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Infection control link nurse programs in Dutch acute care hospitals; a mixed-methods study.
Antimicrobial Resistance & Infection Control ( IF 4.8 ) Pub Date : 2020-02-27 , DOI: 10.1186/s13756-020-0704-2
Mireille Dekker 1 , Rosa van Mansfeld 1 , Christina Vandenbroucke-Grauls 1 , Martine de Bruijne 2 , Irene Jongerden 2
Affiliation  

BACKGROUND Infection control link nurse programs show considerable variation. We report how Dutch link nurse programs are organized, how they progress, and how contextual factors may play a role in the execution of these programs. METHODS This mixed-methods study combined a survey and semi-structured interviews with infection control practitioners, based on items of the Template for Intervention Description and Replication (TIDieR) checklist. RESULTS The Netherlands has 74 hospitals; 72 infection control practitioners from 72 different hospitals participated in the survey. Four of these infection control practitioners participated in interviews. A link nurse program was present in 67% of the hospitals; responsibility for 76% of these programs lied solely with the infection prevention and control team. The core component of most programs (90%) was education. Programs that included education on infection prevention topics and training in implementation skills were perceived as more effective than programs without such education or programs where education included only infection prevention topics. The interviews illustrated that these programs were initiated by the infection prevention team with the intention to collaborate with other departments to improve practice. Content for these programs was created at the time of their implementation. Infection control practitioners varied in their ability to express program goals and to engage experts and key stakeholders. CONCLUSIONS Infection control link nurse programs vary in content and in set up. Programs with a clear educational content are viewed as more successful by the infection control practitioners that implement these programs.

中文翻译:

荷兰急诊医院的感染控制环节护士计划;混合方法研究。

背景技术感染控制链接护士程序显示出很大的变化。我们报告了荷兰链接护士计划的组织方式,进展情况以及上下文因素如何在这些计划的执行中发挥作用。方法该混合方法研究基于干预描述和复制模板(TIDieR)清单的项目,结合了调查和与感染控制从业人员的半结构式访谈。结果荷兰有74家医院;来自72家不同医院的72名感染控制从业人员参加了调查。这些感染控制从业人员中有四人参加了采访。67%的医院采用了链接护士计划;这些计划中76%的责任完全由感染预防和控制团队负责。大多数计划(90%)的核心组成部分是教育。与不进行此类教育的计划或仅包含感染预防主题的计划相比,包含有关感染预防主题的教育和实施技能培训的计划被认为更有效。访谈表明,这些程序是由感染预防团队发起的,目的是与其他部门合作以改善实践。这些程序的内容是在实施时创建的。感染控制从业人员表达计划目标以及吸引专家和主要利益相关者的能力各不相同。结论感染控制链接护士程序的内容和设置各不相同。
更新日期:2020-04-22
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