Journal of Infection Prevention最新文献

{"title":"Healthcare-associated infections and nursing leadership: A systematic review.","authors":"Eva Cappelli, Francesco Zaghini, Jacopo Fiorini, Alessandro Sili","doi":"10.1177/17571774241287467","DOIUrl":"10.1177/17571774241287467","url":null,"abstract":"<p><strong>Background: </strong>Healthcare-associated infections are strictly related to healthcare practices. A head nurse stimulates and motivates nurses, boosts nurses' job performance and satisfaction, and can influence adverse event development.</p><p><strong>Aim: </strong>To explore the relationship between healthcare-associated infections and head nurse leadership style.</p><p><strong>Methods: </strong>A systematic review was conducted. The search was conducted from 1973 until March 2022 on PubMed, Cochrane Library, Scopus, CINAHL, Web of Science, Embase, and APA PsycInfo databases. The review followed the Joanna Briggs Institute Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A thematic synthesis and critical appraisal of the included studies have been conducted.</p><p><strong>Results: </strong>Eight articles were included in this review. Head nurses' leadership, supported by the organization, can positively influence the job performance and job satisfaction of nurses by reducing infection rates associated with vascular access and urinary catheters.</p><p><strong>Discussion: </strong>Authentic and transformational nurse leadership styles can foster targeted interventions and improvements tailored to preventing and controlling healthcare-associated infections. Even if there is limited evidence, the results support that the occurrence of infections can be reduced by leadership strategies implemented by head nurses.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241287467"},"PeriodicalIF":0.9,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A peer-to-peer infection prevention and control programme in neglected settings: The case of home care and nursing homes in North Italy.","authors":"Monica Ronco, Bruna Odasmini, Stefania Chiappinotto, Alvisa Palese","doi":"10.1177/17571774241287473","DOIUrl":"10.1177/17571774241287473","url":null,"abstract":"<p><p>Healthcare-associated infections (HAIs) are an increasing concern and educational programmes may increase healthcare professionals' adherence to infection prevention and control (IPC) guidelines. However, despite evidence regarding the effectiveness of peer-to-peer educational programmes, to our knowledge, no studies have been conducted in non-hospital settings. A post-intervention pilot study based on peer-to-peer meetings on HAI topics in home care and nursing homes was conducted. A survey was administered to eligible nurses willing to participate, collecting socio-demographic data, the perceived effectiveness and quality of the programme, and the topics for future meetings. Twelve '<i>Pills of Prevention</i>' seminars were held, enrolling 115 nurses and nursing aides. Of the 115 participants, 81 (70.4%) were eligible and 31 (38.2%) completed the survey. Participants found tangible changes in the clinical settings mostly at the individual level, with bundles/checklists delivered during the meetings mostly being used in everyday practice. Regarding the perceived quality, the overall satisfaction with the programme was high due to the opportunity to 'freely share own opinions' and the 'appropriateness of selected topics'. 'Bundles/checklists' were seen as the most interesting topics to prioritize in the future among home care nurses, while HAIs in COVID-19 patients were the least. A community-based peer-to-peer programme, still neglected in terms of HAIs' continuing education strategies, is appreciated and may produce benefits both at the individual and the group level.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241287473"},"PeriodicalIF":0.9,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diary.","authors":"","doi":"10.1177/17571774241285251","DOIUrl":"https://doi.org/10.1177/17571774241285251","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"25 5","pages":"202"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of the COVID-19 fear levels of nurses and their compliance to isolation.","authors":"Rabia Acar, Aklime Sarikaya, Dilek Yildirim","doi":"10.1177/17571774241273088","DOIUrl":"10.1177/17571774241273088","url":null,"abstract":"<p><strong>Background: </strong>It is very important for healthcare professionals to know the isolation precautions and apply the isolation rules correctly in COVID-19 process.</p><p><strong>Aim: </strong>This study was conducted to determine the COVID-19 fear levels and isolation compliance levels of nurses.</p><p><strong>Method: </strong>This descriptive, cross-sectional, and correlational study was conducted between December 2020-February 2021 with 217 nurses working in a public hospital in Istanbul/Turkey. Data were collected using the Sociodemographic-Form, the COVID-19 Fear Scale, and the Compliance with Isolation Measures Scale.</p><p><strong>Results: </strong>Statistically significant difference was found between the level of compliance with the isolation measures and the education level of the nurses (<i>p</i> = .011), as well as their professional position (<i>p</i> = .026) (<i>p</i> < .05). A positive, low-level significant relationship was determined between the COVID-19 fear of nurses and their compliance with isolation measures (r = 0.168; <i>p</i> = .015).</p><p><strong>Conclusions: </strong>It was determined that nurses' compliance with Isolation Precautions and their level of fear were high during the COVID-19 pandemic. It was observed that nurses' fear levels and isolation adaptation levels were related.