Ching T Y, Seto W H
Infection Control Unit, Queen Mary Hospital, Hong Kong.
J Adv Nurs. 1990 Oct;15(10):1128-31. doi: 10.1111/j.1365-2648.1990.tb01703.x.
The infection control liaison nurse (ICLN) is a nurse in the ward, appointed to participate in education for infection control, and to liaise between the ward and the infection control nurse (ICN). The efficacy of ICLNs was evaluated when a guideline on urinary catheter care was introduced in a 1000-bed hospital in Hong Kong. The 27 public wards were divided randomly into a test (24 wards) and control group (three wards), and ICLNs were appointed in the test group by the nursing administration. For education, the ICN conducted in-service lectures for both groups, while in the test group, the ICLNs also conducted tutorials for all ward nurses. Before and after the education programme, prevalence surveys were conducted to detect incorrect practices on urinary catheter care. Three practices were evaluated: the securing of catheters, presence of kinking and the use of urinary bags with a drainage spigot. Before education, the percentage of incorrect practices in the test groups was 63%, which was comparable to the 68% of the control group (P = 0.40, chi 2 = 0.71). After education, the percentage of incorrect practices in the test group (36%) was significantly lower than the 48% in the control group (P less than 0.05, chi 2 = 4.25). This indicates that ICLNs can indeed enhance the education programme for infection control.
感染控制联络护士（ICLN）是病房中的护士，被指定参与感染控制教育，并在病房与感染控制护士（ICN）之间进行联络。在香港一家拥有1000张床位的医院引入导尿管护理指南时，对ICLN的效果进行了评估。27个公共病房被随机分为试验组（24个病房）和对照组（3个病房），护理管理层在试验组中指定了ICLN。在教育方面，ICN为两组进行在职讲座，而在试验组中，ICLN还为所有病房护士进行辅导。在教育计划前后，进行了患病率调查，以发现导尿管护理中的不正确做法。评估了三种做法：导管的固定、扭结的存在以及使用带有排水口的尿袋。教育前，试验组中不正确做法的百分比为63%，与对照组的68%相当（P = 0.40，卡方 = 0.71）。教育后，试验组中不正确做法的百分比（36%）显著低于对照组的48%（P < 0.05，卡方 = 4.25）。这表明ICLN确实可以加强感染控制教育计划。
