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Environmental service workers as potential designers of infection control policy in long-term care settings.
Van Tiem, Jennifer M; Friberg, Julia E; Cunningham Goedken, Cassie; Pineles, Lisa; Schacht Reisinger, Heather; Morgan, Daniel J; Solimeo, Samantha L.
Afiliación
  • Van Tiem JM; Department of Veterans Affairs Health Services Research & Delivery Service (HSR&D), Center for Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA; Department of Veterans Affairs Health Services Research & Delivery Service (HSR&D), Primary Care
  • Friberg JE; Department of Veterans Affairs Health Services Research & Delivery Service (HSR&D), Center for Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA.
  • Cunningham Goedken C; Department of Veterans Affairs Health Services Research & Delivery Service (HSR&D), Center for Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA.
  • Pineles L; Department of Infection Control, Veterans Affairs Maryland Health Care System, Baltimore, MD; Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
  • Schacht Reisinger H; Department of Veterans Affairs Health Services Research & Delivery Service (HSR&D), Center for Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA; Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA; Communit
  • Morgan DJ; Department of Infection Control, Veterans Affairs Maryland Health Care System, Baltimore, MD; Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
  • Solimeo SL; Department of Veterans Affairs Health Services Research & Delivery Service (HSR&D), Center for Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA; Department of Veterans Affairs Health Services Research & Delivery Service (HSR&D), Primary Care
Am J Infect Control ; 48(4): 398-402, 2020 04.
Article en En | MEDLINE | ID: mdl-32087975
BACKGROUND: Long-term care facility residents are at higher risk of methicillin-resistant Staphylococcus aureus infection and colonization than the general population. In 2009, the Department of Veterans Affairs (VA) implemented the "methicillin-resistant S. aureus prevention initiative" in long-term care facilities (ie, Community Living Centers or "CLCs"). METHODS: Over 4 months, 40 semistructured interviews were conducted with staff in medicine, nursing, and environmental services at 5 geographically dispersed CLCs. Interviews addressed knowledge, attitudes, and beliefs concerning infection prevention and resident-centered care. A modified constant comparative approach was used for data analysis. RESULTS: In CLCs, staff work to prevent and control infections in spaces where residents live. Nurses and Environmental Service Workers daily balance infection prevention conventions with the CLC setting. Infection control team members, who are accustomed to working in acute care settings, struggle to reconcile the CLC context with infection prevention. DISCUSSION: The focus on the resident's room as the locus of care, and thus the main target of infection control, misses opportunities for addressing infection prevention in the spaces beyond the residents' rooms. CONCLUSIONS: Environmental Service Workers' daily work inside the rooms and within the wider facility produces a unique perspective that might help in the design of workable infection control policies in CLCs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal de Hospital / Instituciones Residenciales / Control de Infecciones / Servicio de Limpieza en Hospital Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Am J Infect Control Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal de Hospital / Instituciones Residenciales / Control de Infecciones / Servicio de Limpieza en Hospital Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Am J Infect Control Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos