Infektionshygiene in der ambulanten Pflege - Eine Untersuchung zur Strukturqualität

Spegel, H; Höller, Christiane; Randzio, Ottilie; Liebl, Bernhard; Herr, C

doi:10.1055/s-0032-1309018

Cited by 3 publications

(2 citation statements)

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“…Other studies dealt with infection control due to the organisational characteristics of outpatient care. A study of the public health service in Bavaria 15 showed that smaller facilities in particular (with fewer than 10 patients) achieved poor results in infection control, knowledge about relevant recommendations for action and the availability of work aids. In the large facilities, on the other hand, personnel conditions were less favourable.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

et al. 2018

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ObjectivesHealthcare workers frequently come into contact with infected individuals and are at a greater risk of infection than the general population due to their occupation. Multidrug-resistant organisms (MDROs) also pose a significant challenge for personnel and medical facilities. Currently, little is known about the occupational risk of methicillin-resistant Staphylococcus aureus (MRSA) in outpatient care settings. Therefore, a cross-sectional study was conducted in Hamburg to investigate MRSA colonisation among outpatient nursing staff.MethodsMRSA screening with nasal swabs was carried out, the known risk factors for colonisation were determined and information on infection control was inquired. Where tests were positive, a control swab was taken; if this confirmed a positive result, decolonisation was offered. A molecular biological examination of the MRSA samples was performed. The occupational MRSA exposure and risk factors were compared with the situation for personnel in inpatient geriatric care.ResultsA total of 39 outpatient services participated in the study and 579 employees were tested. The MRSA prevalence was 1.2% in all and 1.7% in nursing staff. Most of the employees that tested positive had close or known contact with MRSA patients. Health personnel frequently reported personal protective measures and their application. Compared with inpatient care staff, outpatient staff were older and had worked in their profession for a longer time.ConclusionThis study marks the first time that data has been made available on the occupational MRSA risk of outpatient care personnel in Hamburg. The MRSA prevalence is low and provides a good basis for describing the MRSA risk of occupational exposure by health personnel in outpatient care.

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Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

et al. 2018

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“…120 Lack of an infection-control management plan and increased risk in smaller homecare agencies was noted. 121 emotional and social needs (six studies)…”

Section: Treatment-related (Five Studies)mentioning

confidence: 99%

Homecare user needs from the perspective of the patient and carers: a review

Keeling¹

2014

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There is a global shift towards a blending of care delivery within formal and informal environments in direct response to economic and demographic pressures. Homecare is at the hub of this activity, enabling people to age in place and keeping families intact. However, our understanding of patient and carer needs is fragmented; understandably so, given the complexity of these needs. This descriptive review offers a content analysis of papers focused on patients' and carers' needs and homecare published between January 2010 and October 2013. It is evident that homecare is an intensely researched area, yet it is disjointed. Emerging research emphasizes the need to take a holistic approach. Firstly, incorporating emotional psychosocial and cultural elements will help to draw together our current understanding within a more cohesive framework. Secondly, tensions that hinder communication and collaboration between stakeholders must be resolved. Thirdly, information and communications technology is rapidly becoming synonymous with homecare, and offers solutions for facilitating care delivery, collaboration, and training of future professionals. The rate of international activity promises much for future research collaborations to compare, contrast, and identify best practices for the future of homecare as we endeavor to meet the ever-increasing pressures on health and social care systems.

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Strukturparameter und pflegerische Ergebnisqualität in der ambulanten Pflege

et al. 2018

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The present representative study provides structure data on nursing personnel, funding, size, regional differences, and training needs of ambulant home-care services in Germany that could be used as a baseline for further investigations. No statistically significant association could be found between structure and outcome quality parameters. There is a need for further training of nursing personnel on the subjects of medication, pain and cognitive impairment.

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Infektionshygiene in der ambulanten Pflege - Eine Untersuchung zur Strukturqualität

Cited by 3 publications

References 0 publications

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

Homecare user needs from the perspective of the patient and carers: a review

Strukturparameter und pflegerische Ergebnisqualität in der ambulanten Pflege

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