Healthcare workers’ knowledge and perceptions of the risks associated with emerging extensively drug-resistant bacteria

Celeste, C.; Jolivet, Sarah; Bonneton, Marion; Brun‐Buisson, C.; Jansen, Carolin

doi:10.1016/j.medmal.2017.05.014

Cited by 3 publications

(5 citation statements)

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“…A strong association between knowledge, perceptions, and ultimately actions has been suggested in previous research on AMR [4, 5]. Some studies found an impact of knowledge, attitudes, and personal perceptions, including perceived benefits and barriers, on the behaviours and practices of HCWs in IPC [6–9].…”

Section: Introductionmentioning

confidence: 73%

Awareness among French healthcare workers of the transmission of multidrug resistant organisms: a large cross-sectional survey

Vaillant¹,

Birgand²,

Esposito-Farèse³

et al. 2019

Antimicrob Resist Infect Control

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BackgroundMuch effort has been made over the last two decades to educate and train healthcare professionals working on antimicrobial resistance in French hospitals. However, little has been done in France to assess perceptions, attitudes and knowledge regarding multidrug resistant organisms (MDROs) and, more globally, these have never been evaluated in a large-scale population of medical and non-medical healthcare workers (HCWs). Our aim was to explore awareness among HCWs by evaluating their knowledge of MDROs and the associated control measures, by comparing perceptions between professional categories and by studying the impact of training and health beliefs.MethodsA multicentre cross-sectional study was conducted in 58 randomly selected French healthcare facilities with questionnaires including professional and demographic characteristics, and knowledge and perception of MDRO transmission and control. A knowledge score was calculated and used in a logistic regression analysis to identify factors associated with higher knowledge of MDROs, and the association between knowledge and perception.ResultsBetween June 2014 and March 2016, 8716/11,753 (participation rate, 74%) questionnaires were completed. The mean knowledge score was 4.7/8 (SD: 1.3) and 3.6/8 (SD: 1.4) in medical and non-medical HCWs, respectively. Five variables were positively associated with higher knowledge: working in a university hospital (adjusted odds ratio, 1.41, 95% CI 1.16–1.70); age classes 26–35 years (1.43, 1.23–1.6) and 36–45 years (1.19, 1.01–1.40); medical professional status (3.7, 3.09–4.44), working in an intensive care unit (1.28, 1.06–1.55), and having been trained on control of antimicrobial resistance (1.31, 1.16–1.48). After adjustment for these variables, greater knowledge was significantly associated with four cognitive factors: perceived susceptibility, attitude toward hand hygiene, self-efficacy, and motivation.ConclusionsWe found a low level of MDRO awareness and knowledge of associated control measures among French HCWs. Training on hand hygiene and measures to control MDRO spread may be helpful in shaping beliefs and perceptions on MDRO control among other possible associated factors. Messages should be tailored to professional status and their perception. Other approaches should be designed, with more effective methods of training and cognitive interventions.Trial registrationClinical Trials.gov NCT02265471. Registered 16 October 2014 - Retrospectively registered.

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Section: Introductionmentioning

confidence: 73%

Awareness among French healthcare workers of the transmission of multidrug resistant organisms: a large cross-sectional survey

Vaillant¹,

Birgand²,

Esposito-Farèse³

et al. 2019

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

show abstract

“…Educational needs have also been described previously, with an emphasis on periodic training, combining up-to-date theoretical and practical programmes and training at the beginning of employment (Celeste et al, 2017;Nasiri et al, 2019). Increasing knowledge about general hygiene could improve the intention to use PPE directly, but also indirectly through enhancing the practice of hand hygiene, favourable attitudes and perceptions, as well as a better understanding of the necessity of IPC practices.…”

Section: Rele Van Ce To Clini C Al Pr Ac Ti Cementioning

confidence: 92%

“…Educational opportunities could include a course on infection prevention and MDROs, but also simulation exercises or for example a serious game, as our findings suggest that experience with care for patients with MDRO carriage or with an outbreak of an MDRO are associated with better knowledge. Educational needs have also been described previously, with an emphasis on periodic training, combining up‐to‐date theoretical and practical programmes and training at the beginning of employment (Celeste et al, 2017; Nasiri et al, 2019). Increasing knowledge about general hygiene could improve the intention to use PPE directly, but also indirectly through enhancing the practice of hand hygiene, favourable attitudes and perceptions, as well as a better understanding of the necessity of IPC practices.…”

