感染预防与控制护士(IPCN)对手术部位感染(SSI)进行出院后监测(PDS)的经验:定性研究。

IF 2.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Infection Disease & Health Pub Date : 2024-06-03 DOI:10.1016/j.idh.2024.05.001
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引用次数: 0

摘要

背景:手术部位感染(SSI)是由外科手术引起的医疗相关感染(HAI),可增加发病率、死亡率和经济负担。SSI 监测有助于发现 SSI 病例的规模并评估 SSI 预防措施的实施效果。出院后 SSI 监测(PDS)可发现更多重要病例。据我们所知,目前还没有研究探讨感染预防与控制护士(IPCN)在开展 SSI 的 PDS 方面的经验:方法:探讨感染预防和控制护士在对 SSI 进行 PDS 时的经验。采用目的性抽样技术,对印度尼西亚 9 家医院的 15 名信息提供者进行超越现象学(描述性)定性研究。通过深入的直接和半结构化访谈收集数据,并通过 Nvivo 12 plus 软件进行主题分析:产生了五个主题,包括 SSI 的 PDS 阶段、SSI 的 PDS 官员的协作作用、SSI 的 PDS 的抑制因素、SSI 的 PDS 的支持因素和 SSI 的 PDS 的优化:本研究通过对综合医院网络经验的探索,深入了解了社会安全倡议公共卫生服务系统的实施情况,为医院开展社会安全倡议公共卫生服务系统的执行工作和面临的各种挑战提供了启示。
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The experience of infection prevention and control nurse (IPCN) in conducting post-discharge surveillance (PDS) of surgical site infections (SSI): A qualitative study

Background

Surgical Site infections (SSI) are healthcare-associated infections (HAI) resulting from surgical procedures, which can increase morbidity, mortality, and economic burden. SSI surveillance is useful for detecting the magnitude of SSI cases and evaluating the impact of SSI prevention implementation. Post-discharge surveillance (PDS) of SSIs may identify more significant cases. To the best of our knowledge, there is no research exploring the experiences of Infection Prevention and Control Nurse (IPCN) in conducting PDS of SSI.

Methods

To explore the experience of IPCN in conducting PDS of SSI. A qualitative transcendent phenomenological (descriptive) research, using a purposive sampling technique with 15 informants from 9 hospitals in Indonesia. Data were collected through in-depth direct and semi-structured interviews and analyzed using thematic analysis through Nvivo 12 plus software.

Results

Five themes were generated, including the stages of PDS of SSI, the collaborative role of PDS of SSI officers, inhibiting factors of PDS of SSI, supporting factors of PDS of SSI, and optimization of PDS of SSI.

Conclusion

This study provides a deep understanding of the implementation PDS of SSI through an exploration of IPCN experiences, offering insights into the execution and various challenges faced by hospitals in conducting PDS of SSI.

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来源期刊
Infection Disease & Health
Infection Disease & Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.70
自引率
5.70%
发文量
40
审稿时长
20 days
期刊介绍: The journal aims to be a platform for the publication and dissemination of knowledge in the area of infection and disease causing infection in humans. The journal is quarterly and publishes research, reviews, concise communications, commentary and other articles concerned with infection and disease affecting the health of an individual, organisation or population. The original and important articles in the journal investigate, report or discuss infection prevention and control; clinical, social, epidemiological or public health aspects of infectious disease; policy and planning for the control of infections; zoonoses; and vaccination related to disease in human health. Infection, Disease & Health provides a platform for the publication and dissemination of original knowledge at the nexus of the areas infection, Disease and health in a One Health context. One Health recognizes that the health of people is connected to the health of animals and the environment. One Health encourages and advances the collaborative efforts of multiple disciplines-working locally, nationally, and globally-to achieve the best health for people, animals, and our environment. This approach is fundamental because 6 out of every 10 infectious diseases in humans are zoonotic, or spread from animals. We would be expected to report or discuss infection prevention and control; clinical, social, epidemiological or public health aspects of infectious disease; policy and planning for the control of infections; zoonosis; and vaccination related to disease in human health. The Journal seeks to bring together knowledge from all specialties involved in infection research and clinical practice, and present the best work in this ever-changing field. The audience of the journal includes researchers, clinicians, health workers and public policy professionals concerned with infection, disease and health.
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