Patient safety and infection control: bases for curricular integration

Silva, Andréa Mara Bernardes da; Bim, Lucas Lazarini; Bim, Felipe Lazarini; Sousa, Álvaro Francisco Lopes de; Domingues, Pedro Castania Amadio; Nicolussi, Adriana Cristina; Andrade, Denise de

doi:10.1590/0034-7167-2017-0314

Cited by 13 publications

(15 citation statements)

References 22 publications

(48 reference statements)

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“…[8,9] Accordingly, the undergraduate nursing program should prepare those intern nurses with the necessary knowledge, skills and attitudes related to safe nursing practice. [10] Therefore, it has been reported that IPC education needs to be included in the orientation program of all healthcare staff with a special focus on novice nurses, doctors and the internship students [11] and it has to be considered as a part of their personal development plans. However, various studies have been reported that; nursing students have a low level of knowledge regarding IPC and poor transfer of that knowledge to their clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Infection prevention and control curriculum in undergraduate nursing program: Internship nursing students’ perspectives

Abdelaziz

Dogham²,

Elcockany³

2019

JNEP

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Undergraduate nursing education plays a vital role in acquiring the necessary competency for patient safety. Infection prevention and control is a very critical topic for providing patient safety so, undergraduate and graduate nursing students should be competent in infection prevention and control. The aim of this study was to measure the undergraduate nursing program effectiveness in improving knowledge and practice of infection prevention and control of internship nursing students and to identify their learning needs. A descriptive research design was used. Students were selected using convenience sampling which included 400 internship nurses. Data was collected using a self-reported questionnaire. The results of the current study displayed that more than half (59.5%) of the intern nurses had poor knowledge and also 43.2% of them had poor practice. In addition, it was found that more than half of them reported that infection control program is neither irrelevant nor meaningful, and 48.5% of the students suggested that participation in infection prevention and control training is most important for the improvement of nursing program. This study concluded that infection prevention and control topics in undergraduate nursing education may be insufficient and need to be updated, as well as the need for reviewing the intended learning outcomes of nursing program to ensure the addition and implementation of infection control guidelines in all undergraduate in the last academic year of nursing program as well as internship. The students also are in need for continued training and education regarding guidelines of infection prevention and control practice.

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Section: Introductionmentioning

confidence: 99%

Infection prevention and control curriculum in undergraduate nursing program: Internship nursing students’ perspectives

Abdelaziz

Dogham²,

Elcockany³

2019

JNEP

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“…Regarding the elements which characterize the patient's identification, the percentage of prescription receipts which presented the full name (74.7%) and age (0.2%) were much less than ideal (100%). In the context of patient safety, correct identification is essential in handling medication, since the chances of other errors occurring (e.g., dose, administration route, medication and wrong patient) are maximized in the absence of the patient's name in a legible manner (10)(11) . The percentage (98.3%) with regard to the issue date of the prescription receipt was close to the ideal (100%), although still lower than that recorded (99.3%) in a study conducted in Minas Gerais state, Brazil (12) .…”

Section: Discussionmentioning

confidence: 99%

Análise de prescrições de antimicrobianos na Atenção Primária à Saúde

Carvalho

Sousa

Almeida

et al. 2020

Rev. esc. enferm. USP

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RESUMO Objetivo Avaliar receitas com prescrição de antimicrobianos retidas nas unidades de saúde da Atenção Primária de uma capital da região Nordeste do Brasil. Método Estudo avaliativo, analítico. Foram utilizadas as informações da central de distribuição de medicamentos essenciais e as receitas com prescrição de antimicrobianos. Resultados Foram analisadas 2.232 receitas, nas quais o metronidazol (250 mg) foi prescrito em 28% das receitas avaliadas, a forma farmacêutica “comprimido” em 30,7% e a forma de administração “oral” em 78,2%. Nas receitas prescritas por enfermeiros, 80,7% destinavam-se para usuários com infecção sexualmente transmissível. Com exceção da forma farmacêutica, somente 34,7% das receitas estavam em concordância com as recomendações do protocolo de Enfermagem. Há, ainda, inexistência de informações sobre a concentração (43,7%), a posologia (39,9%) e o tempo de tratamento (36,8%). Conclusão As receitas com prescrição de antimicrobianos avaliadas não seguem com precisão as orientações da Resolução nº 20/2011, e nem do protocolo de Enfermagem instituído.

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“…Similar deficiencies in medical curricula regarding safety as it pertains to IPC practices have recently been highlighted in a systematic review involving higher education institutions. 20 Junior nurses by contrast received rigorous practical training involving AT, PI and in particular, HH, and were accordingly well assessed in these areas. Although barriers existed to the comprehensive tracking of IPCrelated teaching in the later years of both medicine and nursing training, it was clear there was a need for more formal scheduled IPC instruction in the clinical setting where students complete their undergraduate education.…”

Section: Discussionmentioning

confidence: 99%

Health professional education and practice in preventing and controlling infections in New Zealand: a review to inform strategies for enhancing practitioner competencies and patient safetyHealth professional education and practice in preventing and controlling infections in New Zealand: a review to inform strategies for enhancing practitioner competencies and patient safety

Gulliver

Brooks

Kinniburgh

et al. 2020

Integrated Healthcare Journal

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ObjectiveQuality assurance for reducing infections is a key objective of the WHO’s global action plan targeting antimicrobial resistance, yet no studies have employed a multifaceted approach to review health professional education and practice in infection prevention and control (IPC). This study completed such a review.Methods and analysisNew Zealand medical and nursing curricula were analysed for IPC-related teaching and assessment. Clinicians (undergraduate to senior) received peer-expert evaluation while performing procedures demonstrating IPC competencies. Patient and clinician self-evaluation followed. Hospital IPC practice monitoring was also reviewed.ResultsMedical curricula had approximately twice the total IPC-related theory compared with nursing (79.71 vs 41.66 hours), emphasising microbiology. IPC theory in nursing curricula was applied, emphasising health and safety. Junior nursing students were rigorously taught (16.17 hours) and assessed (2.91 hours) in practical IPC competencies, whereas little practical instruction (2.62 hours) and no formal assessment existed for junior medical students. IPC teaching chiefly occurred during medical students’ senior clinical years, and was opportunistic, rotation-specific or in introductory sessions. Senior medical and nursing students were expected to be IPC-proficient but no formal assessment occurred. Peer review generally revealed satisfactory practice, however both professions had lapses with hand hygiene, asepsis and incorrect donning, removal and use of personal protective equipment. Clinician confidence in providing and being peer-reviewed for best IPC practice, and patients’ confidence in receiving best IPC care, was positively associated with clinician experience. Trainee interns, whose confidence in IPC practice was not matched by the same desire for monitoring/feedback as senior colleagues, were the exception.ConclusionMultifaceted approaches to IPC quality assurance have utility in identifying gaps, reducing infection transmission and reassuring staff and patients.

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Patient safety and infection control: bases for curricular integration

Abstract: Patient safety related to infection prevention and control practices is present in the curriculum of health undergraduate courses, but is not coordinated with other themes, is taught sporadically, and focuses mainly on hand hygiene.

Cited by 13 publications

References 22 publications

Infection prevention and control curriculum in undergraduate nursing program: Internship nursing students’ perspectives

Infection prevention and control curriculum in undergraduate nursing program: Internship nursing students’ perspectives

Análise de prescrições de antimicrobianos na Atenção Primária à Saúde

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