通过四个国家的两项倡议确定了环境清洁障碍和缓解措施,2018-2023年:评论
Molly Patrick1, Claire Kilpatrick2, Julie Storr2
1Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. vej7@cdc.gov.
改善医疗保健环境清洁至关重要,特别是在资源较低的环境中. 存在诸如劳动力地位低和整合挑战等障碍,但可以为更好的感染预防和控制 (IPC) 开发本地解决方案.
科学领域:
- 医疗保健管理的管理
- 预防和控制感染的预防和控制.
- 全球健康 全球健康
背景情况:
- 人们越来越认识到医疗保健环境清洁的重要性,特别是在感染预防和控制 (IPC) 方面.
- 全球战略强调改善医疗保健中的水,环境卫生和卫生 (WASH),特别是在低收入和中等收入国家 (LMICs).
- 开发资源,以加强资源有限的环境中的清洁培训和最佳实践实施.
研究的目的:
- 确定在资源有限的医疗保健设施中实施环境清洁资源的障碍和促进者.
- 从2018年至2023年期间四个国家的倡议中汲取实际经验.
- 提出可行的策略,以改善医疗保健环境清洁和LMICs的IPC.
主要方法:
- 从四个国家 (2018-2023) 的两个倡议中对实践经验的定性分析.
- 确定在实施过程中遇到的常见障碍和促进因素.
- 地方团队开发的减缓措施的文档.
主要成果:
- 关键障碍包括劳动力赋权和地位低,薪酬和人员不足,流动性高,与IPC和患者安全的整合不佳.
- 尽管面临挑战,当地团队成功地确定并实施了有效的缓解策略.
- 成功实施需要解决系统性问题并培养当地领导力.
结论:
- 克服有效卫生保健环境清洁的障碍需要持续的努力和特定环境的方法.
- 利用目前对IPC和WASH的关注,可以推动LMIC的改善.
- 赋予清洁工作人员权力,并将他们的作用纳入患者安全工作中,对于成功至关重要.
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