Department of Medical Microbiology and Infection Prevention, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1118, room PK1X132, 1081, HV, Amsterdam, The Netherlands.
Department of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Antimicrob Resist Infect Control. 2020 Feb 27;9(1):42. doi: 10.1186/s13756-020-0704-2.
Infection control link nurse programs show considerable variation. We report how Dutch link nurse programs are organized, how they progress, and how contextual factors may play a role in the execution of these programs.
This mixed-methods study combined a survey and semi-structured interviews with infection control practitioners, based on items of the Template for Intervention Description and Replication (TIDieR) checklist.
The Netherlands has 74 hospitals; 72 infection control practitioners from 72 different hospitals participated in the survey. Four of these infection control practitioners participated in interviews. A link nurse program was present in 67% of the hospitals; responsibility for 76% of these programs lied solely with the infection prevention and control team. The core component of most programs (90%) was education. Programs that included education on infection prevention topics and training in implementation skills were perceived as more effective than programs without such education or programs where education included only infection prevention topics. The interviews illustrated that these programs were initiated by the infection prevention team with the intention to collaborate with other departments to improve practice. Content for these programs was created at the time of their implementation. Infection control practitioners varied in their ability to express program goals and to engage experts and key stakeholders.
Infection control link nurse programs vary in content and in set up. Programs with a clear educational content are viewed as more successful by the infection control practitioners that implement these programs.
感染控制联络护士计划存在显著差异。我们报告了荷兰联络护士计划的组织方式、进展情况，以及环境因素在这些计划的执行中可能发挥的作用。
本混合方法研究结合了感染控制从业者的调查和半结构化访谈，基于干预描述和复制模板（TIDieR）清单的项目。
荷兰共有 74 家医院；72 名来自 72 家不同医院的感染控制从业者参与了调查。其中 4 名感染控制从业者参加了访谈。67%的医院设有联络护士计划；这些计划的责任仅由感染预防和控制团队承担。大多数计划（90%）的核心组成部分是教育。被认为比没有这种教育或教育仅包括感染预防主题的计划更有效的计划包括感染预防主题的教育和实施技能培训。访谈表明，这些计划是由感染预防团队发起的，旨在与其他部门合作，以改善实践。这些计划的内容是在实施时创建的。感染控制从业者在表达计划目标以及吸引专家和主要利益相关者方面的能力存在差异。
感染控制联络护士计划在内容和设置上存在差异。感染控制从业者认为，具有明确教育内容的计划更成功。
