Patient involvement in the implementation of infection prevention and control guidelines and associated interventions: a scoping review

Abstract

ObjectiveTo explore patient involvement in the implementation of infection prevention and control (IPC) guidelines and associated interventions.DesignScoping review.MethodsA methodological framework was followed to identify recent publications on patient involvement in the implementation of IPC guidelines and interventions. Initially, relevant databases were searched to identify pertinent publications (published 2013–2018). Reflecting the scarcity of included studies from these databases, a bidirectional citation chasing approach was used as a second search step. The reference list and citations of all identified papers from databases were searched to generate a full list of relevant references. A grey literature search of Google Scholar was also conducted.ResultsFrom an identified 2078 papers, 14 papers were included in this review. Our findings provide insights into the need for a fundamental change to IPC, from being solely the healthcare professionals (HCPs) responsibility to one that involves a collaborative relationship between HCPs and patients. This change should be underpinned by a clear understanding of patient roles, potential levels of patient involvement in IPC and strategies to overcome barriers to patient involvement focusing ontheprofessional–patient relationship (eg, patient encouragement through multimodal educational strategies and efforts to disperse professional’s power).ConclusionsThere is limited evidence regarding the best strategies to promote patient involvement in the implementation of IPC interventions and guidelines. The findings of this review endorse the need for targeted strategies to overcome the lack of role clarity of patients in IPC and the power imbalances between patients and HCPs.

Infection prevention and control situation in public hospitals of Islamabad

“…A variety of factors including lack of IPC policies, guidelines, resources, lack of education and training as well as overcrowding and understaffing in healthcare facilities contribute to inadequate infection prevention and control practices. Evidence alludes that 30%-70% of all HCAIs are preventable [9] and IPC is a cost-effective strategy to reduce the incidence of HCAIs [10][11][12]. The objective of our study was to illustrate the current state of application of key IPC aspects using the Infection Prevention and Control Assessment Framework (IPCAF) as delineated by the WHO core components in public hospitals across Islamabad.…”

Association between Hospital Nurses’ Perception of Patient Safety Management and Standard Precaution Adherence: A Cross-Sectional Study

“…Patient safety management includes health care-associated infection prevention [2]. Globally, government engagement, and intervention in patient safety management in the health care environment is increasing [9]. In the United States, the Centre for Disease Control and Prevention and the Hospital Infection Control Practices Advisory Committee have recognized the negative impact of health care-associated infection on patients’ prognosis and the increased social costs due to increasing hospital infections.…”

Hospital Epidemiology and Infection Control in the Transplant Center

“…Recently, the need for patient engagement in HAI prevention has been highlighted [61]. The role of the patient and caregiver may be paramount in SSI prevention [62].…”