School of Nursing, Midwifery & Social Work, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK.
BMJ Qual Saf. 2012 Apr;21(4):301-6. doi: 10.1136/bmjqs-2011-000360. Epub 2012 Feb 10.
Despite both national and international recommendations for good practice in infection prevention and control (IPC), compliance can be low. Several reasons for this have been identified, including staff attitudes. There is little literature on how these attitudes are perceived by nursing students learning in clinical placements, and this study was undertaken to explore perceptions of both nursing students and their mentors in relation to attitudes towards IPC.
Qualitative study involving semi-structured interviews with 31 nursing students and 32 nurse mentors recruited from one large university and one large NHS Trust in the North of England.
Nursing students generally perceived a negative attitude towards IPC from qualified staff and identified that it was considered to be an additional workload burden as opposed to an integral aspect of patient safety and quality care. Mentors identified more positive attitudes within their areas and organisation, but their comments did not always reflect this. Mentors were more of the opinion that staff attitudes could affect student practice and learning than were students.
Nurses in practice need to be more aware of how their attitudes towards IPC can be perceived by nursing students and the possible consequences of this for student learning and practice. Staff need to work towards identifying barriers to good infection prevention practice and ways to overcome these.
尽管国家和国际上都有关于感染预防和控制(IPC)良好实践的建议,但合规性可能很低。已经确定了导致这种情况的几个原因,包括员工态度。关于护理学生在临床实习中如何感知这些态度的文献很少,因此进行了这项研究,以探讨护理学生及其导师对 IPC 态度的看法。
这项定性研究涉及从英格兰北部的一所大型大学和一家大型国民保健制度信托中招募的 31 名护理学生和 32 名护士导师进行半结构化访谈。
护理学生普遍认为合格员工对 IPC 的态度消极,并认为这是额外的工作量负担,而不是患者安全和优质护理的固有方面。导师在他们的领域和组织中确定了更积极的态度,但他们的评论并不总是反映这一点。导师比学生更认为员工态度会影响学生的实践和学习。
在实践中的护士需要更加意识到他们对 IPC 的态度如何被护理学生感知,以及这对学生学习和实践可能产生的后果。工作人员需要努力确定良好感染预防实践的障碍,并找到克服这些障碍的方法。