Why do staff comply? A study to determine factors influencing staff adherence to PPE and hand hygiene policy and standards within an acute healthcare setting.

IF 0.9 Q4 INFECTIOUS DISEASES
Graham Kaye, Debbi Marais
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引用次数: 0

Abstract

Background: Hand hygiene is commonly regarded as being the single most important method in preventing various healthcare-associated infections which cause an estimated 37,000 deaths in Europe and 100,000 deaths in the United States annually. Despite this, infection prevention and control audits regularly demonstrate that staff are missing hand hygiene opportunities, and that personal protective equipment (PPE) is being used inappropriately, clearly highlighting that policies are not being conformed to.

Aim: The aim of this was to identify factors that facilitate and hinder staff in their compliance with hand hygiene and PPE standards and policies.

Methods: A mixed methods approach sequential explanatory design was used to investigate levels of compliance and staff identified barriers and facilitators. Quantitative data was obtained regarding COVID-19 cases, hand hygiene, and PPE compliance over a 10-month period in all inpatient wards (approximately 750 beds) across an acute Trust. Following a review of this data, two wards were selected. Four participants on each ward, covering various grades of staff, were interviewed to explore their perceptions of compliance (qualitative data), and a thematic analysis was conducted to determine themes of facilitators and barriers.

Results: When compared to COVID-19 cases, hand hygiene and PPE compliance showed a downward trend over the study period. Barriers and facilitators to compliance identified by staff were time, information, training, safety, and accessibility. Time was the most common theme, with compliance to policy being deemed as too time consuming.

Conclusion: Patient safety was identified as the most influential aspect on staff being compliant with time being the one aspect that would contribute most to non-compliance.

员工为什么要遵守规定?一项旨在确定在急性医疗保健环境中影响工作人员遵守个人防护装备和手卫生政策和标准的因素的研究。
背景:手卫生通常被认为是预防各种卫生保健相关感染的最重要方法,每年在欧洲造成37,000人死亡,在美国造成100,000人死亡。尽管如此,感染预防和控制审计经常表明,工作人员缺少手部卫生机会,个人防护装备使用不当,这清楚地突出了未遵守政策。目的:目的是确定促进和阻碍工作人员遵守手卫生和个人防护装备标准和政策的因素。方法:采用混合方法的顺序解释设计来调查依从性水平和工作人员确定的障碍和促进因素。在10个月的时间里,在一家急性信托医院的所有住院病房(约750张床位)中,获得了有关COVID-19病例、手部卫生和个人防护装备合规的定量数据。在回顾这些数据后,选择了两个病房。每个病房的四名参与者,包括不同级别的工作人员,接受了采访,以探讨他们对遵守情况的看法(定性数据),并进行了专题分析,以确定促进因素和障碍的主题。结果:与COVID-19病例相比,研究期间手部卫生和PPE依从性呈下降趋势。员工确定的遵守的障碍和促进因素是时间、信息、培训、安全性和可及性。时间是最常见的主题,遵守政策被认为太耗时。结论:患者安全被认为是影响员工依从性的最重要因素,而时间是导致不依从性的最重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Infection Prevention
Journal of Infection Prevention Nursing-Advanced and Specialized Nursing
CiteScore
1.70
自引率
8.30%
发文量
46
期刊介绍: Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects
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