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241273088"},"PeriodicalIF":0.9,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indwelling urinary catheter use and adherence to clinical practice guidelines: A point prevalence study in adult hospital inpatients.","authors":"Jane Wickins, Claire M Rickard, Karen Kasper, Leanne Morton, Jessica Doellinger, Patricia Thomas-Gabbett, Nicole Marsh","doi":"10.1177/17571774241270995","DOIUrl":"10.1177/17571774241270995","url":null,"abstract":"<p><strong>Background: </strong>Approximately 25% of hospitalised adults require an indwelling urinary catheter (IDC) during their hospital stay. IDCs expose patients to risks of infectious and non-infectious complications.</p><p><strong>Aims: </strong>To identify IDC prevalence, assess adherence to clinical practice guidelines and patient-reported involvement in IDC care for adult hospital inpatients.</p><p><strong>Methods: </strong>This point prevalence study was conducted in 22 wards in a single quaternary hospital. Data was collected by clinical and research nurses working in pairs on a single day. Study outcomes were reported descriptively as frequencies and percentages.</p><p><strong>Results: </strong>Of 502 patients included, 77 (15.3%) had an IDC (median duration 99.6 h). The median age of patients with an IDC was 64 years (interquartile range 22-88 years), 54 (70%) were male and one-quarter (<i>n</i> = 19; 25%) of IDCs were inserted at another hospital. More than half (<i>n</i> = 44; 57%) of the 77 IDCs had no documented removal plan. Three patients were unavailable for review for observed clinical practices, and it was found 43% (<i>n</i> = 32/74) lacked a securement device. Of 77 people with IDCs, there were 44 patient responses, and 27 (61.4%) patients did not know the reason for their catheter.</p><p><strong>Discussion: </strong>Areas for improvement included securement device use, timely removal plans and patient education for the reason for the device. Regular point prevalence studies to assess use and adherence to clinical practical guidelines can improve safety outcomes for patients requiring IDCs.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241270995"},"PeriodicalIF":0.9,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aiming for zero: Success of the hysterectomy surgical site infection prevention bundle.","authors":"Ushma J Patel, Ahmed A Al-Niaimi, Kelly M Parrette, Sara A Zerbel, Stephanie M Barman, Tressa Gill, Christine A Heisler","doi":"10.1177/17571774241266448","DOIUrl":"10.1177/17571774241266448","url":null,"abstract":"<p><strong>Background: </strong>The Center for Disease Control's National Healthcare Safety Network (NHSN) reported increased Standardized Infection Ratios (SIRs) for hysterectomy at a large community hospital.</p><p><strong>Objective: </strong>To promote a surgical site infection (SSI) prevention bundle implemented to reduce hysterectomy-associated SSI.</p><p><strong>Methods: </strong>A multidisciplinary Workgroup implemented the Hysterectomy SSI Prevention Bundle in 2020 to enforce standardization of perioperative techniques. This study included all benign hysterectomies pre-implementation (<i>n</i> = 857) and post-implementation (<i>n</i> = 772). Per NHSN categorization guidelines, \"abdominal hysterectomy\" includes both open and laparoscopic routes. \"Inpatient surgery\" is date of discharge different from date of surgery; \"outpatient surgery\" is same date of discharge. \"SSI\" includes superficial, deep, and organ/space; \"complex SSI\" includes deep and organ/space. Patient demographics were categorized and evaluated for statistical significance.</p><p><strong>Results: </strong>After implementation of the SSI bundle, SIRs for hysterectomy were reduced to <1.0, indicating infection prevention. Reductions in SIR were significant for outpatient abdominal hysterectomy (0.868 [<i>p</i> = .007]), inpatient vaginal hysterectomy (0 [<i>p</i> < .001]), inpatient complex abdominal hysterectomy (0 [<i>p</i> = .040]), and inpatient complex vaginal hysterectomy (0 [<i>p</i> < .001]). Differences between groups were significant for increased laparoscopic and decreased vaginal hysterectomies (<i>p</i> < .001), increased outpatient surgeries (<i>p</i> < .001), and longer procedure duration (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>Implementation of an SSI prevention bundle at a large community hospital has significantly reduced SIR for inpatient vaginal hysterectomies, outpatient abdominal hysterectomies, and all inpatient complex hysterectomies.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241266448"},"PeriodicalIF":0.9,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors responsible for student nurses' use of non-sterile gloves: An exploratory qualitative study.","authors":"Jennifer Bate","doi":"10.1177/17571774241238686","DOIUrl":"10.1177/17571774241238686","url":null,"abstract":"<p><strong>Background: </strong>Disposable non-sterile gloves are part of the personal protective equipment (PPE) to be considered to protect oneself from the risk of infection. They have subsequently become the topic of concern related to increased use, inappropriate use, and potentially increasing the risk of cross-infection and environmental impact of plastic waste.</p><p><strong>Aim/objective: </strong>This study aimed to explore the views of pre-registration student nurses about non-sterile glove use in clinical practice and to identify the factors that impact student nurses' decision on whether to wear non- sterile gloves.</p><p><strong>Methods: </strong>Using a social constructivist approach, the study was organised in a higher education institution. Semi-structured interviews were conducted with second year student nurses, utilising a theoretical domains framework (TDF).</p><p><strong>Findings/results: </strong>The key findings showed that students had limited awareness of the national infection prevention and control best practice procedures. The primary influential factors for non-sterile gloves use behaviour were personal protection, the type of care interventions required and the observations of peers and role models.