{"title":"无菌技术在临床护理设置:范围审查。","authors":"Hannah Kent, Sonja Dawson, Joanne Lewis, Brett Mitchell","doi":"10.1016/j.jhin.2025.08.007","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54806,"journal":{"name":"Journal of Hospital Infection","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Aseptic technique in clinical nursing settings: a scoping review.\",\"authors\":\"Hannah Kent, Sonja Dawson, Joanne Lewis, Brett Mitchell\",\"doi\":\"10.1016/j.jhin.2025.08.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":54806,\"journal\":{\"name\":\"Journal of Hospital Infection\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-09-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hospital Infection\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jhin.2025.08.007\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hospital Infection","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jhin.2025.08.007","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Aseptic technique in clinical nursing settings: a scoping review.
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.
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.