Current trends and future recommendations in nurses' practice of standard precautions against infection at hospitals

医院感染标准预防措施护士实践的当前趋势和未来建议

• 批准号: 17592225
• 负责人: FUJITA Hisako
• 金额: $ 2.05万
• 依托单位: HIROSHIMA UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17592225/
• 关键词: standard precautions; guidelines for infection control; infection control; on the job training; 感染予防対策マニュアル; 院内感染

The purpose of this study is to clarify the current trends in nurses' practice of standard precautions against infection, and to recommend guidelines for improvement. An investigation of infection control practices was conducted on general hospitals selected from among all health facilities in Japan, and clarified the following points.1) MethodsSelf-administrated questionnaires were distributed by post to the head of nursing at 500 facilities in the first stage survey (March 2006), and 2400 in the second stage (September to October 2007). In the first stage, questions were prepared concerning demographics and infection control practices; revised questions were used in the second stage. Data from 281 first-stage subjects and 998 second-stage subjects were used for the analyses.2) ResultsThe results indicate that, regardless of the hospital size, the number of nurses composing the infection control committee was significantly smaller in the Kanto and Kinki regions compared to the Kyushu … More and Okinawa regions. Regarding items described in the current guidelines for infection control, approximately 90% of respondents indicated that the guidelines did not provide descriptions of their uniforms. Only 70% of respondents confirmed the use of disposable gloves. Specifically related to universal glove use, approximately 90% of respondents described routine tasks related to the handling of urine bags and stools, and 70% percent of respondents described routine tasks related to wound care and blood treatment. Although hand washing was recognized as the most important factor in preventing infection (791 subjects, 79.3%), education on infection control was primarily reported as training for new nurses (839 subjects, 83.9%).3) DiscussionThis study suggests that recommendations to improve the organization, construction and functionality of the guidelines and the promotion of continuous educational activities are required to prevent infection. It will be necessary to establish guidelines that effectively incorporate these recommendations in the future. Less

本研究的目的是阐明护士标准感染预防措施实践的当前趋势，并提出改进指南。对从日本所有医疗机构中选出的综合医院进行了感染控制实践调查，并澄清了以下几点。 1）方法在第一阶段调查（2006年3月）中向500家机构的护理负责人邮寄了自填问卷，在第二阶段（2007年9月至2007年10月）中向2400家机构的护理负责人发放了自填问卷。在第一阶段，准备了有关人口统计和感染控制实践的问题；第二阶段使用修改后的问题。分析使用了 281 名第一阶段受试者和 998 名第二阶段受试者的数据。2) 结果结果表明，无论医院规模如何，关东和近畿地区组成感染控制委员会的护士人数明显少于九州和冲绳地区。对于现行感染控制指南中描述的项目，约90%的受访者表示指南中没有提供对其制服的描述。只有 70% 的受访者确认使用一次性手套。特别是与普遍使用手套有关，大约 90% 的受访者描述了与处理尿袋和粪便相关的日常任务，70% 的受访者描述了与伤口护理和血液处理相关的日常任务。尽管洗手被认为是预防感染的最重要因素（791名受试者，79.3%），但感染控制教育主要报告为新护士培训（839名受试者，83.9%）。3）讨论本研究表明，需要提出改进指南的组织、结构和功能的建议，并促进持续教育活动，以预防感染。未来有必要制定有效纳入这些建议的指导方针。较少的