Implementation of Public Health England infection prevention and control guidance in maternity units in response to the COVID-19 pandemic

Hanley, S.J.; Jones, Alice P.; Oberman, Jemma; Baxter, Elaine; Sharkey, Don; Gray, Jared; Walker, Kate F.

doi:10.1016/j.jhin.2022.04.018

Cited by 5 publications

(2 citation statements)

References 19 publications

(25 reference statements)

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“…Consistent with our findings, participants described that “digestible maternity-specific guidance being filtered down to staff” was a facilitator to implementing IPC successfully, and voiced the need for streamlined guidance that could be implemented consistently across hospitals, professional specialties involved in delivery, and across the obstetric care continuum. 10 Like the Hanley study, our participants identified the lack of specificity to the labor and delivery setting as a barrier, and that general IPC guidance fails to address the “unique aspects of care at birth.”…”

Section: Commentmentioning

confidence: 87%

“…The recent COVID-19 pandemic, however, has increased attention to IPC in all healthcare settings. Hanley et al 10 sought to examine facilitators and barriers to the implementation of England’s IPC guidance in maternity units during the COVID-19 pandemic. Consistent with our findings, participants described that “digestible maternity-specific guidance being filtered down to staff” was a facilitator to implementing IPC successfully, and voiced the need for streamlined guidance that could be implemented consistently across hospitals, professional specialties involved in delivery, and across the obstetric care continuum.…”

Section: Commentmentioning

confidence: 99%

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Physician perceptions of barriers to infection prevention and control in labor and delivery

Barnes,

White,

Young

et al. 2023

Infect. Control Hosp. Epidemiol.

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Objective: To learn about the perceptions of healthcare personnel (HCP) on the barriers they encounter when performing infection prevention and control (IPC) practices in labor and delivery to help inform future IPC resources tailored to this setting. Design: Qualitative focus groups. Setting: Labor and delivery units in acute-care settings. Participants: A convenience sample of labor and delivery HCP attending the Infectious Diseases Society for Obstetrics and Gynecology 2022 Annual Meeting. Methods: Two focus groups, each lasting 45 minutes, were conducted by a team from the Centers for Disease Control and Prevention. A standardized script facilitated discussion around performing IPC practices during labor and delivery. Coding was performed by 3 reviewers using an immersion-crystallization technique. Results: In total, 18 conference attendees participated in the focus groups: 67% obstetrician-gynecologists, 17% infectious disease physicians, 11% medical students, and 6% an obstetric anesthesiologist. Participants described the difficulty of consistently performing IPC practices in this setting because they often respond to emergencies, are an entry point to the hospital, and frequently encounter bodily fluids. They also described that IPC training and education is not specific to labor and delivery, and personal protective equipment is difficult to locate when needed. Participants observed a lack of standardization of IPC protocols in their setting and felt that healthcare for women and pregnant people is not prioritized on a larger scale and within their hospitals. Conclusions: This study identified barriers to consistently implementing IPC practices in the labor and delivery setting. These barriers should be addressed through targeted interventions and the development of obstetric-specific IPC resources.

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Section: Commentmentioning

confidence: 87%

Section: Commentmentioning

confidence: 99%

Physician perceptions of barriers to infection prevention and control in labor and delivery

Barnes,

White,

Young

et al. 2023

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

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The coordination of collective and individual solutions in risk-resistant scenarios

et al. 2023

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Human societies are constantly coping with global risks. In the face of these risks, people typically have two options, that is, to respond together as a whole (collective solution) or to respond independently (individual solution). Based on these two solutions, individuals have a variety of behavioral strategies. On the other hand, various regulatory bodies supported by the population limit people’s choices and punish individuals who do not contribute to collective solutions. So with different risks, how do the two solutions, the various individual strategies, and the constraints from regulators affect the group’s response to risk? This paper proposes an extended public goods game model involving opportunists and the regulator to explore the effectiveness of collective and individual solutions against risks. The results show that requiring individuals to invest more in the collective solution reduces the group’ s success in resisting risk. To improve the group’s ability to resist risk, investment in individual solution should be at least no less than that in collective solution. The establishment fund and punishment intensity of the regulatory agency have no significant effect on the success of collective and individual solutions. This inspires us to contemplate the role and measures of various types of authorities in coping with global risks. Graphic Abstract

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Midwives’ experiences using personal protective equipment during COVID-19: a scoping review

O’Farrell

Chatzi

Doody

2023

British Journal of Midwifery

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Background Correct use of personal protective equipment is vital to minimise the risk of patients acquiring healthcare-associated infections. These measures are also important in preventing exposure to occupational infection. During the COVID-19 pandemic, the use of personal protective equipment was associated with anxiety, uncertainty and additional training requirements. This study investigated midwives’ experiences using personal protective equipment during the pandemic. Methods This systematic scoping review searched seven academic databases and grey literature. Data analysis was conducted using a thematic analysis framework. Results A total of 16 studies were included. Four themes were found: ‘fear and anxiety’, ‘personal protective equipment/resources’, ‘education and training needs’ and ‘communication’. Conclusions Management and administration inconsistences, logistical issues and lack of training on personal protective equipment led to midwives’ negative feedback. A gap has been identified in the exploration of midwives’ experiences as personal protective equipment end-users during the COVID-19 pandemic.

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Implementation of Public Health England infection prevention and control guidance in maternity units in response to the COVID-19 pandemic

Cited by 5 publications

References 19 publications

Physician perceptions of barriers to infection prevention and control in labor and delivery

Physician perceptions of barriers to infection prevention and control in labor and delivery

The coordination of collective and individual solutions in risk-resistant scenarios

Midwives’ experiences using personal protective equipment during COVID-19: a scoping review

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