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社区医院感染预防联络护士项目评估及实施模式的开发

An evaluation of an infection prevention link nurse programme in community hospitals and development of an implementation model.

作者信息

Williams Lynne, Cooper Tracey, Bradford Lisa, Cooledge Beryl, Elner Francesca, Fisher Denise, Huws Jaci C, Jones Louise, Morris Stephanie, Rowe Natasha, Sengwe Robson, Roberts Catherine, Roberts Karen, Wright Jane, Griffiths Heledd Owen

机构信息

Bangor University, Bangor, UK.

Betsi Cadwaladr University Health Board, Bangor, UK.

出版信息

J Infect Prev. 2019 Jan;20(1):37-45. doi: 10.1177/1757177418789480. Epub 2018 Oct 4.

Abstract

BACKGROUND

Little evidence exists to show the exact impact of the link nurse role in promoting best practice in infection prevention. This paper is a report of the implementation and evaluation of a link nurse programme for community hospitals across one NHS organisation.

AIM/OBJECTIVES: The main aim of the study was to implement and evaluate an infection prevention link programme. The study objectives were: 1) to develop materials for a bespoke infection prevention programme which incorporated education, behaviour change, reward and recognition and 2) to evaluate the implementation of the programme, and to learn about barriers and enablers to implementation.

METHOD

Data were collected using semi-structured telephone interviews, contact logs and online course evaluation. Data were analysed using thematic analysis.

FINDINGS

We identified four overarching themes that, collectively, construct a model for the implementation of the link nurse role in infection prevention. The themes are labelled as: selection process, support networks, essential roots, and turning points for success.

DISCUSSION

This study contributes to understanding the contribution of link nurses in infection prevention. We suggest our findings are transferable to different settings, and the model provides guidance to support future link nurse programmes and promote best practice in infection prevention practice.

摘要

背景

几乎没有证据表明联络护士这一角色在促进感染预防最佳实践方面的确切影响。本文是关于一个国民保健服务机构中针对社区医院的联络护士项目的实施与评估报告。

目的

该研究的主要目的是实施并评估一个感染预防联络项目。研究目标为:1)开发一个定制的感染预防项目材料,该项目包含教育、行为改变、奖励与认可;2)评估该项目的实施情况,并了解实施过程中的障碍与促进因素。

方法

通过半结构化电话访谈、联系日志和在线课程评估收集数据。采用主题分析法对数据进行分析。

结果

我们确定了四个总体主题,这些主题共同构建了一个在感染预防中实施联络护士角色的模型。这些主题被标记为:选拔过程、支持网络、根本要素和成功的转折点。

讨论

本研究有助于理解联络护士在感染预防中的作用。我们认为我们的研究结果可应用于不同环境,该模型为支持未来的联络护士项目及促进感染预防实践中的最佳实践提供了指导。

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