Psychological characteristics are associated with healthcare worker adherence to infection control practices

Assis, Gracilene R.; Benuti, Glaucia G.; Moretto, Maria Lívia Tourinho; Vidigal, Cláudia G.; Santos, Robert Plant dos; Lobo, R.; Padoveze, Maria Clara; Lima, Antônio Carlos Pedroso de; Singer, Júlio M.; Levin, Anna Sara Shafferman

doi:10.1016/j.ajic.2021.01.008

Cited by 3 publications

(3 citation statements)

References 20 publications

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Section: Discussionmentioning

confidence: 99%

“…In addition, strict asepsis should be implemented during dressing changes and maintenance. Numerous studies have shown that the use of chlorhexidine gluconate with alcohol disinfection is effective in reducing the rate of catheter microbial colonization [ 25 ]. In addition, the skin around the TIVAP should be carefully assessed daily for signs of infection, such as pressure pain and swelling.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors of Catheter-Related Infection in Unplanned Extubation of Totally Implantable Venous-Accessportsin Tumor Patients

Dai

Zhu

et al. 2022

Emergency Medicine International

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Background. Totally implantable intravenous ports (TIVAPs) are mostly used for long-term intravenous infusion therapy in cancer patients and can be left in the body for long periods of time for easy management, making them a simple and safe infusion device. Although the risks associated with long-term retention of fully implantable IV ports are less than those associated with other intravenous catheters, various complications may still occur at the time of implantation or during long-term use. Purpose. To provide a scientific basis for clinical reduction of implantable intravenous port-associated infection complications by studying the risk factors for catheter-associated infection complications in patients applying implantable intravenous ports. Methods. A retrospective study was conducted on oncology patients treated with TIVAP at our hospital between January 2017 and November 2021, with a review of patients who were unplanned for extubation. Their demographic data, underlying disease status, and surgery-related data were counted to summarize and analyze the complications and related influencing factors of implantation and postimplantation. Results. A total of 70 individuals with a mean age of 56.49 ± 12.19 years were included in the study. Among them, 39 were male and 64 had the highest percentage of epithelial tumors, followed by tumors of the lymphopoiesis system and mesenchymal tumors with 4 and 2 cases, respectively. Forty-eight of these patients did not have their ports removed as planned due to the occurrence of catheter-related hematogenous infections. In univariate analysis, BMI and neutropenia were risk factors for catheter-associated infections. In the multivariate analysis, BMI (OR = 1.38, 95% CI: 1.07–1.78, p = 0.013 ) was an independent risk factor for catheter-associated infections. Conclusions. The overall complication rate of fully implanted intravenous ports was high, but most complications improved with symptomatic management, and no deaths due to port complications were identified. Infection was the most common complication, with catheter-associated bloodstream infection being the most common cause of unplanned port extraction. Patients with a higher BMI were at high risk of developing implantable IV port-associated infections, which may be an independent risk factor for implantable IV port-associated infections.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk Factors of Catheter-Related Infection in Unplanned Extubation of Totally Implantable Venous-Accessportsin Tumor Patients

Dai

Zhu

et al. 2022

Emergency Medicine International

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“…Despite being identi ed in relation to individual in uence on implementation, there was a failure in the engagement of stakeholders for a new way of thinking about education for TBP, carried out with the aim of engaging patients in their own care 23 . Research has shown that HAI prevention behavior can be affected by the psychological status of individuals 24 . Therefore, assessing and identifying the main stakeholders on an individual basis can be the key to raising awareness needed to change attitudes and behaviors.…”

Section: Discussionmentioning

confidence: 99%

Lessons learned from a failed implementation: Effective communication with patients in transmission-based precautions

Juskevicius

Luz

Felix

et al. 2023

American Journal of Infection Control

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Lessons Learned From a Failed Implementation: Effective Communication with Patients in Transmission-Based Precautions

Juskevicius

Luz

Felix

et al. 2022

Preprint

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Background Patient education and engagement about standard and transmission-based precautions can be one important strategy to prevent adverse events related to isolation. However, most patient education is still highly prescriptive, and is thus unlikely to help patients to engage in their own care. Implementing effective communication between health workers and patients requires behavior change, leading to a meaningful dialogue between the parties involved in the education process. Objective this study aimed to evaluate the process of implementation of a protocol for effective communication with patients in transmission-based precautions (Com-Efe). Methods This is implementation researchusing qualitative methods, carried out in four sequential phases: 1) non-participant observation in inpatient wards, with the objective of assessing the context; 2) designing the intervention for the implementation of the protocol Com-Efe, based on the results obtained in the previous phase; 3) preliminary assessment and adaptation of the Com-Efe protocol, through workshops with nurses; 4) final assessment of the implementation results, through semi-structured interviews with nurses. The study was performed in a public, secondary level, teaching hospital. The Consolidated Framework for Implementation Research (CFIR) was used as the reference for both interview design and data analysis, aiming to identify barriers and enablers of the implementation process. Results The main factors that could have facilitated adherence were beliefs and perceived advantages in using the Com-Efe. The main barriers which may have contributed to the failure of implementation were the unfavorable climate for implementation, insufficient individual and leadership commitment, and lack of understanding of the concepts underpinning effective communication. The participants recognized they had low adherence to the Com-Efe protocol. Conclusions Despite using a systematic approach, the Com-Efe protocol was not fully implemented. The lessons learned in this study allowed us to propose suggestions for future implementations in similar contexts. Among these suggestions are to develop strategies to generate awareness of patient-centered care, maintaining patient autonomy, and seeking dialog for patient engagement.

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Psychological characteristics are associated with healthcare worker adherence to infection control practices

Cited by 3 publications

References 20 publications

Risk Factors of Catheter-Related Infection in Unplanned Extubation of Totally Implantable Venous-Accessportsin Tumor Patients

Risk Factors of Catheter-Related Infection in Unplanned Extubation of Totally Implantable Venous-Accessportsin Tumor Patients

Lessons learned from a failed implementation: Effective communication with patients in transmission-based precautions

Lessons Learned From a Failed Implementation: Effective Communication with Patients in Transmission-Based Precautions

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