耐甲氧西林金黄色葡萄球菌的认知以及手部卫生培训与患者教育：退伍军人事务部脊髓损伤与疾病科室医护人员混合方法研究的结果

Perceptions of methicillin-resistant Staphylococcus aureus and hand hygiene provider training and patient education: results of a mixed method study of health care providers in Department of Veterans Affairs spinal cord injury and disorder units.

作者信息

Hill Jennifer N, Hogan Timothy P, Cameron Kenzie A, Guihan Marylou, Goldstein Barry, Evans Martin E, Evans Charlesnika T

机构信息

Spinal Cord Injury Quality Enhancement Research Initiative, Department of Veterans Affairs, Veterans Health Administration, Edward Hines Jr. Veterans Affairs Hospital, Hines, IL; Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Veterans Affairs Hospital, Hines, IL.

Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, U.S. Department of Veterans Affairs, Bedford, MA; eHealth Quality Enhancement Research Initiative, National eHealth Quality Enhancement Research Initiative Coordinating Center, Edith Nourse Rogers Memorial Veterans Hospital, U.S. Department of Veterans Affairs, Bedford, MA; Division of Health Informatics and Implementation Science, Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA.

出版信息

Am J Infect Control. 2014 Aug;42(8):834-40. doi: 10.1016/j.ajic.2014.04.026. Epub 2014 Jun 18.

DOI:10.1016/j.ajic.2014.04.026

PMID:24950922

Abstract

BACKGROUND

The goal of this study was to assess current practices for training of spinal cord injury and disorder (SCI/D) health care workers and education of veterans with SCI/D in Department of Veterans Affairs (VA) spinal cord injury (SCI) centers on methicillin-resistant Staphylococcus aureus (MRSA) prevention.

METHODS

Mixed methods. A Web-based survey was distributed to 673 VA SCI/D providers across 24 SCI centers; 21 acute care and 1 long-term care facility participated. There were 295 that responded, 228 had complete data and were included in this analysis. Semistructured interviews were conducted with 30 SCI/D providers across 9 SCI centers.

RESULTS

Nurses, physicians, and therapists represent most respondents (92.1%, n = 210); over half (56.6%, n = 129) were nurses. Of providers, 75.9% (n = 173) reported receiving excellent or good training on how to educate patients about MRSA. However, nurses were more likely to report having excellent or good training for how to educate patients about MRSA (P = .005). Despite this, only 63.6% (n = 82) of nurses perceived the education they provide patients on how MRSA is transmitted as excellent or good.

CONCLUSION

Despite health care workers reporting receiving excellent or good training on MRSA-related topics, this did not translate to excellent or good education for patients, suggesting that health care workers need additional training for educating patients. Population-specific MRSA prevention educational materials may also assist providers in educating patients about MRSA prevention for individuals with SCI/D.

摘要

背景

本研究的目的是评估退伍军人事务部（VA）脊髓损伤（SCI）中心在耐甲氧西林金黄色葡萄球菌（MRSA）预防方面，对脊髓损伤和疾病（SCI/D）医护人员的培训现状以及对患有SCI/D的退伍军人的教育情况。

方法

采用混合方法。通过网络调查向24个SCI中心的673名VA SCI/D提供者发放问卷；21家急性护理机构和1家长期护理机构参与。共有295人回复，其中228人有完整数据并纳入本分析。对9个SCI中心的30名SCI/D提供者进行了半结构化访谈。

结果

护士、医生和治疗师占大多数受访者（92.1%，n = 210）；超过一半（56.6%，n = 129）是护士。在提供者中，75.9%（n = 173）报告接受了关于如何向患者进行MRSA教育的优秀或良好培训。然而，护士更有可能报告接受了关于如何向患者进行MRSA教育的优秀或良好培训（P = .005）。尽管如此，只有63.6%（n = 82）的护士认为他们向患者提供的关于MRSA传播方式的教育是优秀或良好的。