Pub Date : 2007-11-01DOI: 10.1177/1469044607093599
M. Olley
This article will focus upon a change management project designed to optimise and advance service delivery within an infection prevention and control service. The development and implementation of a continuing education strategy was designed to enable healthcare professionals to develop an educational forum, in which professional development and peer support was the main aim. Working within an action-learning framework, infection control practitioners were encouraged to develop their knowledge and skills in infection control practice, whilst encouraging collaborative working to challenge organisational issues. This included the extension of the current clinical service to meet the service needs of an intermediate care facility.
{"title":"Implementing a continuing education strategy to advance practice and practitioner development within an infection control service","authors":"M. Olley","doi":"10.1177/1469044607093599","DOIUrl":"https://doi.org/10.1177/1469044607093599","url":null,"abstract":"This article will focus upon a change management project designed to optimise and advance service delivery within an infection prevention and control service. The development and implementation of a continuing education strategy was designed to enable healthcare professionals to develop an educational forum, in which professional development and peer support was the main aim. Working within an action-learning framework, infection control practitioners were encouraged to develop their knowledge and skills in infection control practice, whilst encouraging collaborative working to challenge organisational issues. This included the extension of the current clinical service to meet the service needs of an intermediate care facility.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117024414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-11-01DOI: 10.1177/1469044607082729
E. Taylor
Influenza is a major cause of morbidity and mortality (DH, 2006; Watson et al 2001). In the United Kingdom (UK), the policy of encouraging influenza vaccine uptake in elderly people is a central tenet of managing winter pressures in the National Health Service (NHS) and preventing ill health among older people in the community. A project based management approach was used to evaluate the organisational practice within a single-handed general practitioner (GP) practice during the 2005/06 Influenza Immunisation Programme. The project highlighted a number of problems such as a poorly structured programme, insufficient knowledge about the severity of influenza or the efficacy of the vaccine, and insufficient computer technology. A stepwise process and a number of evidence based interventions were implemented with the aim of increasing the uptake of influenza vaccine in the target population. The overall aim of the project was to show a measured practice increase in the number of older people, defined as 65 years and over, taking up influenza vaccine within one influenza campaign. An increase of 35.71% was achieved. The findings of this project have the potential to inform and enhance the design and implementation of the influenza programmes in other practices that are experiencing difficulties in achieving a good influenza immunisation uptake.
流感是发病和死亡的主要原因(卫生署，2006年;Watson et al . 2001)。在联合王国(UK)，鼓励老年人接种流感疫苗的政策是国家卫生服务(NHS)管理冬季压力和预防社区老年人健康不佳的核心原则。在2005/06年度流感免疫接种计划期间，采用了基于项目的管理方法来评估单手全科医生(GP)实践中的组织实践。该项目突出了一些问题，例如规划结构不良、对流感的严重程度或疫苗效力的认识不足，以及计算机技术不足。实施了一个循序渐进的过程和一些基于证据的干预措施，目的是增加目标人群对流感疫苗的吸收。该项目的总体目标是表明，在一次流感运动中，接种流感疫苗的老年人(定义为65岁及以上)的人数有所增加。增长35.71%。该项目的研究结果有可能为在实现良好的流感免疫接种方面遇到困难的其他实践中流感规划的设计和实施提供信息和加强。
{"title":"Project based approach to increasing uptake of influenza vaccine in an underachieving GP practice","authors":"E. Taylor","doi":"10.1177/1469044607082729","DOIUrl":"https://doi.org/10.1177/1469044607082729","url":null,"abstract":"Influenza is a major cause of morbidity and mortality (DH, 2006; Watson et al 2001). In the United Kingdom (UK), the policy of encouraging influenza vaccine uptake in elderly people is a central tenet of managing winter pressures in the National Health Service (NHS) and preventing ill health among older people in the community. A project based management approach was used to evaluate the organisational practice within a single-handed general practitioner (GP) practice during the 2005/06 Influenza Immunisation Programme. The project highlighted a number of problems such as a poorly structured programme, insufficient knowledge about the severity of influenza or the efficacy of the vaccine, and insufficient computer technology. A stepwise process and a number of evidence based interventions were implemented with the aim of increasing the uptake of influenza vaccine in the target population. The overall aim of the project was to show a measured practice increase in the number of older people, defined as 65 years and over, taking up influenza vaccine within one influenza campaign. An increase of 35.71% was achieved. The findings of this project have the potential to inform and enhance the design and implementation of the influenza programmes in other practices that are experiencing difficulties in achieving a good influenza immunisation uptake.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123194056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-09-01DOI: 10.1177/1469044607082095
J. Potter
{"title":"A new era, a new outlook — the launch of the Infection Prevention Society","authors":"J. Potter","doi":"10.1177/1469044607082095","DOIUrl":"https://doi.org/10.1177/1469044607082095","url":null,"abstract":"","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128480318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-09-01DOI: 10.1177/14690446070080040603
