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高层引领:独立医疗保健部门(IS)内感染预防与控制主任(DIPC)教育项目的评估与影响

Leading from the top: Evaluation and impact of an educational programme for Directors of Infection Prevention and Control (DIPC) within the Independent Healthcare Sector (IS).

作者信息

Millward Sue

机构信息

Nuffield Health, Ashley Avenue, Surrey, UK.

出版信息

J Infect Prev. 2018 Nov;19(6):302-309. doi: 10.1177/1757177418786389. Epub 2018 Aug 14.

Abstract

BACKGROUND

The Director of Infection Prevention and Control (DIPC) role was introduced into the UK in 2003 to address the need for effective leadership within Infection Prevention (IP). The role was embedded in English legislation in 2008. In one Independent healthcare organisation (with 31 acute hospitals spread geographically across the UK), the DIPC role is held by the hospital matron (known as Director of Nursing in the NHS), who influence resource allocation and ensure infection prevention is prioritised. A knowledge gap in microbiology, standard precautions and infection prevention regulatory requirements was identified and as there was no educational provision for this role, an accredited programme was developed. Twenty-five matrons completed the DIPC programme.

AIMS

Evaluate the impact of a DIPC educational programme on the delivery of IP services.

METHODOLOGY

A post-course qualitative retrospective survey using open-ended questions was used to collect data from DIPCs who had completed the programme. Inductive thematic and content analysis methods were used to identify key themes from survey responses.

RESULTS

Out of 20 DIPCs, 16 completed the survey. Key findings included improvements in knowledge related to microbiology, IP and regulatory requirements of the DIPC role. DIPCs reported changes to service delivery including appointment of six IP nurses, improved surveillance processes, reduced infections and improved cleanliness standards. This small study demonstrates the impact of an educational programme for DIPCs who felt more empowered to manage the IP services effectively, resulting in improved patient safety through reduced infections.

摘要

背景

2003年,感染预防与控制主任(DIPC)这一角色被引入英国,以满足感染预防(IP)领域对有效领导力的需求。该角色于2008年被纳入英国法律。在一家独立医疗保健机构(在英国各地分布着31家急症医院)中,DIPC这一角色由医院护士长(在英国国家医疗服务体系中称为护理主任)担任,她负责影响资源分配并确保将感染预防作为优先事项。人们发现存在微生物学、标准预防措施和感染预防监管要求方面的知识差距,而且由于没有针对该角色的教育课程,于是制定了一个认证项目。25名护士长完成了DIPC项目。

目的

评估DIPC教育项目对感染预防服务提供的影响。

方法

采用开放式问题进行课程后定性回顾性调查,以收集完成该项目的DIPC的数据。使用归纳主题和内容分析方法从调查回复中确定关键主题。

结果

20名DIPC中有16名完成了调查。主要发现包括与微生物学、感染预防以及DIPC角色的监管要求相关的知识有所改进。DIPC报告了服务提供方面的变化,包括任命了6名感染预防护士、改进了监测流程、减少了感染并提高了清洁标准。这项小型研究证明了一个教育项目对DIPC的影响,他们感到更有能力有效地管理感染预防服务,通过减少感染提高了患者安全。

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