预防护理院老年人的尿路感染:"StOP UTI "现实主义综合疗法。

IF 5.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Jacqui Prieto, Jennie Wilson, Alison Tingle, Emily Cooper, Melanie Handley, Jo Rycroft Malone, Jennifer Bostock, Heather Loveday
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引用次数: 0

摘要

背景:尿路感染(UTI)是居住在护理院的老年人最常被诊断出的感染:尿路感染(UTI)是在护理院居住的老年人中确诊率最高的感染:目的:确定识别和预防英国护理院老年人尿路感染的干预措施,并解释这些措施的作用机制、适用对象和适用情况:方法:对证据进行现实主义综合,以发展识别和预防尿毒症策略的基本方案理论。对文献数据库进行了基于主题的通用检索,并在与利益相关者协商的基础上进一步进行了有目的的检索,以检验和完善计划理论:结果:56 篇文章被纳入审查范围。结果:56 篇文章被收录到综述中,并在三个理论领域中形成了九种背景--机制--结果配置:(1) 支持准确识别尿毒症的策略,(2) 预防尿毒症的居民护理策略,(3) 实现最佳实践。我们的方案理论解释了护理人员如何能够识别和预防尿毒症,并将其纳入护理常规和活动中,以满足住户的基本护理需求和偏好。通过护理院管理者积极而明显的领导,以及根据护理人员的工作和角色开展教育,可以促进这一目标的实现:护理院员工在预防和识别护理院住户的尿毒症方面扮演着重要角色,将其纳入护理院提供的基本护理中有助于他们采取积极主动的方法来预防感染和避免不必要的抗生素使用。这就要求护理机构在专员、监管机构和服务提供者的推动下,营造一种个性化和安全的护理文化氛围,在这种氛围中,领导力和资源都将致力于支持知识渊博的护理人员采取预防措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preventing urinary tract infection in older people living in care homes: the 'StOP UTI' realist synthesis.

Background: Urinary tract infection (UTI) is the most diagnosed infection in older people living in care homes.

Objective: To identify interventions for recognising and preventing UTI in older people living in care homes in the UK and explain the mechanisms by which they work, for whom and under what circumstances.

Methods: A realist synthesis of evidence was undertaken to develop programme theory underlying strategies to recognise and prevent UTI. A generic topic-based search of bibliographic databases was completed with further purposive searches to test and refine the programme theory in consultation with stakeholders.

Results: 56 articles were included in the review. Nine context-mechanism-outcome configurations were developed and arranged across three theory areas: (1) Strategies to support accurate recognition of UTI, (2) care strategies for residents to prevent UTI and (3) making best practice happen. Our programme theory explains how care staff can be enabled to recognise and prevent UTI when this is incorporated into care routines and activities that meet the fundamental care needs and preferences of residents. This is facilitated through active and visible leadership by care home managers and education that is contextualised to the work and role of care staff.

Conclusions: Care home staff have a vital role in preventing and recognising UTI in care home residents.Incorporating this into the fundamental care they provide can help them to adopt a proactive approach to preventing infection and avoiding unnecessary antibiotic use. This requires a context of care with a culture of personalisation and safety, promoted by commissioners, regulators and providers, where leadership and resources are committed to support preventative action by knowledgeable care staff.

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来源期刊
BMJ Quality & Safety
BMJ Quality & Safety HEALTH CARE SCIENCES & SERVICES-
CiteScore
9.80
自引率
7.40%
发文量
104
审稿时长
4-8 weeks
期刊介绍: BMJ Quality & Safety (previously Quality & Safety in Health Care) is an international peer review publication providing research, opinions, debates and reviews for academics, clinicians and healthcare managers focused on the quality and safety of health care and the science of improvement. The journal receives approximately 1000 manuscripts a year and has an acceptance rate for original research of 12%. Time from submission to first decision averages 22 days and accepted articles are typically published online within 20 days. Its current impact factor is 3.281.
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