错过的感染预防和控制活动及其预测因素:来自大流行前后研究的见解
C Moreal1, S Chiappinotto1, I Blackman2
1Department of Medicine, University of Udine, Udine, Italy.
The Journal of hospital infection
|November 8, 2024
概括
遗漏的感染预防和控制 (IPC) 活动在流行病后减少,预测因素发生了变化. 未完成的护理护理仍然相关,表明不同的但相关的现象需要有针对性的干预.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 预防和控制感染的预防和控制.
背景情况:
- COVID-19大流行严重影响了医疗保健服务,可能改变了既定的感染预防和控制 (IPC) 实践.
- 了解错过护理的变化及其预测因素对于优化患者安全和护理质量至关重要.
研究的目的:
- 为了比较错过的IPC活动及其预测因素在COVID-19大流行之前和之后.
- 检查错过的IPC活动和未完成的护理护理之间的关系.
主要方法:
- 一项重复的横截面研究比较了2019年 (大流行前) 和2024年 (大流行后) 大型学术医院护士的数据.
- 使用了感染预防和控制调查 (MNC-IPC) 中错过的护理服务和未完成的护理服务调查 (UNCS).
- 收集了IPC活动遗漏,遗漏原因,未完成的护理服务以及护士专业数据的数据.
主要成果:
- 自我报告的IPC错过活动和遗漏原因从大流行前期大幅减少到大流行后期.
- 错过IPC活动的预测因素发生了转变,系统层面的问题和意图离开流行病前的突出问题,以及流行病后的患者负载和组织问题.
- 在这两个时期,错过的IPC活动和未完成的护理服务之间发现了显著的相关性.
结论:
- 遗漏的IPC活动在流行病后出现的频率较低,可能是由于常规化的做法和系统层面的改进.
- 不断变化的预测因素突出显示,需要更新,有针对性的干预措施,特别是在单位层面和年轻护士.
- 错过的IPC活动的改善可能会对未完成的护理服务产生积极影响,尽管它们仍然是不同的概念.
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