养老院感染预防和控制实践的多重决定因素:一个范围审查
Kanako Fujimoto1, Momoe Utsumi2, Toshiyuki Swa3
1Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University, Okayama, Okayama, Japan.
Journal of the American Medical Directors Association
|April 22, 2025
概括
养老院感染预防和控制 (IPC) 的障碍是复杂的,通常是环境的. 动机 动机 动机
科学领域:
- 行为科学 行为科学
- 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:
- 养老院 (NHs) 需要强有力的感染预防和控制 (IPC) 实践来保护脆弱的老年人.
- 了解影响IPC遵守的因素对于有效实施和居民安全至关重要.
研究的目的:
- 系统地绘制影响养老院IPC实践的障碍和促进者的地图.
- 通过行为变化理论的透视来分析这些因素,特别是能力,机会和动机-行为 (COM-B) 模型.
- 确定在NH环境中了解IPC决定因素的研究差距.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行了全面的范围审查.
- 在多个数据库中进行了搜索,该数据库于2024年11月更新,附有额外的引用跟踪.
- 使用理论领域框架 (TDF) 和COM-B模型分析了障碍物和促进因素.
主要成果:
- 对54份报告 (2003-2024) 的分析确定了101个影响NHsIPC的决定因素.
- 环境背景和资源是最常被引用的障碍 (TDF).
- 在COM-B模型的动机领域内的决定因素被研究不足,尽管确定了像信念和目标这样的促进者.
结论:
- 在国家公路中维持有效的IPC实践是复杂的,受到许多相互关联的决定因素的影响.
- 动机领域在IPC遵守中的作用很重要,但研究不足,突出了关键的研究缺口.
- 进一步的研究对于阐明动机的决定因素及其与NH IPC中的其他因素的相互作用至关重要.
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