医疗保健工作者使用通用手套干预来预防Clostridioides difficile感染的经验:一种定性研究
Julie A Keating1, Linda McKinley2, Katherine Dolan3
1William S. Middleton Memorial Veterans Hospital, Madison, WI; Department of Medicine, University of Wisconsin-Madison, Madison, WI.
通用手套是卫生保健工作者 (HCWs) 的一个简单的感染预防策略. 解决时间和手套可访问性等障碍对于成功实施和预防Clostridioides difficile传播至关重要.
科学领域:
- 预防和控制感染的预防和控制.
- 医疗保健工作者实践
- 患者安全 患者安全
背景情况:
- 通用手套,医疗保健工作者 (HCW) 在与所有患者接触时都佩戴手套,是防止Clostridioides difficile传播的潜在策略.
- 了解HCW经验对于成功实施通用手套计划至关重要.
研究的目的:
- 探索HCW与普遍手套干预的经验.
- 确定对工作量,工作流程,患者护理和手部卫生的影响.
- 揭示通用手套实施的障碍和促进者.
主要方法:
- 在退伍军人事务局的住院病房中进行了一个集群随机临床试验.
- 干预单位的卫生保健工作者被采访,谈论他们对通用手套的体验.
主要成果:
- 参与者分享了关于实施通用手套及其对护理工作量,工作流程,患者护理和手部卫生的影响的见解.
- 确定了通用手套的关键障碍和促进因素.
结论:
- 普遍戴手套是一种可行的感染预防策略.
- 解决诸如增加任务时间,跨学科沟通和手套可用性等障碍是必要的.
- 人为因素和系统工程可能支持通用手套干预;需要进一步的有效性证据.
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