Infection prevention and control practices in the home environment: Examining enablers and barriers to adherence among home health care nurses
Infection prevention and control practices in the home environment: Examining enablers and barriers to adherence among home health care nurses
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DOI：
10.1016/j.ajic.2020.10.021
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发表时间：
2021-05-25
影响因子：
4.9
通讯作者：
Russell, David
中科院分区：
文献类型：
--
作者：
Adams, Victoria;Song, Jiyoun;Russell, David
背景：感染预防和控制（IPC）的做法已经建立在家庭保健。由于可用证据有限，IPC实践的依从性不佳。本研究的目的是探讨个人，家庭环境，组织因素对IPC practices.Methods的影响：353名护士在两个大型家庭护理机构进行了调查，以探讨IPC的依从性与个人，家庭环境，组织因素之间的关系。护士报告了患者家中IPC实践的多种障碍（平均值= 4.34，标准差= 2.53）。常见的障碍包括杂乱（74.5%的护士报告）和肮脏的环境（70.3%）。护士还报告了一些IPC用品的有限可用性（平均值= 7.76，标准差= 2.44），包括个人防护设备。家庭环境因素是重要的障碍，IPC供应的可用性是IPC依从性的重要推动因素。在家庭环境障碍和IPC supplies.Conclusions：本研究结果表明，IPC坚持策略指向解决家庭环境中的障碍，并增加IPC用品的可用性。患者的家庭环境，组织因素和IPC的做法之间的关系，家庭保健护士值得进一步研究。(c)2020由Elsevier Inc.出版。代表感染控制和流行病学专业人员协会，
Background: Infection Prevention and Control (IPC) practices have been established in home health care. Adherence to IPC practices has been suboptimal with limited available evidence. The study aim was to examine the impact of individual, home environment, and organizational factors on IPC practices using human factors model.Methods: Three hundred and fifty-three nurses were surveyed across two large home care agencies to examine the relationship between IPC adherence and individual, home environment, and organizational factors.Results: Nurses reported multiple barriers to IPC practices in patients' homes (mean = 4.34, standard deviation = 2.53). Frequent barriers included clutter (reported by 74.5% of nurses) and a dirty environment (70.3%). Nurses also reported limited availability of some IPC supplies (mean = 7.76, standard deviation = 2.44), including personal protective equipment. Home environment factors were significant barriers, and availability of IPC supplies were significant enablers of IPC adherence. Agency-provided training and decision-making resources were not significant factors for IPC adherence in the presence of home environment barriers and IPC supplies.Conclusions: This study findings suggest that IPC adherence strategies point to addressing barriers in the home environment and increasing availability of IPC supplies. The relationship between the patient's home environment, organizational factors, and IPC practices among home health care nurses warrants further study.(c) 2020 Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc.