Larson Elaine L, Cohen Bevin, Murray Meghan, Saiman Lisa
Columbia University, New York, NY, USA
Columbia University, New York, NY, USA.
Clin Pediatr (Phila). 2014 Oct;53(11):1041-6. doi: 10.1177/0009922814540986. Epub 2014 Jul 2.
Children residing in long-term care facilities (LTCFs) have complex medical problems and unique care needs, yet research in this setting is rare. As part of an intervention study to improve patient safety (Keep It Clean for Kids [KICK]), we describe the challenges encountered and recommend approaches to build a successful and sustained collaborative relationship between pediatric LTCFs and the research team.
We implemented a program with 5 components: leadership commitment, active staff participation by the creation of KICK teams, workflow assessments, staff training in the World Health Organization's "5 Moments for Hand Hygiene," and electronic monitoring and feedback to staff regarding hand hygiene practices.
Major challenges encountered were establishing trust, building research teams, enhancing staff participation, and engaging families and visitors. Approaches to deal with these challenges are discussed.
Conducting research in pediatric LTCFs requires sustained commitment to dealing with challenges and establishing collaborative relationships with administrative and frontline staff.
居住在长期护理机构（LTCFs）的儿童有复杂的医疗问题和独特的护理需求，但在这种环境下的研究很少。作为一项改善患者安全的干预研究（儿童保持清洁[KICK]）的一部分，我们描述了遇到的挑战，并推荐了在儿科长期护理机构与研究团队之间建立成功且持续的合作关系的方法。
我们实施了一个包含五个组成部分的项目：领导层的承诺、通过组建KICK团队让工作人员积极参与、工作流程评估、针对世界卫生组织“手卫生的五个时刻”对工作人员进行培训，以及对手卫生实践进行电子监测并向工作人员反馈。
遇到的主要挑战包括建立信任、组建研究团队、提高工作人员的参与度以及让家庭和访客参与进来。文中讨论了应对这些挑战的方法。
在儿科长期护理机构开展研究需要持续致力于应对挑战，并与行政和一线工作人员建立合作关系。