{"title":"More action to tackle C. difficile as MRSA numbers continue to fall","authors":"","doi":"10.1177/14690446070080040603","DOIUrl":"https://doi.org/10.1177/14690446070080040603","url":null,"abstract":"","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"362 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133904878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-09-01DOI: 10.1177/14690446070080040602
{"title":"Screening measures strengthened for new healthcare workers","authors":"","doi":"10.1177/14690446070080040602","DOIUrl":"https://doi.org/10.1177/14690446070080040602","url":null,"abstract":"","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128142945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-09-01DOI: 10.1177/1469044607082044
L. Ritchie
his paper describes a small-scale evaluation of a patient-held record for MRSA, carried out in NHS T Dumfries and Galloway. The patient-held record was developed in response to the Health Act (2006) Code of Practice requirement to ensure effective communication about infection, both with the patient and with other healthcare providers. The suitability and acceptability of the patient-held record to patients and senior healthcare professionals in primary and community care is described, along with possible benefits of implementing this model of communication. Limitations and further work are considered, including the need to perform a larger study with the patient-held record in use in order to confirm whether it does make a difference over time.
{"title":"Evaluation of a patient-held record for Meticillin Resistant Staphylococcus Aureus (MRSA)","authors":"L. Ritchie","doi":"10.1177/1469044607082044","DOIUrl":"https://doi.org/10.1177/1469044607082044","url":null,"abstract":"his paper describes a small-scale evaluation of a patient-held record for MRSA, carried out in NHS T Dumfries and Galloway. The patient-held record was developed in response to the Health Act (2006) Code of Practice requirement to ensure effective communication about infection, both with the patient and with other healthcare providers. The suitability and acceptability of the patient-held record to patients and senior healthcare professionals in primary and community care is described, along with possible benefits of implementing this model of communication. Limitations and further work are considered, including the need to perform a larger study with the patient-held record in use in order to confirm whether it does make a difference over time.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132353683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-09-01DOI: 10.1177/1469044607082078
H. Loveday, Jennie Wilson, P. Hoffman, R. Pratt
Background: There is significant public concern in England about health carers wearing uniform in public places and that contaminated uniforms may contribute to the spread of healthcare-associated infections (HCAI). Evidence of a link between contaminated uniforms and HCAI, or that wearing uniforms in public spaces may contribute to the spread of infection from the healthcare environment to the wider community, has not previously been systematically assessed. Methods: A comprehensive review was conducted that focused on patient perceptions of the significance and infection risks of uniforms and microbiological and clinical evidence of the infection risks to patients from contaminated uniforms. Results: Uniforms play an important role in the public's perception of healthcare professionals. This is constructed from social and cultural images leading patients to judge the professionalism and trustworthiness of practitioners based on the clothes they wear. The colour and design of uniforms may reinforce socially constructed concepts of cleanliness that result in unachievable expectations. Evidence directly related to the laundering of uniforms is limited. Small scale studies show that uniforms and white coats become progressively contaminated during clinical care and most microbial contamination originates from the wearer of the uniform. Although some studies theorise that uniforms may transmit HCAI, no studies demonstrated this in practice. A small number of studies evaluated the phases of the wash cycle in hospital laundries for patient linen but not uniforms. They indicate that micro-organisms are removed and killed during laundering, and dilution during washing and rinsing is important. Significant reductions in micro-organisms occur at lower temperatures more commonly used in home laundering. A small number of studies show that home laundering provides effective decontamination. We found no recent studies that accounted for advances in domestic washing machine and detergent technology or that addressed the theoretical infection risk linked with wearing uniforms in public places. Conclusion: Despite the limited amount and quality of the evidence, the general public's perception is that uniforms pose an infection risk when worn inside and outside clinical settings. This is reinforced by media comment and a lack of clear, accessible information and may have a damaging effect on the relationship between professionals and patients and the public image of healthcare workers. There is no good evidence to suggest uniforms are a significant risk, that home laundering is inferior to commercial processing of uniforms or that it presents a hazard in terms of cross-contamination of other items in the wash-load with hospital pathogens. It is essential that the evidence is considered in a balanced way and not over-emphasised in the development of uniform policy and that the general principles of infection control are stressed.
