Terms used for isolation practices by nurses at an academic medical center.
Terms used for isolation practices by nurses at an academic medical center.
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DOI：
10.1111/j.1365-2648.2010.05398.x
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发表时间：
2010-10
影响因子：
3.8
通讯作者：
Larson E
中科院分区：
文献类型：
--
作者：
Landers T;McWalters J;Behta M;Bufe G;Ross B;Vawdrey DK;Larson E
本文是一项研究的报告，以确定护士用来描述隔离预防措施的术语是否与正确识别所需的个人防护设备有关。隔离措施在预防卫生保健相关感染方面很重要。随着新的病原体的出现和感染预防方面的进展，用于描述隔离类别的术语已经发生了变化。2009年，美利坚合众国东海岸一家学术医疗中心的护士花了三个月的时间完成了一项调查，其中包括十个临床场景，询问了建议的个人防护装备和建议的隔离类型的名称。正确识别所需的个人防护装备与使用经批准的隔离类别术语进行了比较，控制了感染知识和人口统计学变量。317名护士对2215个临床场景做出了回应。与使用批准的术语相比，使用未经批准的类别术语与个人防护装备正确识别率的统计学显著降低相关（62.2%比77.8%;p<.001）。在无指征的情况下，还选择了特定的个人防护装备，包括防护服（42%）、N-95呼吸器（13%）、液体防护口罩（13%）和无菌手套（6%）。隔离预防术语的不一致可能导致实践中的差异。采用国际公认和标准化的分类术语可提高对这些预防措施的遵守程度。
This paper is a report of a study to determine if the terms used by nurses to describe isolation precautions are associated with correct identification of required personal protective equipment. Isolation measures are important in the prevention of health care-associated infections. The terms used to describe categories of isolation have changed in response to new pathogens and with advances in infection prevention. For three months in2009, nurses from an academic medical center on the East Coast of the United States of America completed a survey consisting of ten clinical scenarios which asked about recommended personal protective equipment and for the name of the recommended isolation type. Correct identification of required personal protective equipment was compared to use of an approved isolation category term, controlling for infection knowledge and demographic variables. Three hundred and seventeen nurses gave responses to2, 215 clinical scenarios. Use of non-approved category terms was associated with statistically significantly lower rates of correct personal protective equipment identification compared to use of an approved term (62.2% vs. 77.8%; p<.001). Specific PPE was also selected for use when not indicated--including gowns (42%), N-95 respirators (13%), fluid shield masks(13%) and sterile gloves (6%). Inconsistent terminology for isolation precautions may contribute to variations in practice. Adoption of internationally-accepted and standardized category terms may improve adherence to these precautions.
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影响因子：
4.9
作者：
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通讯作者：
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DOI：
10.1016/j.ijmedinf.2006.02.006
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作者：
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