Why do nurses miss infection control activities? A qualitative study

Henderson, Julie; Willis, Eileen; Roderick, Allison; Bail, Kasia; Brideson, Genevieve

doi:10.1016/j.colegn.2019.05.004

Cited by 17 publications

(78 citation statements)

References 31 publications

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“…It is well accepted that the clinical environment plays a role in the transmission of infections such as multi-drug resistant organisms (MDROs) and healthcare associated infections (HCAIs) [ 2 , 7 , 8 , 12 , 14 , 15 , [17] , [18] , [19] , [20] ]. Ineffective cleaning practices by nursing and midwifery staff may also contribute to a high pathogen-load being present within hospital settings [ 15 , 19 , 21 ]. As an important first step to improving environmental hygiene, this study found that nurses and midwives broadly stated that they understood the importance of cleaning, albeit, there is variation in cleaning responsibilities.…”

Section: Discussionmentioning

confidence: 99%

“…[ 23 ] of VRE transmission pathways within an intensive care unit identified the key role shared medical equipment has in ICU. Factors for suboptimal cleaning of shared equipment may include insufficient stocks of equipment to allow for cleaning and rotation between patients, lack of product at the point of use and perceived lack of time [ 1 , 7 , 19 ]. Understanding reasons for this are important and we will be following this up in future work.…”

Section: Discussionmentioning

confidence: 99%

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Nurses' and midwives’ cleaning knowledge, attitudes and practices: An Australian study

Mitchell

Russo

Kiernan

et al. 2021

Infection, Disease & Health

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Background: As frontline providers of care, nurses and midwives play a critical role in controlling infections such as COVID-19, influenza, multi-drug resistant organisms and health care associated infections. Improved cleaning can reduce the incidence of infection and is cost effective but relies on healthcare personnel to correctly apply cleaning measures. As nurses and midwives have the most contact with patients and as an important first step in improving compliance, this study sought to explore nurses' and midwives' knowledge on the role of the environment in infection prevention and control and identify challenges in maintaining clean patient environments. Methods: Cross-sectional online survey of 96 nurses (RN/EN) and midwives (RW) employed in clinical settings (e.g. hospital, aged care, medical centre, clinic) in Australia. Results: Nurses and midwives broadly stated that they understood the importance of cleaning. However, cleaning responsibilities varied and there was confusion regarding the application of different disinfectants when cleaning after patients with a suspected or diagnosed infection post-discharge. Most would not be confident being placed in a room where a previous patient had a diagnosed infection such as multi-drug resistant organism. Conclusion: Greater organisational support and improving applied knowledge about infection control procedures is needed. This includes correct use of disinfectants, which disinfectant to use for various situations, and cleaning effectively following discharge of a patient with known infection. The cleanliness of shared medical equipment may also pose current risk due to lack of cleaning.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nurses' and midwives’ cleaning knowledge, attitudes and practices: An Australian study

Mitchell

Russo

Kiernan

et al. 2021

Infection, Disease & Health

View full text Add to dashboard Cite

show abstract

“…The Missed Nursing Care in Infection Prevention and Control Survey (MNC‐IPC) was developed by Henderson, Blackman, Willis and Roderick at Flinders University in 2017 (Henderson et al, 2019). The survey is composed of three sections, two of which use sub‐scales.…”

Section: Methodsmentioning

confidence: 99%

“…Items for the Missed Nursing Care in Infection Prevention and Control Survey were developed through eleven interviews with Australian infection control experts who were asked to identify the infection prevention activities they believed were missed and the reasons for their omission (Henderson, Willis, Roderick, Bail, & Brideson, 2019). Analysis of the interview data led to the identification of 37 discrete tasks that were viewed as being omitted and 24 reasons why they are omitted.…”

Section: Introductionmentioning

confidence: 99%

Measuring the validity and reliability of the Lithuanian missed nursing care in infection prevention and control scales using Rasch analysis

et al. 2020

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The report on health statistics in the Central and Eastern European countries of the WHO European Region published 25 years ago highlighted the issues of inadequate medical staff-patient ratios, a low supply of nurses and their inadequate training, poorly maintained hospital equipment and a lack of material resources, overuse of secondary and tertiary hospitals and underuse of general hospitals or primary care services (Nanda, Nossikov, Prokhorskas, & Shabanah, 1993). The same or very similar issues (i.e. insufficient human and

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“…The results confirmed that these instruments are valid and reliable and therefore can be used for measuring these concepts in different countries. Interestingly, one of these looked at the translated version of an instrument developed to measure missed nursing care in infection prevention and control, which is the first attempt at developing a more focused tool beyond the generic approach to missed nursing care (Henderson, Willis, Roderick, Bail, & Brideson, 2019). This advances our thinking around missed or rationed care and suggests that generic instruments for measuring the concepts may not capture the intricacies of specialist nursing practice.…”

Section: What Does This Special Issue Add?mentioning

confidence: 99%