BACKGROUND Despite impressive reductions in infectious disease burden within Sub-Saharan Africa (SSA), half of the top ten causes of poor health or death in SSA are communicable illnesses. With emerging and re-emerging infections affecting the region, the possibility of healthcare-acquired infections (HAIs) being transmitted to patients and healthcare workers, especially nurses, is a critical concern. Despite infection prevention and control (IPC) evidence-based practices (EBP) to minimize the transmission of HAIs, many healthcare systems in SSA are challenged to implement them. The purpose of this review is to synthesize and critique what is known about implementation strategies to promote IPC for nurses in SSA. METHODS The databases, PubMed, Ovid/Medline, Embase, Cochrane, and CINHAL, were searched for articles with the following criteria: English language, peer-reviewed, published between 1998 and 2018, implemented in SSA, targeted nurses, and promoted IPC EBPs. Further, 6241 search results were produced and screened for eligibility to identify implementation strategies used to promote IPC for nurses in SSA. A total of 61 articles met the inclusion criteria for the final review. The articles were evaluated using the Joanna Briggs Institute's (JBI) quality appraisal tools. Results were reported using PRISMA guidelines. RESULTS Most studies were conducted in South Africa (n = 18, 30%), within the last 18 years (n = 41, 67%), and utilized a quasi-experimental design (n = 22, 36%). Few studies (n = 14, 23%) had sample populations comprising nurses only. The majority of studies focused on administrative precautions (n = 36, 59%). The most frequent implementation strategies reported were education (n = 59, 97%), quality management (n = 39, 64%), planning (n = 33, 54%), and restructure (n = 32, 53%). Penetration and feasibility were the most common outcomes measured for both EBPs and implementation strategies used to implement the EBPs. The most common MAStARI and MMAT scores were 5 (n = 19, 31%) and 50% (n = 3, 4.9%) respectively. CONCLUSIONS As infectious diseases, especially emerging and re-emerging infectious diseases, continue to challenge healthcare systems in SSA, nurses, the keystones to IPC practice, need to have a better understanding of which, in what combination, and in what context implementation strategies should be best utilized to ensure their safety and that of their patients. Based on the results of this review, it is clear that implementation of IPC EBPs in SSA requires additional research from an implementation science-specific perspective to promote IPC protocols for nurses in SSA.

中文翻译：

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撒哈拉以南非洲地区护士感染预防和控制推广的实施策略：系统评价。

背景 尽管撒哈拉以南非洲 (SSA) 的传染病负担显着降低，但 SSA 中健康状况不佳或死亡的十大原因中有一半是传染病。随着影响该地区的新出现和再次出现的感染，医疗获得性感染 (HAI) 传播给患者和医护人员，尤其是护士的可能性是一个关键问题。尽管感染预防和控制 (IPC) 循证实践 (EBP) 可以最大限度地减少 HAI 的传播，但 SSA 的许多医疗保健系统仍面临实施这些措施的挑战。本次审查的目的是综合和批评关于在 SSA 中促进 IPC 护士的实施策略的已知信息。方法 在 PubMed、Ovid/Medline、Embase、Cochrane 和 CINHAL 数据库中搜索具有以下标准的文章：英语语言，经同行评审，于 1998 年至 2018 年间出版，在 SSA 中实施，针对护士，并推广 IPC EBP。此外，还生成了 6241 个搜索结果并筛选了资格，以确定用于促进 SSA 护士 IPC 的实施策略。共有61篇文章符合最终审查的纳入标准。这些文章使用乔安娜布里格斯研究所 (JBI) 的质量评估工具进行评估。使用 PRISMA 指南报告结果。结果 大多数研究在过去 18 年内（n = 41, 67%）在南非（n = 18, 30%）进行，并采用准实验设计（n = 22, 36%）。很少有研究 (n = 14, 23%) 的样本人群仅包括护士。大多数研究侧重于行政预防措施（n = 36, 59%）。报告的最常见的实施策略是教育（n = 59, 97%）、质量管理（n = 39, 64%）、规划（n = 33, 54%）和重组（n = 32, 53%）。渗透率和可行性是衡量 EBP 和用于实施 EBP 的实施策略的最常见结果。最常见的 MAStARI 和 MMAT 分数分别为 5 (n = 19, 31%) 和 50% (n = 3, 4.9%)。结最好地利用以确保他们和患者的安全。根据本次审查的结果，