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了解老年护理机构有效管理流感疫情的障碍。

Understanding barriers to effective management of influenza outbreaks by residential aged care facilities.

作者信息

Huhtinen Essi, Quinn Emma, Hess Isabel, Najjar Zeina, Gupta Leena

机构信息

Sydney Local Health District, Public Health Unit, Sydney, New South Wales, Australia.

School of Public Health, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.

出版信息

Australas J Ageing. 2019 Mar;38(1):60-63. doi: 10.1111/ajag.12595. Epub 2018 Dec 10.

DOI:10.1111/ajag.12595
PMID:30537166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6590128/
Abstract

OBJECTIVE

To identify the perceived barriers to the implementation of the Australian national guidelines on influenza outbreak management with Sydney Local Health District (SLHD) residential aged care facility (RACF) staff.

METHODS

All SLHD RACFs were invited to participate in a telephone interview. The questionnaire collected information about demographic characteristics and participants' level of agreement with statements regarding perceived barriers to implementing the national guidelines for influenza outbreak management.

RESULTS

Twenty-eight of 61 RACFs (46%) participated in the study. The three most common barriers identified were as follows: scepticism towards staff influenza vaccination (n = 13, 46%); the effort required to read the national guidelines (n = 11, 39%); and lack of infrastructure to physically separate residents during an outbreak (n = 10, 36%).

CONCLUSIONS

We recommend implementing and evaluating programmes which address misconceptions about influenza vaccination amongst RACF staff. Further, all RACF staff, including care staff, should receive targeted education on the role of infection control in influenza outbreak management.

摘要

目的

确定悉尼地方卫生区(SLHD)老年护理机构(RACF)工作人员在实施澳大利亚流感暴发管理国家指南时所察觉到的障碍。

方法

邀请所有SLHD的RACF参与电话访谈。问卷收集了人口统计学特征信息以及参与者对有关实施流感暴发管理国家指南的感知障碍陈述的认同程度。

结果

61家RACF中有28家(46%)参与了研究。确定的三个最常见障碍如下:对员工流感疫苗接种持怀疑态度(n = 13,46%);阅读国家指南所需的精力(n = 11,39%);以及在暴发期间缺乏将居民实际隔离的基础设施(n = 10,36%)。

结论

我们建议实施并评估解决RACF工作人员对流感疫苗接种误解的项目。此外,所有RACF工作人员,包括护理人员,都应接受关于感染控制在流感暴发管理中的作用的针对性教育。

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