Perceptions of healthcare professionals regarding the main challenges and barriers to effective hospital infection control in Mongolia: a qualitative study
Perceptions of healthcare professionals regarding the main challenges and barriers to effective hospital infection control in Mongolia: a qualitative study
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DOI：
10.1186/1471-2334-12-170
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发表时间：
2012-07-31
影响因子：
3.7
通讯作者：
Clements, Archie
中科院分区：
文献类型：
--
作者：
Ider, Bat-Erdene;Adams, Jon;Clements, Archie
背景资料：目前还不完全清楚为什么发展中国家的医疗保健决策者往往不重视感染控制，为什么他们无法执行国际准则。本研究旨在确定阻碍蒙古有效实施感染控制方案的主要挑战和障碍。方法：2008年，在蒙古首都和两个省中心进行了涉及4个小组和55个个人访谈的定性研究。结果：共有87名卫生专业人员参加了这项研究，包括政策和医院一级的管理人员，医生，护士和感染控制从业人员。专题分析显示，在制定和执行感染控制政策方面存在着大量已知的挑战和障碍。这些挑战和障碍性质复杂，与资金不足、知识和态度欠佳以及管理不当有关。研究结果表明，感染控制政策和指导方针的可用性，并提供具体的建议，为低资源的设置，不保证有效实施感染控制programmes.Conclusions：在蒙古目前的感染控制系统很可能仍然无效，除非基本的障碍和挑战得到充分解决。需要在蒙古设计和实施具有后勤、教育和管理组成部分的多方面干预措施，这些干预措施应符合当地的具体情况。强调了国际同行支持的重要性。
Background: It is not fully understood why healthcare decision-makers of developing countries often give low priority to infection control and why they are unable to implement international guidelines. This study aimed to identify the main perceived challenges and barriers that hinder the effective implementation of infection control programmes in Mongolia.Methods: In 2008, qualitative research involving 4 group and 55 individual interviews was conducted in the capital city of Mongolia and two provincial centres.Results: A total of 87 health professionals participated in the study, including policy and hospital-level managers, doctors, nurses and infection control practitioners. Thematic analysis revealed a large number of perceived challenges and barriers to the formulation and implementation of infection control policy. These challenges and barriers were complex in nature and related to poor funding, suboptimal knowledge and attitudes, and inadequate management. The study results suggest that the availability of infection control policy and guidelines, and the provision of specific recommendations for low-resource settings, do not assure effective implementation of infection control programmes.Conclusions: The current infection control system in Mongolia is likely to remain ineffective unless the underlying barriers and challenges are adequately addressed. Multifaceted interventions with logistical, educational and management components that are specific to local circumstances need to be designed and implemented in Mongolia. The importance of international peer support is highlighted.