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  • Infection prevention and control in home nursing: case study of four organisations in Australia

    Author(s)
    Felemban, O
    St John, W
    Shaban, RZ
    Griffith University Author(s)
    St John, Winsome
    Shaban, Ramon Z.
    Year published
    2015
    Metadata
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    Abstract
    Aim: The aim of this case study was to explore the environmental challenges nurses experience with infection control practice, and the strategies they use to overcome those challenges. Method: An exploratory case study was conducted in four home visiting nursing organisations in southeast Queensland, Australia, using data triangulation (document review, individual interviews, and focus groups). Data were analysed using a framework approach to identify themes. Results: Three major infection prevention and control challenges were experienced in the community context. The first challenge is the nature of the work environment, ...
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    Aim: The aim of this case study was to explore the environmental challenges nurses experience with infection control practice, and the strategies they use to overcome those challenges. Method: An exploratory case study was conducted in four home visiting nursing organisations in southeast Queensland, Australia, using data triangulation (document review, individual interviews, and focus groups). Data were analysed using a framework approach to identify themes. Results: Three major infection prevention and control challenges were experienced in the community context. The first challenge is the nature of the work environment, including: poor cleanliness in clients' home environments, pets or vermin, inadequate hand-washing facilities, and a lack of appropriate storage space for clinical materials. The second challenge occurs when nurses lack access to appropriate infection control equipment, including wound-management materials and sharps containers. The third challenge is dealing with clients' poor personal hygiene and health status. Participants addressed these issues by offering assistance, using clean surfaces at clients' homes, applying an alcohol-based hand rub, providing client education, and reducing the cost of purchasing equipment for clients. Conclusion: It is imperative that policy is developed to support nurses' decision making and practices as they address infection control challenges in the community environment. Ensuring staff are well-supported with resources, education, policy, and guidelines to address these challenges is important for the delivery of safe and high quality care in community settings.
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    Journal Title
    British Journal of Community Nursing
    Volume
    20
    Issue
    9
    DOI
    https://doi.org/10.12968/bjcn.2015.20.9.451
    Subject
    Nursing
    Nursing not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/128214
    Collection
    • Journal articles

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