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

本研究的目的是澄清目前的趋势，在护士的做法，标准预防感染，并建议改进的指导方针。从日本所有医疗机构中选择综合医院进行感染控制措施的调查，并澄清了以下几点。1）方法通过邮寄方式向第一阶段调查（2006年3月）的500个机构和第二阶段（2007年9月至10月）的2400个机构的护理负责人分发自填式问卷。在第一阶段，准备了关于人口统计学和感染控制实践的问题;在第二阶段使用了修订后的问题。第一阶段的281名患者和第二阶段的998名患者的数据用于分析。2）结果结果表明，无论医院规模如何，关东和近畿地区的感染控制委员会的护士人数明显少于九州地区 ...更多信息 和冲绳地区。关于现行感染控制指南中描述的项目，约90%的受访者表示，指南没有提供他们制服的描述。只有70%的受访者确认使用一次性手套。具体到通用手套的使用，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。虽然洗手被认为是预防感染的最重要因素，（791名受试者，79.3%），感染控制教育主要报告为对新护士的培训（839例，83.9%）。3）讨论本研究提出了改进组织的建议，预防感染需要指导方针的建设和功能以及促进持续的教育活动。今后有必要制定有效纳入这些建议的准则。少

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