</p><p><strong>Discussion: </strong>The study found limited awareness on the importance of infection prevention and control precautions, including the correct procedure for donning, and doffing of personal protection equipment, along with a lack of confidence to challenge non-compliance.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"25 4","pages":"95-102"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"World Health Organization World Hand Hygiene Day, 5 May 2024. SAVE LIVES: Clean Your Hands campaign: Promoting knowledge and capacity building on infection prevention and control, including hand hygiene, among health and care workers.","authors":"Claire Kilpatrick, Ermira Tartari, Miranda Deeves, Didier Pittet, Benedetta Allegranzi","doi":"10.1177/17571774241239044","DOIUrl":"10.1177/17571774241239044","url":null,"abstract":"<p><p>The World Health Organization's (WHO) World Hand Hygiene Day continues to <i>\"bring people together and accelerate hand hygiene action at the point of care in health care to contribute to a reduction in health care-associated infections and the achievement of safer, quality health care for all.\"</i></p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"25 3","pages":"49-50"},"PeriodicalIF":1.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10998551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Family members screaming for help makes it very difficult to don PPE’. A qualitative study on UK ambulance staff experiences of infection prevention and control practices during the COVID-19 pandemic","authors":"P. Eaton-Williams, Julia Williams","doi":"10.1177/17571774231209494","DOIUrl":"https://doi.org/10.1177/17571774231209494","url":null,"abstract":"During the first wave of the COVID-19 pandemic in the UK, ambulance staff continued to deliver direct patient care whilst simultaneously adapting to a considerable escalation in evolving infection prevention and control (IPC) practices. To enable learning to benefit future planning, this qualitative article aims to describe ambulance staff’s experiences of this rapid escalation of IPC practices. Three online surveys were presented during the acceleration, peak, and deceleration phases of the pandemic’s first wave in the UK (2020). Overall, 18 questions contributed 14,237 free text responses that were examined using inductive thematic analysis at both descriptive and interpretive levels. Many participants lacked confidence in policies related to the use of personal protective equipment (PPE) because of perceived inadequate supporting evidence, confusing communication, and low familiarity with items. Compliance with policy and confidence in PPE use were further influenced by discomfort, urgency, and perceptions of risk. Various suggestions were made to improve IPC practices within the work environment, including reducing unnecessary exposure through public education and remote triage improvements. Some participants’ poor experiences of escalating IPC practices were shared with health care workers studied in other environments and in previous epidemics, emphasising the need for lessons to be learnt. PPE should be developed with consideration of ambulance staff’s unique working environment and regular familiarisation training could be beneficial. Pragmatic, evidence-based, clearly communicated policies implemented with sufficient resources may protect staff and facilitate them to maintain standards of care delivery during a pandemic.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"59 3","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of an educational intervention on hand hygiene practice among nursing students, with a focus on hand drying efficacy","authors":"John Gammon, Julian Hunt, Lisa Duffy, Ioan Humphreys, Jon Hinkin, Alan Watkins","doi":"10.1177/17571774231224695","DOIUrl":"https://doi.org/10.1177/17571774231224695","url":null,"abstract":"Hand hygiene and its significance for reducing the spread of infection is well evidenced and has been brought into sharp focus following the COVID-19 pandemic. Although a crucial clinical skill in ensuring safe healthcare, little is known regarding nursing students’ effectiveness of hand hygiene practice. The aim of this study was to evaluate the impact of an educational intervention on hand hygiene practice, designed by the research team for first year pre-registration nursing students. Particular emphasis was placed upon hand drying technique and time. 825 nursing students were observed and assessed for their hand hygiene practice in a clinical suite at a university setting. Nursing students were observed for compliance against set outcome measures involving hand hygiene preparation, hand and wrist washing technique, hand drying technique and time. Data were analysed quantitatively using SPSS. The educational intervention had a significant impact on the clinical skills learning of nursing students. 779 students passed the assessment at the first attempt (94.4%). Of the 46 students that failed to meet the necessary criteria, 45 satisfied the criteria at the second attempt; giving an overall optimal compliance of 99.9%. 99.6% of students complied with recommended hand drying standards. This study offers an important contribution to the development and delivery of nursing education programmes. The educational intervention improved compliance with recommended hand hygiene technique and practice. Lack of attention to hand drying may negate effective hand hygiene in healthcare.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"318 9","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139152341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}