Missed Nursing Care Infection Prevention and Control Practices in Acute Hospitals in Ireland During the COVID-19 Pandemic

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-09-30 DOI:10.1111/ijn.70062

Marcia Kirwan, Elizabeth Egan, Anne Matthews

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引用次数: 0

Abstract

Background

The nursing contribution to patient safety is often linked to their proximity to patients and ability to intervene when quality of care is compromised. However, the quality of nursing care provided also directly contributes to patient outcomes and is associated with increased rates of healthcare-associated infections.

Aim

This study aimed to measure and compare nurses' perceptions of the frequency of and reasons for missed IPC practices in their workplaces and to examine nurses' perceptions of their ability to conduct IPC activities and their hospital capacity to support them.

Methods

This study used a cross-sectional online survey of nurses in acute general hospitals (n = 113) using the Missed Nursing Care Infection Prevention and Control (MNCIPC) instrument (March 21–May 26, 2022). Study reportage was informed by the STROBE guidelines.

Results

Care activities relating to hand hygiene and minimisation of hospital-acquired infections were identified as the most frequently missed infection prevention and control practices. Factors that hindered best practice occurred at systemic (staffing/resources) and environmental (patient room overcrowding/bathroom sharing) levels.

Conclusion

Best practice infection prevention and control care is hampered by factors outside of individual nurse control. Unit-specific infection prevention and control training, including support staff, is recommended to help prevent hospital-acquired infections.

Abstract Image

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2019冠状病毒病大流行期间爱尔兰急性医院护理缺失感染防控实践

背景：护理对患者安全的贡献通常与他们与患者的接近程度以及在护理质量受到损害时进行干预的能力有关。然而，所提供的护理质量也直接影响患者的预后，并与医疗保健相关感染率的增加有关。目的：本研究旨在测量和比较护士对其工作场所IPC实践的频率和原因的看法，并检查护士对其开展IPC活动的能力和医院支持能力的看法。方法：本研究采用错过护理感染预防与控制（MNCIPC）仪器（2022年3月21日至5月26日）对急症综合医院护士进行横断面在线调查（n = 113）。研究报告文学是根据STROBE指南进行的。结果：与手卫生和最小化医院获得性感染相关的护理活动被确定为最常错过的感染预防和控制措施。阻碍最佳实践的因素存在于系统（人员配置/资源）和环境（病房过度拥挤/共用浴室）层面。结论：感染防控护理的最佳实践受到护士个人控制之外因素的制约。建议对单位的感染预防和控制进行培训，包括对支助人员进行培训，以帮助预防医院获得性感染。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.