护士对产房感染预防与控制障碍的看法。

Laura E Anderson, Katelyn A White, Ronda L Cochran, Kiran M Perkins
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引用次数: 0

摘要

目的确定护士对在分娩过程中执行建议的感染预防和控制措施所遇到的障碍的看法,以便为今后针对这一环境的资源提供信息:设计:定性焦点小组:妇女健康、产科和新生儿护士协会 2023 年年会,洛杉矶新奥尔良:方法:美国疾病控制和预防中心(CDC)的工作人员在会议期间进行抽样调查:疾病控制与预防中心的工作人员使用标准化脚本进行了两次焦点小组讨论。结果:在 16 名参与者中,94% 的人是护士:在 16 名参与者中,94% 是注册护士,6% 是高级注册护士。通过对数据的分析,我们发现了以下五大主题:在实施推荐的感染预防和控制措施方面缺乏个人和组织责任;各州、医院和专科对指南的应用不一致;分娩环境的不可预测性;医院未将分娩和感染预防和控制资源列为优先事项;从产前到产后各护理阶段缺乏协调:我们发现了护士在分娩环境中持续实施感染预防和控制措施时遇到的障碍。这些障碍可以通过有针对性的干预措施和开发产科专用的感染预防与控制资源来解决。
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Nurse Perceptions of Barriers to Infection Prevention and Control in Labor and Delivery.

Objective: To identify nurse perceptions of barriers to performing recommended infection prevention and control practices in labor and delivery to inform future resources tailored to this setting.

Design: Qualitative focus groups.

Setting: The 2023 annual convention of the Association of Women's Health, Obstetric and Neonatal Nurses, New Orleans, LA.

Participants: A convenience sample of 16 labor and delivery nurses.

Methods: Staff of the Centers for Disease Control and Prevention conducted two focus groups using a standardized script. Coding was performed by three reviewers using Krueger's systematic analysis process.

Results: Among the 16 participants, 94% were registered nurses, and 6% were advanced practice registered nurses. From our analysis of the data, five major themes emerged, including the following: Lack of Individual and Organizational Accountability in Implementing Recommended Infection Prevention and Control Practices; Inconsistent Application of Guidance Across State, Hospital, and Specialty; The Unpredictable Nature of the Labor and Delivery Setting; Labor and Delivery Is Not Prioritized in the Hospital for Infection Prevention and Control Resources; and Lack of Coordination Across Stages of Care From Prenatal to Postpartum.

Conclusion(s): We identified barriers experienced by nurses to consistently implementing infection prevention and control practices in the labor and delivery setting. These barriers can be addressed through targeted interventions and the development of obstetric-specific infection prevention and control resources.

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来源期刊
CiteScore
3.20
自引率
5.60%
发文量
0
审稿时长
43 days
期刊介绍: JOGNN is a premier resource for health care professionals committed to clinical scholarship that advances the health care of women and newborns. With a focus on nursing practice, JOGNN addresses the latest research, practice issues, policies, opinions, and trends in the care of women, childbearing families, and newborns. This peer-reviewed scientific and technical journal is highly respected for groundbreaking articles on important - and sometimes controversial - issues. Articles published in JOGNN emphasize research evidence and clinical practice, building both science and clinical applications. JOGNN seeks clinical, policy and research manuscripts on the evidence supporting current best practice as well as developing or emerging practice trends. A balance of quantitative and qualitative research with an emphasis on biobehavioral outcome studies and intervention trials is desired. Manuscripts are welcomed on all subjects focused on the care of women, childbearing families, and newborns.
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