早期传播干预对感染控制的挑战:范围综述。

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Bilqees Achmat, Berna Gerber
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引用次数: 1

摘要

背景:个人防护装备(PPE)和感染预防与控制(IPC)措施对于预防2019冠状病毒病(COVID-19)的传播至关重要。本研究使用范围回顾来调查语言治疗师(slt)使用IPC措施提供早期沟通干预(ECI)时存在的挑战。目的:通过范围审查(步骤1-5)描述现有的和最近的关于早期干预中使用的PPE和IPC措施的文献,并咨询当地临床医生,调查在南非提供ECI的slt如何与这些发现相关(范围审查的步骤6)。方法:根据PRISMA-ScR框架进行范围审查。由于slt在提供ECI时使用的PPE和IPC措施文献有限,纳入标准被调整为包括卫生保健工作者(HCWs)使用的PPE和IPC措施,这些卫生保健工作者(HCWs)为3岁以下的婴幼儿群体提供早期干预。在审查时,文章不超过10年,发表于2011年至2020年之间。范围审查包括与提供ECI的南非slt进行磋商,包括在COVID-19大流行期间。在协商之前进行了一项试验性研究。共纳入17名临床医生。试点研究和主要咨询的数据都被记录下来,并使用专题分析在结果中进行分析。结果:14篇文章被纳入研究。对现有文献的范围审查确定了实施IPC措施的挑战,即幼儿的照顾和行为、基础设施和系统挑战、不合规和缺乏培训以及缺乏标准的IPC协议。咨询阶段的临床医生证实了这些挑战,并报告说IPC措施没有考虑到ECI人群和提供服务的环境。从文献中提出的改善感染控制的建议包括手卫生、改善用品和基础设施以及教育和培训。会诊中的临床医生提出了在ECI范围内实施IPC措施的实际建议,其中包括增加家长主导的干预以及清洁和消毒策略。结论:本研究确定了在提供ECI的同时使用PPE和IPC措施的slt的挑战和建议。了解这些挑战有助于ECI服务和未来的研究工作,重点是在保持IPC标准的同时改进ECI服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Challenges to infection control in early communication intervention: A scoping review.

Challenges to infection control in early communication intervention: A scoping review.

Challenges to infection control in early communication intervention: A scoping review.

Challenges to infection control in early communication intervention: A scoping review.

Background:  Personal protective equipment (PPE) and infection prevention and control (IPC) measures are crucial to preventing the spread of coronavirus disease 2019 (COVID-19). This study used a scoping review to investigate the challenges that exist when speech-language therapists (SLTs) use IPC measures for providing early communication intervention (ECI).

Objectives:  To describe existing, recent literature on PPE and IPC measures used in early intervention through a scoping review (steps 1-5) and to consult local clinicians to investigate how SLTs who provide ECI in South Africa relate to these findings (step 6 of the scoping review).

Method:  A scoping review was performed which followed the PRISMA-ScR framework. Because of limited literature on PPE and IPC measures used by SLTs in providing ECI, the inclusion criteria were adjusted to include PPE and IPC measures used by healthcare workers (HCWs) who provide early intervention to the population of infants and toddlers up to 3 years old. At the time of the review, articles were not older than 10 years and were published between 2011 and 2020. The scoping review included a consultation with South African SLTs who provide ECI, including during the COVID-19 pandemic. A pilot study was conducted prior to the consultations. Seventeen clinicians were included in total. Data from both the pilot study and main consultation were transcribed and analysed in the results using thematic analysis.

Results:  Fourteen articles were included in the study. The scoping review of existing literature identified challenges to implementing IPC measures, namely the care and behaviour of young children, infrastructure and system challenges, poor compliance and lack of training and a lack of standard IPC protocols. Clinicians in the consultation phase confirmed these challenges and reported that IPC measures did not consider ECI populations nor the settings in which services were provided. Suggestions from the literature for improved infection control included hand hygiene, improved supplies and infrastructure and education and training. Clinicians in the consultation added practical suggestions for implementing IPC measures within ECI, which included an increase in parent-led intervention as well as cleaning and disinfection strategies.

Conclusion:  This study identified challenges and recommendations of SLTs who use PPE and IPC measures whilst providing ECI. Understanding these challenges can benefit ECI services and future research efforts focused on improving ECI services whilst maintaining IPC standards.

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来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
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