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Infection control link nurse programs in Dutch acute care hospitals; a mixed-methods study

机译:荷兰急性护理医院的感染控制链接护士节目;混合方法研究

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摘要

Abstract 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.
机译:抽象背景感染控制链接护士计划显示相当大的变化。我们报告荷兰语链接护士计划是如何组织的,它们的进度方式以及背景因素如何在执行这些程序时发挥作用。方法采用该混合方法研究,根据干预描述和复制(周边)清单的模板项目,将调查和半结构化访谈与感染控制从业者的采访组合。结果荷兰有74家医院; 72个不同医院的感染控制从业者参加了调查。这些感染控制从业者中的四名参加了访谈。 LINK护士计划有67%的医院;对于76%的责任,这些计划仅仅与感染预防和控制团队撒谎。大多数计划的核心组成部分(90%)是教育。在没有其他教育包括受感染预防主题的情况下,在没有这些教育或计划的情况下,纳入对执行技能教育的课程被认为更有效。面试说明了这些计划是由感染预防团队发起的,并有意与其他部门合作以改善惯例。这些程序的内容是在实施时创建的。感染控制从业者在表达计划目标和参与专家和关键利益相关者的能力中变化。结论感染控制链接护士计划在内容和建立时变化。具有明确的教育内容的计划,通过实施这些计划的感染控制从业者更成功。

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