Advancing the profession: An updated future-oriented competency model for professional development in infection prevention and control

Billings, Corrianne; Bernard, Heather; Caffery, Lisa; Dolan, Susan A.; Donaldson, John Y.; Kalp, Ericka; Mueller, Angel C.

doi:10.1016/j.ajic.2019.04.003

Cited by 31 publications

(20 citation statements)

References 13 publications

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“…The APIC Competency Model [ 50 ] has many knowledge areas in alignment with the application of the WMC-ICRA tool. The WMC-ICRA advances the IPC practitioner’s core competencies and domains in the areas of leadership, risk assessment and risk reduction, epidemiology and surveillance, and the evaluation of research.…”

Section: Discussionmentioning

confidence: 99%

Reducing the Risk of Healthcare Associated Infections from Legionella and Other Waterborne Pathogens Using a Water Management for Construction (WMC) Infection Control Risk Assessment (ICRA) Tool

Scanlon

Gordon²,

Tonozzi³

et al. 2022

Infectious Disease Reports

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Construction activities in healthcare settings potentially expose building occupants to waterborne pathogens including Legionella and have been associated with morbidity and mortality. A Water Management for Construction—Infection Control Risk Assessment (WMC-ICRA) tool was developed addressing gaps in building water management programs. This enables healthcare organizations to meet the requirements of ANSI/ASHRAE Standard 188 referenced in numerous guidelines and regulations. A WMC-ICRA was modeled after the ICRA required for prevention and control of airborne pathogens to reduce the risk of healthcare associated infections. The tool allows users to evaluate risk from waterborne pathogen exposure by analyzing construction activities by project category and building occupant risk group. The users then select an appropriate level of risk mitigation measures. Technical aspects (e.g., water age/stagnation, flushing, filtration, disinfection, validation testing), are presented to assist with implementation. An exemplar WMC-ICRA tool is presented as ready for implementation by infection prevention and allied professionals, addressing current gaps in water management, morbidity/mortality risk, and regulatory compliance. To reduce exposure to waterborne pathogens in healthcare settings and improve regulatory compliance, organizations should examine the WMC-ICRA tool, customize it for organization-specific needs, while formulating an organizational policy to implement during all construction activities.

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Section: Discussionmentioning

confidence: 99%

Reducing the Risk of Healthcare Associated Infections from Legionella and Other Waterborne Pathogens Using a Water Management for Construction (WMC) Infection Control Risk Assessment (ICRA) Tool

Scanlon

Gordon²,

Tonozzi³

et al. 2022

Infectious Disease Reports

View full text Add to dashboard Cite

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“…The idea behind the PM is to increase the level of patient safety as well as the safety of medical and auxiliary staff. The new PM model adapted to the conditions in hospitals in Poland was created based on the guidelines and the model created by the Association for Professionals in Infection Control and Epidemiology (APIC) [ 16 , 17 , 18 ].…”

Section: Methodsmentioning

confidence: 99%

Application of a Novel PM Model to Assess the Risk of Clostridioides difficile Infections in Medical Facilities as a Tool for Improving the Quality of Health Services and the Safety of Patients

