Aseptic technique in clinical nursing settings: a scoping review.

IF 3.1 3区 医学 Q1 INFECTIOUS DISEASES
Hannah Kent, Sonja Dawson, Joanne Lewis, Brett Mitchell
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引用次数: 0

Abstract

Introduction: Aseptic technique forms a component of Standard Precautions and is a foundational concept in nursing practice. The application of that standard appears to vary between context and nurse. The variation of principles and application between facilities and individuals may reflect the current disparity in evidence-based literature. The purpose of this scoping review is to map the current literature and to seek clarification of key concepts and definitions of asepsis and aseptic technique in relation to clinical nursing.

Method: A systematic search was conducted in alignment with JBI guidelines and PRISMA-ScR for scoping reviews. Electronic databases MEDLINE and CINAHL were searched using a combination of Medical Subject Headings (MeSH) and free-text terms. Studies published between 1st January 2004 and 31st December 2024 were included. Studies were screened in Covidence. One reviewer screened the titles and abstracts, with a second checking a random sample. Two reviewers conducted full text reviews. Data extraction was undertaken using a pre-specified database.

Findings: 2812 studies were initially identified, with 31 articles included in the review following the screening and full-text review. Half of the included papers originated from three countries, the UK (6), USA (5), and Australia (4). Many papers do not define asepsis or aseptic technique, and there are notable variations in the terminology used to apply aseptic technique.

Conclusion: This scoping review highlights the variation in the definitions, principles, and application of aseptic technique in clinical nursing settings across evidence-based literature. It will inform a larger planned program of research.

无菌技术在临床护理设置:范围审查。
简介:无菌技术是标准预防措施的一个组成部分,是护理实践中的一个基本概念。该标准的应用似乎因环境和护士而异。机构和个人之间原则和应用的差异可能反映了目前循证文献的差异。这一范围综述的目的是绘制当前文献,并寻求澄清与临床护理有关的无菌和无菌技术的关键概念和定义。方法:根据JBI指南和PRISMA-ScR进行系统检索,进行范围审查。电子数据库MEDLINE和CINAHL使用医学主题标题(MeSH)和自由文本术语的组合进行检索。纳入了2004年1月1日至2024年12月31日期间发表的研究。研究在冠状病毒中进行筛选。一名审稿人筛选题目和摘要,另一名审稿人检查随机样本。两名审稿人进行了全文审查。使用预先指定的数据库进行数据提取。结果:最初确定了2812项研究,在筛选和全文审查后纳入了31篇文章。入选论文中有一半来自三个国家,分别是英国(6)、美国(5)和澳大利亚(4)。许多论文没有定义无菌或无菌技术,并且用于应用无菌技术的术语有明显的变化。结论:本综述强调了在临床护理环境中无菌技术的定义、原则和应用在循证文献中的差异。它将为更大的研究计划提供信息。
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 Hospital Infection
Journal of Hospital Infection 医学-传染病学
CiteScore
12.70
自引率
5.80%
发文量
271
审稿时长
19 days
期刊介绍: The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.
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