Should I stay or should I go? Patient understandings of and responses to source-isolation practices

Wyer, Mary; Iedema, Rick; Jorm, Christine; Armstrong, G. P.; Hor, Su-yin; Hooker, Claire; Jackson, Debra; Hughes, Clarissa; O’Sullivan, Matthew V. N.; Gilbert, Gwendolyn L.

doi:10.35680/2372-0247.1094

Cited by 10 publications

(13 citation statements)

References 38 publications

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“…In addition, for a variety of reasons, a person’s autonomy is inevitably challenged when they are admitted to hospital. The impact of Contact Precautions on a person’s ability to make decisions and choose a particular course of action adds to this, 58 as do the feelings of stigmatisation that can occur. 47…”

Section: Discussionmentioning

confidence: 99%

“…These points are illustrated by a recent study that reported that patients’ understanding of infection and of infection prevention and control precautions are limited, and participants had found it difficult to access suitable information to help them to make decisions that would contribute to their own safety and that of others. 58 It has also been shown that patients’ understanding of Contact Precautions is influenced by their experience; when being managed under these precautions in the healthcare setting, patients are restricted in their movements and so they may also self-limit their social activities after discharge from the hospital as a result of their subsequent understanding (or misunderstanding) of the risks to others. 59…”

Section: Principlism and The Ethics Of Contact Precautionsmentioning

confidence: 99%

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Are Contact Precautions ethically justifiable in contemporary hospital care?

Harris

Walsh

Dodds³

2017

Nurs Ethics

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The aim of this article is to discuss and explore whether practices used in hospitals to reduce the transmission of endemic antibiotic-resistant organisms are ethically justified in today's healthcare environment in the developed world. In order to do this, the history of the development of these practices is summarised, and the evidence base for their effectiveness is reviewed. Key bioethics principles are then discussed and contextualised from the perspective of hospital infection prevention and control, and an ethically superior model for the prevention and control of healthcare associated infection is proposed.

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Section: Discussionmentioning

confidence: 99%

Section: Principlism and The Ethics Of Contact Precautionsmentioning

confidence: 99%

Are Contact Precautions ethically justifiable in contemporary hospital care?

Harris

Walsh

Dodds³

2017

Nurs Ethics

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“…17 VRE has been used to explore staff and patients' knowledge and practice of hospital IPC. [18][19][20][21][22] These studies found that video reflexivity can significantly contribute to participants identifying potential IPC risks and develop solutions to reduce infection transmission, including improving staff competence and confidence with correct methods of donning and doffing PPE. In the study reported in this paper, we adopted some components of VRE, rather than the methodology as a whole.…”

Section: Research Approachmentioning

confidence: 99%

Testing the efficacy and acceptability of video-reflexive methods in personal protective equipment training for medical interns: a mixed methods study

et al. 2021

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ObjectivesTo test the efficacy and acceptability of video-reflexive methods for training medical interns in the use of personal protective equipment (PPE).DesignMixed methods study.SettingA tertiary-care teaching hospital, Sydney, January 2018–February 2019.Participants72 of 90 medical interns consented to participate. Of these, 39 completed all three time points.InterventionsParticipants received a standard infection prevention and control (IPC) education module during their hospital orientation. They were then allocated alternately to a control or video group. At three time points (TPs) over the year, participants were asked to don/doff PPE items based on hospital protocol. At the first two TPs, all participants also participated in a reflexive discussion. At the second and third TPs, all participants were audited on their performance. The only difference between groups was that the video group was videoed while donning/doffing PPE, and they watched this footage as a stimulus for reflexive discussion.Primary and secondary outcome measuresThe efficacy and acceptability of the intervention were assessed using: (1) comparisons of audit performance between and within groups over time, (2) comparisons between groups on survey responses for evaluation of training and self-efficacy and (3) thematic analysis of reflexive discussions.ResultsBoth groups improved in their PPE competence over time, although there was no consistent pattern of significant differences within and between groups. No significant differences were found between groups on reported acceptability of training, or self-efficacy for PPE use. However, analysis of reflexive discussions shows that the effects of the video-reflexive intervention were tangible and different in important respects from standard training.ConclusionsVideo reflexivity in group-based training can assist new clinicians in engagement with, and better understanding of, IPC in their clinical practice. Our study also highlights the need for ongoing and targeted IPC training during medical undergraduate studies as well as regular workplace refresher training.

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“…In addition, for a variety of reasons, a person's autonomy is inevitably challenged when they are admitted to hospital. The impact of Contact Precautions on a person's ability to make decisions and choose a particular course of action adds to this (Wyer et al, 2015), as do the feelings of stigmatisation that can occur (Ploug et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…understanding of infection and of infection prevention and control precautions are limited, and participants had found it difficult to access suitable information to help them to make decisions that would contribute to their own safety and that of others (Wyer et al, 2015). It has also been shown that patients' understanding of Contact…”

Section: Bioethics Principlesmentioning

confidence: 99%