Kiersnowska

Lemiech-Mirowska

Sierocka

et al. 2021

IJERPH

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Infections with multi-drug resistant microorganisms associated with the provision of health services have become an acute problem worldwide. These infections cause increased morbidity as well as mortality and are a financial burden for the healthcare system. Effective risk management can reduce the spread of infections and thus minimize their number in hospitalized patients. We have developed a new approach to the analysis of hazards and of exposure to the risk of adverse events by linking the patient’s health record system to the entire infrastructure of the hospital unit. In this study, using the developed model, we focused on infections caused by the Clostridioides difficile bacterium, as they constitute a significant number of nosocomial infections in Poland and worldwide. The study was conducted in a medical facility located in the central part of Poland which provides tertiary care. In the proposed PM model, a risk analysis of hospital acquired infections at the Intensive Care and Anesthesiology Unit combined with the hospital’s technical facilities and organizational factors was conducted. The obtained results indicate the most critical events which may have an impact on potential hazards or risks which may result from the patient’s stay at the specific ward. Our method can be combined with an anti-problem approach, which minimizes the critical level of infection in order to determine the optimal functioning of the entire hospital unit. Research has shown that in most situations the spread dynamics of nosocomial infections can be controlled and their elimination may be attempted. In order to meet these conditions, the persons responsible for the daily operation of the medical facility and its individual wards have to indicate potential events and factors which present a risk to the hospitalized patients. On the basis of a created spreadsheet directions for improvement may be finally established for all potential events, their frequency may be minimized, and information may be obtained on actions which should be undertaken in a crisis situation caused by the occurrence of a given phenomenon. We believe that the proposed method is effective in terms of risk reduction, which is important for preventing the transmission of multi-drug resistant microorganisms in the hospital environment.

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“…This is particularly relevant in the context of infection prevention and control (IPC) during pandemics, as changes might be continuous, frequent, contradictory and recurring (Rebmann, 2010). Here, the IPC professionals (mostly nurses and infectious diseases physicians with academic training in the field of IPC) are challenged with promoting, disseminating and implementing IPC policies in response to multiple recommendations from health organizations and experts (Billings et al, 2019;World Health Organization, 2020a). While regular IPC professionals' duties include, among of other things, leadership support, surveillance of infectious disease processes and application of standard and transmissionbased precautions (Centers for Disease Control and Prevention, 2017), in crises contexts (e.g.…”

Section: Countrymentioning

confidence: 99%

Facilitation activities for change response: a qualitative study on infection prevention and control professionals during a pandemic in Brazil

Santos

Holmén

Gama

et al. 2021

JHOM

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PurposeFacilitation activities support implementation of evidence-based interventions within healthcare organizations. Few studies have attempted to understand how facilitation activities are performed to promote the uptake of evidence-based interventions in hospitals from resource-poor countries during crises such as pandemics. This paper aims to explore facilitation activities by infection prevention and control (IPC) professionals in 16 hospitals from 9 states in Brazil during the COVID-19 pandemic.Design/methodology/approachPrimary and secondary data were collected between March and December 2020. Semi-structured interviews were conducted with 21 IPC professionals in Brazilian hospitals during the COVID-19 pandemic. Public and internal documents were used for data triangulation. The data were analyzed through thematic analysis technique.FindingsBuilding on the change response theory, this study explores the facilitation activities from the cognitive, behavioral and affective aspects. The facilitation activities are grouped in three overarching dimensions: (1) creating and sustaining legitimacy to continuous and rapid changes, (2) fostering capabilities for continuous changes and (3) accelerating individual commitment.Practical implicationsDuring crises such as pandemics, facilitation activities by IPC professionals need to embrace all the cognitive, behavioral and affective aspects to stimulate positive attitudes of frontline workers toward continuous and urgent changes.Originality/valueThis study provides unique and timely empirical evidence on the facilitation activities that support the implementation of evidence-based interventions by IPC professionals during crises in hospitals in a resource-poor country.

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Advancing the profession: An updated future-oriented competency model for professional development in infection prevention and control

Cited by 31 publications

References 13 publications

Reducing the Risk of Healthcare Associated Infections from Legionella and Other Waterborne Pathogens Using a Water Management for Construction (WMC) Infection Control Risk Assessment (ICRA) Tool

Reducing the Risk of Healthcare Associated Infections from Legionella and Other Waterborne Pathogens Using a Water Management for Construction (WMC) Infection Control Risk Assessment (ICRA) Tool

Application of a Novel PM Model to Assess the Risk of Clostridioides difficile Infections in Medical Facilities as a Tool for Improving the Quality of Health Services and the Safety of Patients

Facilitation activities for change response: a qualitative study on infection prevention and control professionals during a pandemic in Brazil

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