背景:实施无水护理,包括从病人护理区移除水槽,是减少重症监护病房(ICU)等高风险地区水传播感染的新兴方法。这种方法,然而,需要从传统的感染控制实践中进行重大改变,并被医护人员(HCWs)接受以成功过渡。
目的:探索知识,态度,实践(KAP),以及从在具有标准感染控制实践的单位工作到具有无水ICU护理实践的单位工作的HCWs的感知挑战。
方法:这项研究是使用定制的30项自我报告调查工具进行的,该工具适用于在一家医院的三级新生儿病房工作的医护人员。
结果:参与率为88.6%(101/114),由66.3%(67/101)的护士组成,31.0%(31/101)医生,和3.0%(3/101)的专职医疗人员;90.1%(91/101)的态度积极,53.5%(54/101)的人对无水ICU护理具有良好的知识;当他们的手明显弄脏时,83.1%(84/101)遵循了适当的手卫生做法。ICU无水护理的主要挑战是个人(46.5%(47/101))和患者(22.8%(23/101))卫生的妥协。总共有43.6%(44/101)报告皮肤相关状况增加:10.9%(11/101)因此不得不去看医生,其中64.0%(7/11)有预先存在的皮肤状况。
结论:尽管对无水ICU护理的总体态度和做法良好,HCWs可能有与需要解决的卫生和皮肤状况有关的特定问题。对于过渡到无水ICU护理的单位,类似的调查可以通过确定KAP中的差距来提高合规性,从而提供有价值的信息。
BACKGROUND: Implementation of waterless care, including removal of sinks from patient care areas, is an emerging approach to reduce waterborne infections in high-risk areas such as intensive care units (ICUs). This approach, however, requires significant changes from traditional infection control practices and acceptance by healthcare workers (HCWs) for successful transition.
OBJECTIVE: To explore the knowledge, attitudes, practices (KAPs), and perceived challenges of HCWs who transitioned from working in a unit with standard infection control practices to one with waterless ICU care practices.
METHODS: The study was conducted using a customized 30-item self-reported survey instrument administered to HCWs working in tertiary neonatal units at a single hospital.
RESULTS: Participation rate was 88.6% (101/114), comprising 66.3% (67/101) nurses, 31.0% (31/101) doctors, and 3.0% (3/101) allied health professionals; 90.1% (91/101) had positive attitudes and 53.5% (54/101) had good knowledge regarding waterless ICU care; 83.1% (84/101) followed the appropriate practice of hand hygiene when their hands were visibly soiled. Main challenges with waterless ICU care were perceived compromise of personal (46.5% (47/101)) and patient (22.8% (23/101)) hygiene. A total of 43.6% (44/101) reported an increase in skin-related conditions: 10.9% (11/101) had to visit a doctor for this reason, of whom 64.0% (7/11) had pre-existing skin conditions.
CONCLUSIONS: Despite overall good attitudes and practices toward waterless ICU care, HCWs may have specific concerns related to hygiene and skin conditions which need to be addressed. For units transiting to waterless ICU care, similar surveys may provide valuable information by identifying gaps in KAP to improve compliance.