文化压力,包括感知到的压力和角色过载,显著增加 (p = 0.004).
结论:
- 这项研究提供了有关在疫情期间在养老院中不断发展的COVID-19感染控制实践的早期见解.
- 增加的培养压力成为一个关键的内部设置因素,可能阻碍感染控制措施的有效实施.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
Nursing Implementation
4.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.9K
Documentation in Long-Term and Home Healthcare Setting
875
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
875
Transmission-based Precautions II: Airborne and Protective Environment
1.2K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.2K


