在COVID-19疫情期间,熟练护理机构可接受感染控制协议
Brianna E Morgan1, Diana Hernandez1, Keith S Goldfeld2
1Division of Geriatrics and Palliative Care, Department of Medicine, NYU Grossman School of Medicine, New York City, NY, USA.
Journal of the American Medical Directors Association
|August 25, 2025
概括
在熟练护理机构 (SNF) 采用基于风险的分组的新型感染控制策略被工作人员和住院人员所接受. 清晰的沟通是应对挑战和改善COVID-19疫情影响的关键.
科学领域:
- 感染控制
- 公共卫生
- 老年人的护理
背景情况:
- COVID-19 疫情凸显了熟练护理机构 (SNF) 需要有效的感染控制策略.
- 需要新的方法来减轻传播风险,同时保持居民的福祉和员工的功能.
研究的目的:
- 评估SNF工作人员和居民在COVID-19疫情期间接受新的感染控制策略.
- 确定实施挑战,提出解决方案,并了解干预的感知影响.
主要方法:
- 使用了定性描述方法,分析了71名员工和16名住户的半结构面试.
- 这项研究调查了一种基于感染风险的新型队列干预措施,以分配纽约两家SNF的住院人员.
主要成果:
- 工作人员和住户都认为可接受的队列干预.
- 主要挑战包括潜在的人员问题和护理不连续性;明确的沟通被认为至关重要.
- 工作人员认为这项干预措施可以减少感染恐惧,改善个人防护设备的使用,并减少居民的隔离.
结论:
- 为SNF开发了一种新的可接受的感染控制策略,有可能提高居民的灵活性,减少隔离和工作人员的压力.
- 有效的沟通对于提高干预措施的可接受性和感知影响至关重要.
- 未来的研究应该考虑社会隔离和员工疲劳.
相关概念视频
Standard Precaution
2.2K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.2K
Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
Transmission-based Precautions II: Airborne and Protective Environment
1.5K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.5K
Factors Affecting the Risk of Infection
12.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.3K
Pneumonia V: Nursing management and Prevention
2.5K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.5K
Hand hygiene
4.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
4.1K


