Nurses' experience with vancomycin-resistant enterococci (VRE)

Nurses' experience with vancomycin-resistant enterococci (VRE)
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DOI:
10.1046/j.1365-2702.2002.00560.x
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发表时间:
2002-01-01
影响因子:
4.2
通讯作者:
Gilroy, L
Gilroy, L
中科院分区:
医学2区
文献类型:
--
作者:
Mitchell, A;Cummins, T;Gilroy, L

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耐药微生物,特别是耐万古霉素肠球菌(VRE)的出现和传播是急诊医院所有工作人员面临的问题。这项研究探讨了护士如何应对在暴发期间阻止这种细菌进一步传播的责任。VRE阳性患者与护理他们的护士一起努力遏制VRE的传播。大多数护士发现这种情况非常有压力,因为需要充当“看门人”,负责教育和监督员工和访客的做法。护士们报告说,她们觉得自己没有得到足够的支持,被指责为疫情的罪魁祸首,而且她们承担其他工作人员的职责时工作量增加了。-这些结果加强了多学科团队对VRE的教育和控制的必要性,需要为VRE阳性患者的护理人员提供更多支持,以及所有医院工作人员严格遵守感染控制措施。
The emergence and spread of resistant organisms, in particular vancomycin-resistant enterococci (VRE), is an issue facing all staff in acute hospitals.This study explored how nurses coped with the responsibility of halting further spread of this organism during an outbreak.VRE-positive patients were cohorted with nurses who cared for them in an endeavour to contain the spread of VRE.The majority of nurses found the situation extremely stressful because of the need to act as 'gatekeepers' responsible for educating and monitoring the practices of staff and visitors. The nurses reported that they felt they were inadequately supported, were blamed for the outbreak, and that they had an increased workload as they took on duties of other staff. -The results reinforce the need for a multidisciplinary team approach to education and control of VRE, more support for nursing staff cohorted with VRE-positive patients, and stringent adherence to infection control measures by all hospital staff.