MacLean Rachel, Durepos Pamela, Keeping-Burke Lisa, Witherspoon Richelle, Morris Patricia, Gibbons Caroline, Taylor Natasha, McCloskey Rose
Department of Interdisciplinary Studies, University of New Brunswick, 3 Bailey Drive, Fredericton, NB E3B 5A3, Canada.
Faculty of Nursing, University of New Brunswick, 33 Dineen Drive, Fredericton, NB E3B 3X9, Canada.
Nurs Rep. 2025 Jan 10;15(1):17. doi: 10.3390/nursrep15010017.
The objective of this study is to identify, examine, and map the literature on infection prevention and control (IPAC) education and training for visitors to long-term care (LTC) homes. Visitor restrictions during infectious outbreaks in LTC homes aim to reduce virus transmission to vulnerable residents. The COVID-19 pandemic highlighted the negative impacts of such restrictions, prompting the need for IPAC education for visitors. This review includes research, narrative papers, and grey literature on IPAC education and training for LTC visitors. It focuses on intentional education aimed at preventing infection transmission. Studies not involving visitors or offered in other settings were excluded. Following the JBI methodology for scoping reviews, bibliographic databases (CINAHL, Embase, AgeLine, Medline, and ERIC) were searched from 1990 to present in English or French. Data were extracted by two reviewers, focusing on the educational content, delivery mode, frequency, timing, and qualifications of educators. A narrative summary and descriptive statistics were produced. The 26 included documents contained guidelines, policies, educational resources, and opinion papers. Pre-2020, healthcare workers were responsible for educating visitors. Post-2020, more detailed recommendations emerged on the frequency, content, and delivery methods. Key topics included hand hygiene (92.3%), respiratory hygiene (80.8%), and PPE use (73.1%). IPAC education and training for LTC visitors is essential for safe visitation. Future research should evaluate the effectiveness of these educational interventions.
本研究的目的是识别、审查和梳理关于长期护理（LTC）机构访客感染预防与控制（IPAC）教育与培训的文献。LTC机构在传染病爆发期间实施访客限制，旨在减少病毒传播给易感染的居民。新冠疫情凸显了此类限制的负面影响，促使有必要对访客进行IPAC教育。本综述纳入了关于LTC访客IPAC教育与培训的研究、叙述性论文和灰色文献。它侧重于旨在预防感染传播的针对性教育。不涉及访客或在其他环境中提供的研究被排除。遵循JBI循证综述方法，检索了1990年至今的英文或法文文献数据库（CINAHL、Embase、AgeLine、Medline和ERIC）。由两名评审员提取数据，重点关注教育内容、授课方式、频率、时间安排和教育工作者的资质。生成了叙述性总结和描述性统计数据。纳入的26份文献包含指南、政策、教育资源和意见书。2020年之前，医护人员负责对访客进行教育。2020年之后，出现了关于频率、内容和授课方法的更详细建议。关键主题包括手卫生（92.3%）、呼吸卫生（80.8%）和个人防护装备使用（73.1%）。对LTC访客进行IPAC教育与培训对于安全探访至关重要。未来的研究应评估这些教育干预措施的有效性。
