确定感染预防与控制专业人员的能力提升策略:快速系统回顾和聚类分析

Nuo Chen, Shunning Li, Zhengling Kuang, Ting Gong, Weilong Zhou, Ying Wang
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引用次数: 0

摘要

许多国家在感染预防与控制(IPC)方面取得了显著进展,但在 2019 年冠状病毒病(COVID-19)大流行的背景下,出现了一些差距。在大流行期间,标准临床预防措施和追踪感染源等核心能力是医疗机构 IPC 的重点。因此,应研究大流行期间 IPC 专业人员的核心能力,以及这些能力如何有助于成功预防和控制疫情。通过系统综述和聚类分析,研究在 COVID-19 大流行期间,感染控制和预防专业人员能力方面可能需要强调的基本改进。我们在 PubMed、Embase、Cochrane Library、Web of Science、CNKI、万方数据和 CBM 数据库中检索了探讨 COVID-19 大流行期间(2020 年 1 月 1 日至 2023 年 2 月 7 日)感染控制和预防专业人员核心能力的原创文章。使用织云软件进行数据提取,并采用多诺霍公式区分高频专业术语。采用组内关联法进行聚类分析,并以欧氏距离平方为指标来确定优先发展的能力。我们发现 46 项研究中有 29 个高频专业术语。最常见的术语是 "感染预防与控制培训"(184 次,17.3%),其次是 "手卫生"(172 次,16.2%)。"临床实践中的感染预防和控制 "是报告最多的核心能力(367 次,34.5%),其次是 "微生物学和监测"(292 次,27.5%)。聚类分析显示了两个关键的能力领域:第 1 类(项目管理和领导、患者安全和职业健康、教育以及微生物学和监测)和第 2 类(临床实践中的 IPC)。在 COVID-19 大流行期间,IPC 项目管理和领导、微生物学和监测、教育、患者安全和职业健康是最重要的发展重点,IPC 专业人员应予以充分考虑。
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Identifying a competency improvement strategy for infection prevention and control professionals: A rapid systematic review and cluster analysis
Remarkable progress has been made in infection prevention and control (IPC) in many countries, but some gaps emerged in the context of the coronavirus disease 2019 (COVID‐19) pandemic. Core capabilities such as standard clinical precautions and tracing the source of infection were the focus of IPC in medical institutions during the pandemic. Therefore, the core competences of IPC professionals during the pandemic, and how these contributed to successful prevention and control of the epidemic, should be studied. To investigate, using a systematic review and cluster analysis, fundamental improvements in the competences of infection control and prevention professionals that may be emphasized in light of the COVID‐19 pandemic. We searched the PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang Data, and CBM databases for original articles exploring core competencies of IPC professionals during the COVID‐19 pandemic (from January 1, 2020 to February 7, 2023). Weiciyun software was used for data extraction and the Donohue formula was followed to distinguish high‐frequency technical terms. Cluster analysis was performed using the within‐group linkage method and squared Euclidean distance as the metric to determine the priority competencies for development. We identified 46 studies with 29 high‐frequency technical terms. The most common term was “infection prevention and control training” (184 times, 17.3%), followed by “hand hygiene” (172 times, 16.2%). “Infection prevention and control in clinical practice” was the most‐reported core competency (367 times, 34.5%), followed by “microbiology and surveillance” (292 times, 27.5%). Cluster analysis showed two key areas of competence: Category 1 (program management and leadership, patient safety and occupational health, education and microbiology and surveillance) and Category 2 (IPC in clinical practice). During the COVID‐19 pandemic, IPC program management and leadership, microbiology and surveillance, education, patient safety, and occupational health were the most important focus of development and should be given due consideration by IPC professionals.
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