美国社区环境感染防控研究的启示。
Implications of a US study on infection prevention and control in community settings in the UK.
机构信息
Dawn Dowding, Professor in Clinical Decision Making, Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester.
Associate Director, Center for Home Care Policy & Research, Visiting Nurse Service of New York, New York, US.
出版信息
Br J Community Nurs. 2020 Dec 2;25(12):578-583. doi: 10.12968/bjcn.2020.25.12.578.
Healthcare-associated infections are a significant reason for readmission to hospital post-discharge to the community. In this paper, the authors describe some of the key findings from a programme of work conducted in a home care agency (community care organisation) in the US. A survey was conducted to explore home care nurses' knowledge, attitudes and beliefs around infection control (n=415); 400 nurse-patient visits were observed, and 50 nurses were interviewed about their infection control practices. Nurses reported high compliance with infection control practices. However, the overall average adherence rate to observed hand hygiene practices was 45.6%. Interview data provided valuable insights into specific challenges faced by nurses in a home care setting. This study provides insights that can be used to enhance infection control practice in community care in the UK.
医疗机构相关感染是导致患者出院后再次入院的一个重要原因。本文作者描述了一项在美国家庭护理机构（社区护理组织）开展的工作计划中的部分重要发现。他们开展了一项调查，以了解家庭护理护士在感染控制方面的知识、态度和信念（n=415）；观察了 400 次护士-患者就诊，并对 50 名护士进行了有关感染控制实践的访谈。护士报告说他们高度遵守感染控制实践。然而，观察到的手部卫生实践的总体平均依从率仅为 45.6%。访谈数据提供了有关护士在家庭护理环境中面临的具体挑战的宝贵见解。这项研究提供了可用于提高英国社区护理中感染控制实践的见解。
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