School of Population and Public Health, University of British Columbia, Vancouver, British Columbia.
Can J Infect Dis Med Microbiol. 2009 Spring;20(1):15-9. doi: 10.1155/2009/879357.
Ensuring good infection control practice in health care facilities is a constant concern, yet evidence shows that the compliance of health care professionals with proper procedures is lacking, despite the existence of guidelines and training programs. An online infection control module was developed to provide ready access to training. Controversy exists about whether successfully completing such a course should be mandatory or strongly encouraged for all health care professionals. The objective of the present study was to compare the perception of safety culture and intention to comply with infection control guidelines in professionals who were required by their supervisors to take the course, and those who did so voluntarily.
Survey responses on learning environment, safety climate and intention to comply with infection control guidelines in health care professionals who were required to take the course (supervisor-required group [n=143]) and those who took the same course voluntarily (voluntary group [n=105]) were compared. Because randomization was thought to be too difficult to implement in the policy context in which the study was conducted, significant differences between the two groups were taken into account in the analysis.
Those required to take the course had a significantly better perception of the institutional safety climate (P<0.001), and had a higher reported intention to comply with infection control guidelines (P=0.040) than those who took the course voluntarily.
Requiring that staff complete a 30 min interactive online infection control module increased their intention to comply with infection control guidelines compared with those who voluntarily accessed this material based on promotional material. Consideration should be given to making the successful completion of an online infection control module a requirement for all health care professionals.
确保医疗机构内良好的感染控制实践是一项持续关注的问题，但有证据表明，尽管存在指南和培训计划，医疗保健专业人员遵守适当程序的情况仍不尽人意。开发了一个在线感染控制模块，以便提供随时接受培训的机会。对于所有医疗保健专业人员来说，成功完成此类课程是否应该是强制性的还是强烈鼓励的，存在争议。本研究的目的是比较那些被主管要求参加课程的专业人员和那些自愿参加课程的人员对安全文化的认知和遵守感染控制指南的意愿。
比较了被要求参加课程的医疗保健专业人员（主管要求组 [n=143]）和自愿参加同一课程的专业人员（自愿组 [n=105]）在学习环境、安全氛围和遵守感染控制指南的意愿方面的调查结果。由于认为在实施研究的政策环境中随机化太难实现，因此在分析中考虑了两组之间的显著差异。
被要求参加课程的人员对机构安全氛围的评价明显更好（P<0.001），并且报告的遵守感染控制指南的意愿更高（P=0.040）。
要求员工完成 30 分钟的互动式在线感染控制模块，与那些根据宣传材料自愿访问该材料的员工相比，增加了他们遵守感染控制指南的意愿。应考虑将成功完成在线感染控制模块作为所有医疗保健专业人员的要求。
