Background

: Barriers to implementing infection prevention and control (IP&C) practices may be experienced by healthcare workers (HCWs) caring for people with CF (PwCF), PwCF, and their families. We hypothesized that these stakeholders from CF centers with early adoption of the updated 2013 IP&C guideline would experience fewer barriers implementing selected recommendations compared to stakeholders from CF centers with delayed adoption.

Methods

: In 2018-2019 we surveyed HCWs and PwCF/parents from 25 CF centers to identify knowledge, attitude, and practice barriers. Each center recruited five HCWs with different occupations. Pediatric centers recruited five parents of children <18 years old and five young adults 18-21 years old. Adult centers recruited 10 adults ≥18 years old. We determined respondents’ knowledge scores, the proportion who agreed with or perceived health benefits from recommendations, and reported adherence to recommendations.

Results

: Knowledge scores, perception of health benefits, and adherence to selected practices were similar among participants from centers with early vs. delayed adoption, yet generally lower for inpatient nurses. IP&C practitioners were less likely to perceive health benefits from PwCF wearing masks and HCWs wearing gowns and gloves. Among HCWs, 57% educated >75% of PwCF/parents about IP&C and 43% advised >75% of PwCF/parents to avoid socializing with other PwCF. Among PwCF/parents, 69%, 53%, and 56% reported discussions with their care teams about performing hand hygiene, avoiding socialization, or the 2013 IP&C guideline, respectively.

Conclusions

: Our findings suggest opportunities for targeted education for specific HCW occupations and for PwCF and their families.

中文翻译：

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医护人员、CF 患者和父母实施感染预防和控制的障碍

背景

：护理 CF 患者 (PwCF)、PwCF 及其家人的医护人员 (HCW) 可能会遇到实施感染预防和控制 (IP&C) 实践的障碍。我们假设，与来自延迟采用的 CF 中心的利益相关者相比，这些早期采用更新的 2013 年 IP&C 指南的 CF 中心的利益相关者在实施选定建议时遇到的障碍更少。

方法

：在 2018-2019 年，我们对来自 25 个 CF 中心的 HCW 和 PwCF/父母进行了调查，以确定知识、态度和实践障碍。每个中心招募了五名不同职业的医护人员。儿科中心招募了 5 名 18 岁以下儿童的父母和 5 名 18-21 岁的年轻人。成人中心招募了 10 名≥18 岁的成人。我们确定了受访者的知识分数、同意或认为建议对健康有益的比例，并报告了对建议的遵守情况。

结果

：知识分数、对健康益处的看法和对所选实践的依从性在早期采用与延迟采用中心的参与者中相似，但住院护士通常较低。IP&C 从业者不太可能从 PwCF 戴口罩和 HCW 戴防护服和手套中感受到健康益处。在 HCW 中，57% 的 PwCF/父母对 IP&C 进行了超过 75% 的教育，43% 建议超过 75% 的 PwCF/父母避免与其他 PwCF 交往。在普华永道/父母中，分别有 69%、53% 和 56% 的人报告与他们的护理团队讨论过手部卫生、避免社交或 2013 年 IP&C 指南。

结论

：我们的研究结果表明，针对特定 HCW 职业和 PwCF 及其家人进行有针对性的教育的机会。