在新生儿学中理解手部卫生的遵守:对行为决定因素的定性研究
Tamara C Bopp1, Yvonne Strässle2, Colette Wyler2
1Department of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Infection control and hospital epidemiology
|May 16, 2025
概括
在新生儿科改善手部卫生需要解决促进者和障碍. 能力,机会和动机的关键决定因素影响医疗保健从业人员的坚持,指导未来的干预.
科学领域:
- 预防与医疗保健相关的感染
- 在临床环境中实施科学.
- 新生儿护理实践新生儿护理实践
背景情况:
- 手部卫生对于预防病原体传播和与医疗相关的感染至关重要.
- 尽管有医院的举措,新生儿病房的医疗保健从业人员 (HCP) 遵守手部卫生协议仍然是一个挑战.
研究的目的:
- 确定影响新生儿重症监护单位前线医疗保健工作者遵守手部卫生的促进者和障碍.
- 在这个脆弱的患者群体中为改善手部卫生实践提供信息,以制定有针对性的干预措施.
主要方法:
- 在苏黎世大学医院新生儿科进行了一项定性实施研究.
- 与一线医疗保健工作者和感染预防和控制 (IPC) 专家进行了半结构化采访.
- 通过演 (理论领域框架,COM-B模型) 和归纳编码来分析数据,以确定手部卫生行为的关键决定因素.
主要成果:
- 42次采访显示,影响手部卫生的决定因素有16个,其中12个被认为是优先考虑的.
- 确定因素被分类到COM-B模型的能力,机会和动机领域.
- 关键因素包括知识,注意力控制,工作流程规划,工作量,角色建模和自我反思.
结论:
- 在所有COM-B领域和能力和机会方面的障碍中,促进者对新生儿环境中的手部卫生行为产生了重大影响.
- 了解这些决定因素对于设计有效的干预措施来加强手部卫生遵守至关重要.
- 这些发现为开发基于证据的策略提供了基础,以提高新生儿护理中的患者安全.
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