Adherence to precautions for preventing the transmission of microorganisms in primary health care: a qualitative study
Identifieur interne : 000F29 ( Main/Exploration ); précédent : 000F28; suivant : 000F30Adherence to precautions for preventing the transmission of microorganisms in primary health care: a qualitative study
Auteurs : Michely Aparecida Cardoso Maroldi [Brésil] ; Adriana Maria Da Silva Felix [Brésil] ; Ana Angélica Lima Dias [Brésil] ; Julia Yaeko Kawagoe [Brésil] ; Maria Clara Padoveze [Brésil] ; Sílvia Alice Ferreira [Brésil] ; Sílvia Helena Zem-Mascarenhas [Brésil] ; Stephen Timmons [Royaume-Uni] ; Rosely Moralez Figueiredo [Brésil]Source :
- BMC Nursing [ 1472-6955 ] ; 2017.
Abstract
Health care associated infections (HAIs) are a source of concern worldwide. No health service in any country can be considered HAI risk-free. However, there is scarcity of data on the risks to which both patients and health workers are subject in non-hospital settings. The aim of this study was to identify issues that determine the adherence of professionals to precautions for preventing transmission of microorganisms in primary health care.
This was a qualitative study, using focus groups of primary health care staff, in two Brazilian municipalities. The data were analysed using content analysis.
Four focus groups were conducted with 20 professionals (11 community health workers, 5 nursing assistants and 4 nurses), and the analysed content was organized into four thematic categories. These categories are:
Participants expressed their weaknesses in knowledge of standard and transmission based precautions, mainly for hand hygiene and tuberculosis. A lack of appropriate resources and standardization in sharps disposal management was also highlighted by the participants.
The study points out the need to provide in-service training for professionals on the transmission of microorganisms in primary health care to ensure adequate level of risk perception and knowledge. Further recommendations include investment to improve infrastructure to facilitate adherence to precautions and to minimize the risk of disease transmission for both patients and health care workers.
Url:
DOI: 10.1186/s12912-017-0245-z
PubMed: 28919838
PubMed Central: 5594588
Affiliations:
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Carlos,</institution></institution-wrap>São Carlos, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>São Carlos</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Nursing</title><idno type="eISSN">1472-6955</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Health care associated infections (HAIs) are a source of concern worldwide. No health service in any country can be considered HAI risk-free. However, there is scarcity of data on the risks to which both patients and health workers are subject in non-hospital settings. The aim of this study was to identify issues that determine the adherence of professionals to precautions for preventing transmission of microorganisms in primary health care.</p></sec><sec><title>Method</title><p id="Par2">This was a qualitative study, using focus groups of primary health care staff, in two Brazilian municipalities. The data were analysed using content analysis.</p></sec><sec><title>Results</title><p id="Par3">Four focus groups were conducted with 20 professionals (11 community health workers, 5 nursing assistants and 4 nurses), and the analysed content was organized into four thematic categories. These categories are: <italic>low risk perception</italic>, <italic>weaknesses in knowledge</italic>, <italic>insufficient in-service training</italic> and <italic>infrastructure limitations</italic>.</p><p id="Par4">Participants expressed their weaknesses in knowledge of standard and transmission based precautions, mainly for hand hygiene and tuberculosis. A lack of appropriate resources and standardization in sharps disposal management was also highlighted by the participants.</p></sec><sec><title>Conclusion</title><p id="Par5">The study points out the need to provide in-service training for professionals on the transmission of microorganisms in primary health care to ensure adequate level of risk perception and knowledge. Further recommendations include investment to improve infrastructure to facilitate adherence to precautions and to minimize the risk of disease transmission for both patients and health care workers.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Fortaleza, Cmcb" uniqKey="Fortaleza C">CMCB Fortaleza</name></author><author><name sortKey="Padoveze, Mc" uniqKey="Padoveze M">MC Padoveze</name></author><author><name sortKey="Kiffer, Crv" uniqKey="Kiffer C">CRV Kiffer</name></author><author><name sortKey="Barth, Al" uniqKey="Barth A">AL Barth</name></author><author><name sortKey="Icdrs, C" uniqKey="Icdrs C">C ICDRS</name></author><author><name sortKey="Hig, G" uniqKey="Hig G">G HIG</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oliveira, Ac" uniqKey="Oliveira A">AC Oliveira</name></author><author><name sortKey="Paula, Ao" uniqKey="Paula A">AO 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Jiang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Allegranzi, B" uniqKey="Allegranzi B">B Allegranzi</name></author><author><name sortKey="Nejad, Sb" uniqKey="Nejad S">SB Nejad</name></author><author><name sortKey="Combescure, C" uniqKey="Combescure C">C Combescure</name></author><author><name sortKey="Graafmans, W" uniqKey="Graafmans W">W Graafmans</name></author><author><name sortKey="Attar, H" uniqKey="Attar H">H Attar</name></author><author><name sortKey="Donaldson, Pd" uniqKey="Donaldson P">PD Donaldson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alfahan, A" uniqKey="Alfahan A">A Alfahan</name></author><author><name sortKey="Alhabib, S" uniqKey="Alhabib S">S Alhabib</name></author><author><name sortKey="Abdulmajeed, I" uniqKey="Abdulmajeed I">I Abdulmajeed</name></author><author><name sortKey="Rahman, S" uniqKey="Rahman S">S Rahman</name></author><author><name sortKey="Bamuhair, S" uniqKey="Bamuhair S">S Bamuhair</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Brésil</li><li>Royaume-Uni</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement></list><tree><country name="Brésil"><noRegion><name sortKey="Maroldi, Michely Aparecida Cardoso" sort="Maroldi, Michely Aparecida Cardoso" uniqKey="Maroldi M" first="Michely Aparecida Cardoso" last="Maroldi">Michely Aparecida Cardoso Maroldi</name></noRegion><name sortKey="Dias, Ana Angelica Lima" sort="Dias, Ana Angelica Lima" uniqKey="Dias A" first="Ana Angélica Lima" last="Dias">Ana Angélica Lima Dias</name><name sortKey="Felix, Adriana Maria Da Silva" sort="Felix, Adriana Maria Da Silva" uniqKey="Felix A" first="Adriana Maria Da Silva" last="Felix">Adriana Maria Da Silva Felix</name><name sortKey="Ferreira, Silvia Alice" sort="Ferreira, Silvia Alice" uniqKey="Ferreira S" first="Sílvia Alice" last="Ferreira">Sílvia Alice Ferreira</name><name sortKey="Figueiredo, Rosely Moralez" sort="Figueiredo, Rosely Moralez" uniqKey="Figueiredo R" first="Rosely Moralez" last="Figueiredo">Rosely Moralez Figueiredo</name><name sortKey="Kawagoe, Julia Yaeko" sort="Kawagoe, Julia Yaeko" uniqKey="Kawagoe J" first="Julia Yaeko" last="Kawagoe">Julia Yaeko Kawagoe</name><name sortKey="Padoveze, Maria Clara" sort="Padoveze, Maria Clara" uniqKey="Padoveze M" first="Maria Clara" last="Padoveze">Maria Clara Padoveze</name><name sortKey="Zem Mascarenhas, Silvia Helena" sort="Zem Mascarenhas, Silvia Helena" uniqKey="Zem Mascarenhas S" first="Sílvia Helena" last="Zem-Mascarenhas">Sílvia Helena Zem-Mascarenhas</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Timmons, Stephen" sort="Timmons, Stephen" uniqKey="Timmons S" first="Stephen" last="Timmons">Stephen Timmons</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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