ARHAI Scotland, NHS National Services Scotland, Glasgow, UK.
ARHAI Scotland, NHS National Services Scotland, Glasgow, UK.
J Hosp Infect. 2024 Oct;152:122-125. doi: 10.1016/j.jhin.2024.08.003. Epub 2024 Aug 16.
Water and wastewater in healthcare settings are recognized to represent a risk to patients. However, waterless care has not been widely implemented in UK healthcare settings.
To identify barriers to implementation of waterless care.
A questionnaire study of infection prevention and control (IPC) practitioners, non-IPC clinicians, and estates managers and engineers was undertaken.
Alternatives to water present challenges in perceived acceptability to patients, particularly cleansing wipes for bathing and dry shampoo. There are concerns about cleansing wipes in terms of storage, disposal, sustainability and contamination during manufacture. Estates and engineering concerns include relative water tank size for water turnover and clinical disruption due to works.
Further work is required on acceptability of reduced water scenarios and patient views but the results of this questionnaire provide a grounding for sentiment from healthcare workers on waterless care.
医疗机构中的水和废水被认为对患者构成风险。然而，无水护理在英国医疗机构中尚未得到广泛实施。
确定实施无水护理的障碍。
对感染预防和控制（IPC）从业人员、非 IPC 临床医生、房产经理和工程师进行了问卷调查研究。
与水有关的替代品在患者的可接受性方面存在挑战，特别是用于沐浴和干洗的清洁湿巾。清洁湿巾在储存、处理、可持续性和制造过程中的污染方面存在问题。房地产和工程方面的问题包括水的周转率相对水箱大小和因工程而导致的临床干扰。
需要进一步研究减少水的方案和患者意见的可接受性，但这份调查问卷的结果为无水护理提供了医护人员的看法基础。
