Factors associated with core competencies of infection prevention and control practitioners in 511 hospitals: a large cross-sectional survey in Guizhou, south-west China

IF 3.1 3区医学 Q1 INFECTIOUS DISEASES Journal of Hospital Infection Pub Date : 2025-06-01 Epub Date: 2025-02-15 DOI:10.1016/j.jhin.2025.02.004

Y. Yao , Z. Zha , B. Huang , Z. Jing , L. Wang , Q. Wu , Y. Zhang , Q. Zhao , F. Lu , Q. Zhang , M. He , X. Xu

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Abstract

Objective

To examine the determinants that influence the level of core competencies of infection prevention and control practitioners (IPCPs) in different hospitals in Guizhou Province, south-west China.

Methods

This study conducted a cross-sectional survey of IPCPs from April to June 2022, using a competency self-assessment scale for IPCPs that encompassed four core dimensions, 11 sub-dimensions and 47 measurement items.

Results

The mean ± standard deviation (SD) self-assessed competency score of 1083 IPCPs from 511 hospitals was 4.891 ± 1.204. Among the four core dimensions, the lowest mean ± SD self-assessed score was for professional development ability at 4.494 ± 1.291, and among the 11 sub-dimensions, the lowest score was for comprehensive knowledge at 3.748 ± 1.578. The core competencies of different hospitals showed that traditional Chinese medicine hospitals had the highest score (5.306 ± 1.071). Linear regression analysis showed that the independent factors influencing self-assessed competency were age [B=0.487, 95% confidence interval (CI) 0.189–0.785], years of practical experience of infection prevention and control (IPC) (B=0.216, 95% CI 0.050–0.382), professional title (B=-0.395, 95% CI -0.693 to -0.097), monthly income (B=-0.296, 95% CI -0.484 to -0.107), experience in front-line epidemic response (B=0.236, 95% CI 0.098–0.382), proficiency in office software applications (B=-0.747, 95% CI -0.898 to -0.596), and cultural atmosphere of hospital IPC (B=-0.406, 95% CI -0.799 to -0.013).

Conclusions

The core competencies of IPCPs in China require enhancement. Differences in the core competencies of IPCPs in different hospitals were identified, providing substantial evidence for further development of competency-based training programmes.

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贵州省511家医院感染防控从业人员核心能力影响因素：一项大型横断面调查

目的：本研究旨在探讨贵州省不同医院ipcp核心竞争力水平的影响因素。方法：采用包含4个核心维度、11个子维度、47个测量条目的ipcp能力自评量表，于2022年4 - 6月对ipcp进行横断面调查。结果：511家医院1083名ipcp自评能力分为4.891±1.204分。四个核心维度中，专业发展能力自评得分最低，为4.494±1.291分；11个子维度中，综合知识自评得分最低，为3.748±1.578分。不同医院的核心竞争力得分最高的是中医院（5.306±1.071）。线性回归分析表明,独立的自我评估能力影响因素是年龄(B = 0.487, 95%置信区间ci: 0.189 - -0.785),年的IPC实践经验(B = 0.216, 95%置信区间ci: 0.050 - -0.382),职称(B = -0.395, 95% ci: -0.693—0.097),月收入(B = -0.296, 95% ci: -0.484—0.107),前线疫情应对经验(B = 0.236, 95%置信区间ci: 0.098 - -0.382),精通办公软件应用(B = -0.747, 95% ci: -0.898—0.596)和医院的文化氛围IPC (B = -0.406,95%置信区间:-0.799—0.013)。结论：中国ipcp的核心竞争力有待提高。确定了不同医院ipcp核心能力的差异，为进一步制定基于能力的培训方案提供了实质性证据。

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来源期刊

Journal of Hospital Infection 医学-传染病学

CiteScore

12.70

自引率

5.80%

发文量

271

审稿时长

19 days

期刊介绍： The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.