شمشیری, محمود ، Fuh Suh, Boudouin ، محمدی, نورالدین ، نبی امجد, رضا (1395) مطالعه تبعیت پرسنل بهداشتی از گایدلاین های پیشگیری از عفونت در بخش های مراقبت ویژه ایران. Iranian Red Crescent Medical Journal ــ 18 (6). ص.ص.1-8. شاپا 2074-1804
متن کامل
|
متنی
- نسخه چاپ شده
1MB |
آدرس اینترنتی رسمی : http://ircmj.com/en/articles/16678.html
عنوان انگليسی
A Survey of Adherence to Guidelines to Prevent Healthcare Associated Infections in Iranian Intensive Care Units
خلاصه انگلیسی
Background: Healthcare-associated infections (HAIs) are acquired by patients while receiving care. The highest incidence of HAIs has been documented in admissions to intensive care units. Adherence to evidence-based practices is the most important step for preventing HAIs. Objectives: To determine the rate of adherence to evidence-based post-insertion recommended care practices after admission into the intensive care unit for the following devices: central line catheter, indwelling urinary catheter, and mechanical ventilator. Patients and Methods: A structured observational cross-sectional research design was used. Data were collected using a checklist and a self-report questionnaire. The minimum sample size required for this study was 276 post-insertion care episodes, and 332 episodes were observed. The ANOVA test was used to identify any significant differences among the mean scores of the three devices. Results: Overall observed adherence rates were 18.3%, 59.1%, and 43.1% for central line catheters, indwelling urinary catheter, and mechanical ventilator, respectively. Of the observed episodes of device care, only in 9.4% of the episodes was regular oral care performed for patients on mechanical ventilators and only in 19.3% of the episodes were indwelling urinary catheters properly secure after insertion. More so, in none (0.0%) of the episodes was the central line catheter hub disinfected before being accessed. Conclusions: Evidence-based post-insertion recommended care practices were not consistently and uniformly implemented in the intensive care units. Establishment of a program for the surveillance of adherence to recommended guidelines is required for improving compliance by health professionals and the quality of preventive care.
نوع سند : | مقاله |
---|---|
زبان سند : | انگلیسی |
نویسنده اول : | محمود شمشیری |
نویسنده : | Boudouin Fuh Suh |
نویسنده : | نورالدین محمدی |
نویسنده مسئول : | رضا نبی امجد |
ضریب تاثیر و نمایه مجلات: | IF: 0.865 Indexed in: ISI, Scopus, Embase |
کلیدواژه ها (انگلیسی): | Catheter-Related Infections; Ventilator-Associated Pneumonia; Evidence-Based Practice; Clinical Practice Guideline |
موضوعات : | WY پرستاری > WY.18 آموزش پرستاری |
بخش های دانشگاهی : | دانشکده پرستاری و مامایی > بخش پرستاری |
کد شناسایی : | 9548 |
ارائه شده توسط : | دکتر محمود شمشیری |
ارائه شده در تاریخ : | 09 دی 1396 07:55 |
آخرین تغییر : | 30 بهمن 1401 09:43 |
فقط پرسنل کتابخانه صفحه کنترل اسناد