School of Healthcare Sciences, Cardiff University, Cardiff, UK.
School of Healthcare Sciences, Cardiff University, Cardiff, UK.
J Hosp Infect. 2015 Feb;89(2):77-81. doi: 10.1016/j.jhin.2014.10.006. Epub 2014 Nov 22.
Little research has been undertaken on how infection prevention and control (IPC) teams operate and how their effectiveness is assessed. This review aimed to explore how IPC teams embed IPC throughout hospitals, balance outbreak management with strategic aspects of IPC work (e.g. education), and how IPC team performance is measured. A scoping exercise was performed combining literature searches, evidence synthesis, and intelligence from expert advisers. Eleven publications were identified. One paper quantified how IPC nurses spend their time, two described daily activities of IPC teams, five described initiatives to embed IPC across organizations following legislation since 1999 in the UK or changes in the delivery of healthcare, and three explored the contribution of IPC intermediaries (link nurses and champions). Eight publications reported research findings. The others reported how IPC teams are embedding IPC practice in UK hospitals. In conclusion, there is scope for research to explore different models of IPC team-working and effectiveness, and cost-effectiveness. Other topics that need addressing are the willingness and ability of ward staff to assume increased responsibility for IPC and the effectiveness of intermediaries.
针对感染预防和控制 (IPC) 团队的运作方式及其效能评估方法，相关研究甚少。本综述旨在探讨 IPC 团队如何在医院内全面嵌入 IPC，如何在疫情管理与 IPC 工作的战略层面（如教育）之间取得平衡，以及如何衡量 IPC 团队的绩效。通过文献检索、证据综合以及专家顾问的情报收集，开展了一项范围界定研究。共确定了 11 篇文献。其中一篇论文量化了 IPC 护士的时间分配，两篇描述了 IPC 团队的日常活动，五篇描述了自 1999 年以来英国为遵守法规或改变医疗保健服务而在整个组织内嵌入 IPC 的举措，以及三篇探索了 IPC 中介（联络护士和拥护者）的作用。有 8 篇文献报告了研究结果。其余文献则报告了 IPC 团队如何在英国医院内嵌入 IPC 实践。总之，需要进一步研究不同的 IPC 团队工作模式和效果，以及成本效益。还需要解决的其他问题包括病房工作人员愿意和能够承担更多 IPC 责任以及中介的有效性。
