管理员对熟练护理设施建筑设计的观点,用于管理COVID-19感染和疫情
Joan F Brazier1, Aseel Rafat2, Amy Meehan1
1Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, USA.
熟练的护理设施 (SNFs) 可以通过使用建筑环境策略来改善感染控制. 管理人员在检疫和隔离的修改方面取得了成功,但旧的设施设计仍然存在挑战.
科学领域:
- 医疗保健管理的管理
- 感染控制的方法是感染控制.
- 公共卫生基础设施公共卫生基础设施
背景情况:
- 随着COVID-19的爆发,人们越来越需要在熟练护理机构 (SNF) 进行强有力的感染控制.
- 建筑环境战略越来越被认为是管理医疗保健机构传染病传播的关键.
研究的目的:
- 探索熟练的护理设施管理员在实施建筑环境策略以控制COVID-19传播方面的观点.
- 确定与设施设计相关的有效策略和挑战,以减轻SNF内的流行病.
主要方法:
- 与熟练的护理机构管理人员进行了半结构化采访.
- 数据收集发生在2020年7月至2021年12月期间.
- 对建筑环境干预措施的管理员洞察力的定性分析.
主要成果:
- 管理人员强调了对隔离和隔离协议的建筑环境策略的成功实施.
- 设施级别的修改被认为是管理和减轻COVID-19传播的关键.
- 过时或高密度的建筑布局对感染控制工作提出了重大挑战.
结论:
- 在SNF的建筑修改和设计对于有效的感染控制至关重要.
- 积极的SNF设计规划对于应对未来的公共卫生紧急情况至关重要,包括流行病和恶劣天气事件.
- 将感染控制原则纳入SNF设计可以提高居民和工作人员的弹性和安全.
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