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首页> 美国卫生研究院文献>BMC Health Services Research >The politics and ethics of hospital infection prevention and control: a qualitative case study of senior clinicians’ perceptions of professional and cultural factors that influence doctors’ attitudes and practices in a large Australian hospital
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The politics and ethics of hospital infection prevention and control: a qualitative case study of senior clinicians’ perceptions of professional and cultural factors that influence doctors’ attitudes and practices in a large Australian hospital

机译：医院感染预防和控制的政治和道德规范：对高级临床医生对影响澳大利亚一家大型医院医生的态度和做法的专业和文化因素的看法的定性案例研究

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BackgroundHospital infection prevention and control (IPC) programs are designed to minimise rates of preventable healthcare-associated infection (HAI) and acquisition of multidrug resistant organisms, which are among the commonest adverse effects of hospitalisation. Failures of hospital IPC in recent years have led to nosocomial and community outbreaks of emerging infections, causing preventable deaths and social disruption. Therefore, effective IPC programs are essential, but can be difficult to sustain in busy clinical environments. Healthcare workers’ adherence to routine IPC practices is often suboptimal, but there is evidence that doctors, as a group, are consistently less compliant than nurses. This is significant because doctors’ behaviours disproportionately influence those of other staff and their peripatetic practice provides more opportunities for pathogen transmission. A better understanding of what drives doctors’ IPC practices will contribute to development of new strategies to improve IPC, overall.
机译：背景医院感染预防和控制（IPC）程序旨在将可预防的医疗保健相关感染（HAI）和多药耐药生物的获取率降至最低，这是住院期间最常见的不良反应。近年来，医院IPC的失败导致医院和社区爆发新发感染，导致可预防的死亡和社会破坏。因此，有效的IPC程序是必不可少的，但是在繁忙的临床环境中可能难以维持。医护人员对常规IPC做法的依从性通常不理想，但是有证据表明，作为一个整体，医生的依从性一直不如护士。这很重要，因为医生的行为会对其他员工的行为产生不成比例的影响，而且他们的围术期实践为病原体传播提供了更多机会。更好地了解驱动IPC实践的因素，将有助于总体上改善IPC的新策略的开发。

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