在澳大利亚的住院老年护理中识别感染预防和控制实践的差距,使用场景
Joanne Tropea1, Noleen Bennett2, Lyn-Li Lim3
1Department of Aged Care, Royal Melbourne Hospital, Parkville VIC 3050 Australia; Department of Medicine - RMH, University of Melbourne, Parkville VIC 3050 Australia.
Infection, disease & health
|November 30, 2024
概括
住院老年护理人员在感染预防和控制 (IPC) 实践中存在差距,包括手部卫生和个人防护设备的使用. 这些发现突出了有针对性的改进领域,以保护弱势居民免受感染.
科学领域:
- 医疗保健 医疗保健 医疗保健 医疗保健
- 预防和控制感染的预防和控制.
- 老年医疗护理 医疗护理
背景情况:
- 住宅老年护理设施是易受感染的弱势老年人的住所.
- 在这些环境中,有效的感染预防和控制 (IPC) 是至关重要的.
- 评估当前的IPC实践可以确定需要改进的领域.
研究的目的:
- 确定在住院老年护理中预防和控制感染 (IPC) 的证据和实践差距.
- 根据已建立的基于证据的指导方针评估当前的IPC实践.
主要方法:
- 开发了两个标准化的场景来评估标准和基于传播的预防措施.
- 与四个设施的27名员工进行了半结构化采访.
- 参与者报告的做法被系统地与基于证据的IPC标准进行了比较.
主要成果:
- 在所有情景中,IPC共发现了11个证据实践差距.
- 关键的缺陷包括在与居民接触之前不一致的手部卫生以及在采集呼吸道样本时不正确使用个人防护设备 (PPE).
- 在个人和团队IPC实践中都发现了缺陷.
结论:
- 基于场景的评估为评估老年护理中的IPC实践提供了一种实用和有效的方法.
- 识别的IPC证据实践差距将为未来的干预措施提供信息,以提高居民安全.
- 进一步的研究将探索实施改进的IPC实践的障碍.
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