Suboptimal infection prevention and control in the healthcare culture

Cioffi, Domenico; Cioffi, Jane

doi:10.3396/ijic.v15i2.009.19

Cited by 5 publications

(3 citation statements)

References 74 publications

(106 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Limited access to laboratories and radiology may also play a role by hampering speedy and adequate diagnostic workups [ 19 ]. In addition, the knowledge on how to prevent healthcare-associated infections and the importance attributed to infection prevention measures are often unsatisfactory in healthcare workers [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria

et al. 2021

View full text Add to dashboard Cite

Healthcare-associated infections (HCAI) are a common cause for residents’ mortality and morbidity associated with a significant socio-economic burden. Data on HCAIs in Austrian long-term care facilities are scare. Therefore, we evaluated the incidence rate of HCAIs per 1000 resident days in four LTC facilities in Graz, Austria, characterized the spectrum of HCAIs and the use of antimicrobial substances. We conducted a prospective surveillance study from 1 January to 31 December 2018 in four LTCFs of the Geriatric Health Centre of the City of Graz (total of 388 beds). Nursing staff collected data on HCAIs once a week using an electronic reporting system. During the 12-month surveillance period, 252 infections of 165 residents were recorded. The overall incidence rate of HCAIs was 2.1 per 1000 resident days. Urinary tract infections were the most commonly recorded HCAIs (49%, 124/252, 1.03 per 1000 resident days), followed by skin and soft tissue infections and respiratory tract infections. Beta-lactams (ATC class J01C) were prescribed most frequently (63/212), followed by fluoroquinolones (J01M; 54/212). In conclusion, the overall incidence rate for HCAIs was relatively low at 2.1 per 1000 resident days. Our real-life data can serve as a basis for future antimicrobial stewardship and infection prevention interventions.

show abstract

Section: Introductionmentioning

confidence: 99%

Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria

et al. 2021

View full text Add to dashboard Cite

show abstract

“…한 상관관계가 있으므로 (31) 구급대원의 감염관리 소진을 낮추 기 위해서는 의사소통을 활성화하고 효과적으로 협업하며 감 , , 염관리에 대한 지속적 관심을 갖는 등 긍정적 감염관리 조직 문화를 만드는 것이 필요할 것이다 아울러 감염관리 조직문화 . 가 개인의 감염관리 활동에 영향을 미칠 수 있다는 점에서 (33) 구급대원 스스로 감염관리지침을 잘 준수할 수 있는 조직 분 위기와 관리자들의 모니터링과 피드백을 형성하는 것도 필요 하다 (13) 이렇게 형성된 긍정적 감염관리 조직문화는 감염관리 . 활동 수준을 높이며 (13) 감염관리로 인해 오는 구급대원의 소진 상태를 감소시킬 것이다 (14,18) (15,34,35) .…”

unclassified

Correlation Between the Infection Control Organizational Culture, Infection Control Fatigue, and Burnout

Oh,

Lee

2023

Fire Sci. Eng.

View full text Add to dashboard Cite

Emergency medical services (EMS) personnel play an important role in infectious disease control at the forefront of the emergency medical system. However, the increase in EMS personnel’s workload due to the prevalence of infectious diseases can negatively affect the practice of infection control. Accordingly, this study identified the infection control organizational culture, infection control fatigue, and burnout of EMS personnel and analyzed the correlation. In 2023, data on infection control organizational culture, infection control fatigue, and burnout were collected using a structured questionnaire for 104 participating EMS personnel in the Seoul metropolitan area. The findings showed that the personnel were unaware of the infection control organizational culture, and the degrees of infection control fatigue and burnout were high. The more negatively the personnel perceived the infection control organizational culture and the higher the infection control fatigue, the higher the burnout. Therefore, policies to manage EMS personnel’s infection control organizational culture, infection control fatigue, and burnout should be prepared and implemented.

show abstract

“…However, attribution of the occurrence of infection to behaviour is problematic due to the period of intermission between the two events. Due to this delay in consequences, encouraging IPC behaviour may require greater focus on the formation of habitual behaviour and developing emotion-based motivations to perform behaviour (Cioffi and Cioffi, 2014). Where a specific behaviour was to be avoided, e.g.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

Electronic Monitoring Systems for Hand Hygiene in Hospitals: Relationship to Practice and Exploration of Clinical Perceptions

Greene

View full text Add to dashboard Cite

Appropriate hand hygiene at the five evidence-based moments proposed by the World Health Organization (WHO) during the delivery of patient care by healthcare workers (HCWs) is crucial in the prevention and control of healthcare associated infections. Audits of hand hygiene are required by health and social care regulators and organisations to provide assurance of practice. Compliance with hand hygiene is frequently low and electronic monitoring systems (EMSs) offer a potential way of generating data to inform improvement to practice which avoids some of the drawbacks of auditing via direct observation. It is important that these electronic systems generate data which is reflective of the reality of frontline practice in terms of the occurrence of opportunities for hand hygiene. Therefore, this mixed methods research aimed to fill a key gap in this field by developing a denominator for hand hygiene based on the average number of opportunities on inpatient wards in England. This was achieved via observations of the provision of care by frontline HCWs on two wards. In addition, compliance data captured during observations of care was compared with data from an EMS running concurrently on the wards. Following this, the second phase of the research explored the findings from the observation phase through interviews with frontline HCWs. Interview topics included the practical application of the five moments for hand hygiene, the role of audit in driving practice, the potential role of EMSs, and the impact on hand hygiene behaviour of the COVID-19 pandemic. This data can not only be used to inform a denominator for EMSs but also provides additional knowledge of the burden of hand hygiene for HCWs. Further to this, interviews revealed some of the key challenges and common issues which arise when applying hand hygiene in the dynamic hospital environment. It was found that during the COVID-19 pandemic the use of personal protective equipment (PPE) and motivation of self-protection created barriers to effective hand hygiene practice. This thesis provides insight into the perceived value and trustworthiness of data gathered during direct audit of practice, bringing its usefulness into debate. With triggers to audit, and greater staff engagement, often seen as a reactive response to an outbreak of infection rather than an ongoing process of embedded preventative practices. Of particular interest was how EMSs may be accepted as an adjunct to, not a replacement of, existing audit practice.

show abstract

Suboptimal infection prevention and control in the healthcare culture

Cited by 5 publications

References 74 publications

Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria

Prospective Surveillance of Healthcare-Associated Infections in Residents in Four Long-Term Care Facilities in Graz, Austria

Correlation Between the Infection Control Organizational Culture, Infection Control Fatigue, and Burnout

Electronic Monitoring Systems for Hand Hygiene in Hospitals: Relationship to Practice and Exploration of Clinical Perceptions

Contact Info

Product

Resources

About