{"title":"探讨卢旺达医院医护人员使用临床指南预防手术部位感染的促进因素和障碍","authors":"Aloys Niyomugabo , Madeleine Mukeshimana , Anita Collins , Geldine Chironda","doi":"10.1016/j.ijans.2024.100792","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Surgical site infection (SSI) is a significant clinical problem with detrimental effects on the quality of life coupled with prolonged hospital stays, additional costs for patients. There are clinical guidelines for prevention of surgical site infections. However, little is known about the facilitators; and barriers against healthcare professionals’ use of clinical guidelines in the prevention of SSI in Rwandan hospitals.</div></div><div><h3>Aim</h3><div>This study aims to explore facilitators and barriers to healthcare professionals’ use of clinical guidelines for Surgical Site Infection Prevention in Rwanda.</div></div><div><h3>Methods</h3><div>A qualitative, exploratory and descriptive study that involved 28 health professionals was carried out. Participants were selected using purpose sampling approach. The data collection process involved the use of a focused group discussion using interview guide to gather relevant information. Subsequently, the collected data was analyzed using the software Atlas TI, along with content analysis techniques to derive meaningful insights from the data.</div></div><div><h3>Results</h3><div>The barriers faced by health care professionals included a lack of official guidelines for the prevention of SSIs, shortage of health care professionals, an inappropriate monitoring system due to work overload, limited knowledge on the subject among them, limited resources in terms of facilities and hospital monetary. The identified facilitators were self-motivation, teamwork, peer support, and support from the management committee of the hospital.</div></div><div><h3>Conclusion</h3><div>This study identified lack of official guideline for prevention of SSIs as one of main barriers encountered by health care professionals to the prevention of surgical site infections. Despite the positive efforts made by healthcare professionals toward the prevention and management of SSIs, several challenges impede the process. Recommendations should be tailored to availing official clinical guidelines for prevent SSI, increased training for healthcare professionals, provision of more healthcare staff, and improved surveillance and monitoring of surgical site infection.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"21 ","pages":"Article 100792"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring facilitators and barriers to healthcare professionals’ use of clinical guidelines to prevent surgical site infection in Rwandan hospitals\",\"authors\":\"Aloys Niyomugabo , Madeleine Mukeshimana , Anita Collins , Geldine Chironda\",\"doi\":\"10.1016/j.ijans.2024.100792\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Surgical site infection (SSI) is a significant clinical problem with detrimental effects on the quality of life coupled with prolonged hospital stays, additional costs for patients. There are clinical guidelines for prevention of surgical site infections. However, little is known about the facilitators; and barriers against healthcare professionals’ use of clinical guidelines in the prevention of SSI in Rwandan hospitals.</div></div><div><h3>Aim</h3><div>This study aims to explore facilitators and barriers to healthcare professionals’ use of clinical guidelines for Surgical Site Infection Prevention in Rwanda.</div></div><div><h3>Methods</h3><div>A qualitative, exploratory and descriptive study that involved 28 health professionals was carried out. Participants were selected using purpose sampling approach. The data collection process involved the use of a focused group discussion using interview guide to gather relevant information. Subsequently, the collected data was analyzed using the software Atlas TI, along with content analysis techniques to derive meaningful insights from the data.</div></div><div><h3>Results</h3><div>The barriers faced by health care professionals included a lack of official guidelines for the prevention of SSIs, shortage of health care professionals, an inappropriate monitoring system due to work overload, limited knowledge on the subject among them, limited resources in terms of facilities and hospital monetary. The identified facilitators were self-motivation, teamwork, peer support, and support from the management committee of the hospital.</div></div><div><h3>Conclusion</h3><div>This study identified lack of official guideline for prevention of SSIs as one of main barriers encountered by health care professionals to the prevention of surgical site infections. Despite the positive efforts made by healthcare professionals toward the prevention and management of SSIs, several challenges impede the process. Recommendations should be tailored to availing official clinical guidelines for prevent SSI, increased training for healthcare professionals, provision of more healthcare staff, and improved surveillance and monitoring of surgical site infection.</div></div>\",\"PeriodicalId\":38091,\"journal\":{\"name\":\"International Journal of Africa Nursing Sciences\",\"volume\":\"21 \",\"pages\":\"Article 100792\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Africa Nursing Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214139124001380\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Africa Nursing Sciences","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214139124001380","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
Exploring facilitators and barriers to healthcare professionals’ use of clinical guidelines to prevent surgical site infection in Rwandan hospitals
Background
Surgical site infection (SSI) is a significant clinical problem with detrimental effects on the quality of life coupled with prolonged hospital stays, additional costs for patients. There are clinical guidelines for prevention of surgical site infections. However, little is known about the facilitators; and barriers against healthcare professionals’ use of clinical guidelines in the prevention of SSI in Rwandan hospitals.
Aim
This study aims to explore facilitators and barriers to healthcare professionals’ use of clinical guidelines for Surgical Site Infection Prevention in Rwanda.
Methods
A qualitative, exploratory and descriptive study that involved 28 health professionals was carried out. Participants were selected using purpose sampling approach. The data collection process involved the use of a focused group discussion using interview guide to gather relevant information. Subsequently, the collected data was analyzed using the software Atlas TI, along with content analysis techniques to derive meaningful insights from the data.
Results
The barriers faced by health care professionals included a lack of official guidelines for the prevention of SSIs, shortage of health care professionals, an inappropriate monitoring system due to work overload, limited knowledge on the subject among them, limited resources in terms of facilities and hospital monetary. The identified facilitators were self-motivation, teamwork, peer support, and support from the management committee of the hospital.
Conclusion
This study identified lack of official guideline for prevention of SSIs as one of main barriers encountered by health care professionals to the prevention of surgical site infections. Despite the positive efforts made by healthcare professionals toward the prevention and management of SSIs, several challenges impede the process. Recommendations should be tailored to availing official clinical guidelines for prevent SSI, increased training for healthcare professionals, provision of more healthcare staff, and improved surveillance and monitoring of surgical site infection.
期刊介绍：
International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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