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医院环境中患者单元正确清洁和消毒的心理社会前置因素。

Psychosocial precursors of the correct sanitation and sanitization of the patient unit in the hospital setting.

机构信息

Array.

Clinical risk and safety of care, Nursing and Technical Direction - Cesena area, Local Sanitary Unit of Romagna, Italy.

出版信息

Acta Biomed. 2020 Nov 30;91(12-S):e2020010. doi: 10.23750/abm.v91i12-S.10756.

DOI:10.23750/abm.v91i12-S.10756
PMID:33263348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8023113/
Abstract

BACKGROUND AND AIM OF THE WORK

Worrying data indicate the urgency of strongly limiting Healthcare-Associated Infections (HAI). Therefore, according to the Theory of Planned Behavior, the psychosocial precursors of correct sanitation and sanitization were assessed.

METHODS

An Italian sample of hospital health workers (nurses, healthcare assistants, cleaners; N=250), replied to a validated questionnaire measuring: a) knowledge of HAI; b) favorable attitude towards the correct sanitation and sanitization procedure; c) perception that the management and colleagues give importance to the government of infectious risk; d) perception of being able to implement risk management behaviors; e) perception of having received proper training for the prevention of HAI.

RESULTS

The results show many mistakes about knowledge, the perception of insufficient specific training, and not always favorable attitude towards sanitation and sanitization practices. Workers also perceive that they can act the required behaviors and that the management of infectious risk represents a value in the group they belong to, but they believe that the management does not offer sufficient support.

CONCLUSIONS

The improvement of the factors considered (knowledge, personal attitudes, actions of management and colleagues, perception of being able to implement the required behaviors) is affected by proper training. This is one of the aspects on which management should invest more.

摘要

背景与工作目的

令人担忧的数据表明,迫切需要严格限制医疗保健相关感染(HAI)。因此,根据计划行为理论,评估了正确卫生和消毒的心理社会前因。

方法

对意大利医院卫生工作者(护士、医护助理、清洁工;N=250)进行了一项验证性问卷调查,以测量:a)对 HAI 的了解;b)对正确卫生和消毒程序的有利态度;c)对管理层和同事重视传染病风险管理的看法;d)对实施风险管理行为的能力的看法;e)对预防 HAI 接受适当培训的看法。

结果

结果表明,许多人在知识、对特定培训不足的认识以及对卫生和消毒实践的态度上存在错误。工作人员还认为,他们可以采取所需的行为,并且传染病风险管理是他们所属群体的一项价值,但他们认为管理层没有提供足够的支持。

结论

适当的培训可以改善所考虑的因素(知识、个人态度、管理层和同事的行动、实施所需行为的能力的认知)。这是管理层应该更多投资的方面之一。

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The role of the surface environment in healthcare-associated infections.表面环境在医院感染中的作用。
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Twenty-four-hour observational study of hospital hand hygiene compliance.24 小时观察性研究:医院手卫生依从性。
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