Section: Relevance To Clinical Practicementioning

confidence: 93%

“…Inconsistent adherence to IPC measures has been shown to lead to uncertainty and insecurity in patients, and limited provision of information can lead to difficulties in patients to fully understand the problem of antimicrobial resistance (Lindberg et al, 2014; Rump et al, 2019; Wyer et al, 2015). Insufficient knowledge about MDROs and corresponding IPC measures appears to occur in all healthcare settings and has been shown to act as a barrier for nursing staff to implement IPC guidelines and protocols (Celeste et al, 2017; Seibert et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Nursing care for patients carrying multi‐drug resistant organisms: Experiences, intention to use protective equipment and ability to comply with measures

Langeveld

Eilers

Haverkate

et al. 2022

Journal of Clinical Nursing

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Aims:The aims of the study were to explore the impact of caring for patients carrying multi-drug resistant organisms on nursing staff and identify factors predicting their intention to use personal protective equipment and their ability to comply with advised infection prevention and control measures.Background: Carriage of multi-drug resistant organisms and corresponding infection prevention and control measures have a major impact on patients. Limited research has been done to investigate the impact of caring for these patients on nursing staff. Design: A cross-sectional design.Methods: Online survey among Dutch nursing staff in various healthcare settings.Prediction analyses were conducted using random forest. The STROBE checklist was used preparing the manuscript.Results: 974 respondents were included. The majority of nursing staff reported to have experience in caring for patients carrying multi-drug resistant organisms.Relevant dilemmas in daily practice were identified. Important predictors of the intention to use protective equipment were practicing hand hygiene, usable protocols, favourable attitudes and perceptions, as well as knowledge. Important predictors of the ability to comply with advised measures were usable and findable protocols, a suitable work environment and practicing hand hygiene. Conclusion:We have gained comprehensive insight into experiences, attitudes, perceptions, knowledge and dilemmas in daily practice of nursing staff caring for patients carrying multi-drug resistant organisms. To enhance their intention to use protective equipment and their ability to comply with advised measures, activities should focus on improving hand hygiene and the usability of protocols. Additionally, efforts are

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“…Dicho lo anterior, lo ideal en la ejecución de los trabajos será no afectar el sobrecosto y los costos directos (Celeste, 2017), debido al ajuste de la duración, sin embargo, se incrementa el riesgo de pérdida de capital de la empresa con los resultados mostrados en la Tabla 2. esto repercute y de forma incremental y afecta directamente el bolsillo de los accionistas, debido a que la obra concluye anticipadamente en el día 42, como se observa en la Figura 14, aplicando recurso adicional.…”

Section: Programa De Líneas De Avance Planeado Y Realunclassified

Mitigación de riesgo en empresas constructoras aplicando control inferencial

Cerón-Carballo

Bigurra-Alzati

Pérez-Isidro

2023

ICBI

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La administración de las empresas constructoras en la actualidad requieren del diseño de un sistema de planeación y control, que ayude a la obtención de resultados satisfactorios para evitar la pérdida de capital social, en este trabajo se realiza el análisis de la información de los precios unitarios presentados en la etapa de licitación, por medio del desarrollo de un diagrama de Gantt de comparación programada y real, con periodos diarios de ejecución de una obra de rehabilitación de un tramo carretero en el estado de Hidalgo, el experimento demuestra que la alteración del periodo de ejecución afecta directamente al sobrecosto y a los rendimientos de los insumos, obteniéndose valores que disminuyen la utilidad, con la finalidad de alcanzar el monto contratado, por tal motivo se implementa como instrumento de evaluación el método de control inferencial en la libreta de diario y en la bitácora, por consiguiente se propone mantener el equilibrio entre la fuerza de trabajo y los rendimientos, encontrando resultados que mitigan el riesgo de quiebra empresarial y satisface las necesidades de adaptabilidad administrativa.

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Healthcare workers’ knowledge and perceptions of the risks associated with emerging extensively drug-resistant bacteria

Cited by 3 publications

References 12 publications

Awareness among French healthcare workers of the transmission of multidrug resistant organisms: a large cross-sectional survey

Awareness among French healthcare workers of the transmission of multidrug resistant organisms: a large cross-sectional survey

Nursing care for patients carrying multi‐drug resistant organisms: Experiences, intention to use protective equipment and ability to comply with measures

Mitigación de riesgo en empresas constructoras aplicando control inferencial

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