{"title":"Public perception and the social and microbiological significance of uniforms in the prevention and control of healthcare-associated infections: an evidence review","authors":"H. Loveday, Jennie Wilson, P. Hoffman, R. Pratt","doi":"10.1177/1469044607082078","DOIUrl":"https://doi.org/10.1177/1469044607082078","url":null,"abstract":"Background: There is significant public concern in England about health carers wearing uniform in public places and that contaminated uniforms may contribute to the spread of healthcare-associated infections (HCAI). Evidence of a link between contaminated uniforms and HCAI, or that wearing uniforms in public spaces may contribute to the spread of infection from the healthcare environment to the wider community, has not previously been systematically assessed. Methods: A comprehensive review was conducted that focused on patient perceptions of the significance and infection risks of uniforms and microbiological and clinical evidence of the infection risks to patients from contaminated uniforms. Results: Uniforms play an important role in the public's perception of healthcare professionals. This is constructed from social and cultural images leading patients to judge the professionalism and trustworthiness of practitioners based on the clothes they wear. The colour and design of uniforms may reinforce socially constructed concepts of cleanliness that result in unachievable expectations. Evidence directly related to the laundering of uniforms is limited. Small scale studies show that uniforms and white coats become progressively contaminated during clinical care and most microbial contamination originates from the wearer of the uniform. Although some studies theorise that uniforms may transmit HCAI, no studies demonstrated this in practice. A small number of studies evaluated the phases of the wash cycle in hospital laundries for patient linen but not uniforms. They indicate that micro-organisms are removed and killed during laundering, and dilution during washing and rinsing is important. Significant reductions in micro-organisms occur at lower temperatures more commonly used in home laundering. A small number of studies show that home laundering provides effective decontamination. We found no recent studies that accounted for advances in domestic washing machine and detergent technology or that addressed the theoretical infection risk linked with wearing uniforms in public places. Conclusion: Despite the limited amount and quality of the evidence, the general public's perception is that uniforms pose an infection risk when worn inside and outside clinical settings. This is reinforced by media comment and a lack of clear, accessible information and may have a damaging effect on the relationship between professionals and patients and the public image of healthcare workers. There is no good evidence to suggest uniforms are a significant risk, that home laundering is inferior to commercial processing of uniforms or that it presents a hazard in terms of cross-contamination of other items in the wash-load with hospital pathogens. It is essential that the evidence is considered in a balanced way and not over-emphasised in the development of uniform policy and that the general principles of infection control are stressed.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122226201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-09-01DOI: 10.1177/1469044607082077
A. Colville, P. Weaving, T. Cooper
nfection prevention and control is a fundamental part of healthcare design and needs to be consid- I ered at the earliest stage in any planning process, and certainly well before construction plans and room layouts are drawn. This is not only true for new builds, but also for any change of use, with or without physical alterations to the environment. If patients are involved either directly or indirectly there are almost certainly infection control implications.
{"title":"How infection prevention professionals can make it easier for designers and planners","authors":"A. Colville, P. Weaving, T. Cooper","doi":"10.1177/1469044607082077","DOIUrl":"https://doi.org/10.1177/1469044607082077","url":null,"abstract":"nfection prevention and control is a fundamental part of healthcare design and needs to be consid- I ered at the earliest stage in any planning process, and certainly well before construction plans and room layouts are drawn. This is not only true for new builds, but also for any change of use, with or without physical alterations to the environment. If patients are involved either directly or indirectly there are almost certainly infection control implications.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124814317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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