University of Limerick, Ireland. Clinical Nurse Manager 2 Infection Prevention and Control, University Hospital, Limerick, Ireland.
Department of Nursing and Midwifery, University of Limerick, Ireland.
Infect Dis Health. 2023 Aug;28(3):186-194. doi: 10.1016/j.idh.2023.03.001. Epub 2023 Apr 6.
Carbapenemase-Producing Enterobacterale (CPE) is a multi-drug resistant organism, that is of growing concern within hospitals worldwide. This leads to an increased workload on healthcare workers.
To explore the experiences of healthcare workers who care for patients colonized with CPE.
A qualitative descriptive research design. Semi-structured interviews undertaken and analysed using a thematic analysis framework resulting in the identification of four main themes.
This study explores the barriers and facilitators healthcare workers encounter when caring for patients colonized with CPE and their experience of the effect that a CPE diagnosis has on the provision of patient care across four themes: education, the COVID effect, fear, and staffing/resource issues. The study is reported utilising the COREQ checklist.
Healthcare workers were aware of the IPC guidance and education was the main facilitator to knowledge and practice. Barriers such as poor staffing levels and the impact of COVID-19 were highlighted in relation to care provision and reducing fear associated with CPE. Healthcare workers priority is to provide safe and effective care for their patients and barriers that impact their ability to provide such care need to be addressed to ensure an optimal experience for both healthcare workers and patients.
产碳青霉烯酶肠杆菌科（CPE）是一种多药耐药菌，在全球范围内引起了医院的广泛关注。这导致医护人员的工作量增加。
探索照顾定植有 CPE 的患者的医护人员的经验。
采用定性描述性研究设计。进行半结构化访谈，并使用主题分析框架进行分析，从而确定了四个主要主题。
本研究探讨了医护人员在照顾定植有 CPE 的患者时遇到的障碍和促进因素，以及他们在四个主题方面对 CPE 诊断对患者护理的影响的经验：教育、COVID-19 效应、恐惧和人员配备/资源问题。本研究报告利用 COREQ 清单进行。
医护人员了解感染预防和控制指南，教育是知识和实践的主要促进因素。在提供护理和减少与 CPE 相关的恐惧方面，突出了人员配备水平差和 COVID-19 的影响等障碍。医护人员的首要任务是为患者提供安全有效的护理，需要解决影响他们提供此类护理的能力的障碍，以确保医护人员和患者的体验都达到最佳。
