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Fylgni við reglur um grundvallarsmitgát og umbætur.

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Authors
Ólína Torfadóttir
Árún Kristín Sigurðardóttir
Issue Date
2013

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Citation
Tímarit hjúkrunarfræðinga 2013, 89(5):50-5
Abstract
Grundvallarsmitgát er mikilvæg til að draga úr hættu á sjúkrahústengdum sýkingum, sérstaklega þar sem bakteríur verða sífellt ónæmari fyrir sýklalyfjum. Tilgangur umbótaverkefnisins var að auka fylgni við reglur um grundvallarsmitgát og draga þannig úr dreifingu örvera til sjúklinga og starfsmenn. Markmiðin voru að bera saman hversu vel starfsmenn fylgdu reglum um grundvallarsmitgát, fyrir og eftir umbætur: a) almennt á deildum, b) hjá starfsfólki og c) við sáraskiptingar. Rannsóknarsniðið var megindlegt og mælt var hversu margir fylgdu reglunum fyrir og eftir umbætur. Innleiddar voru umbætur í grundvallarsmitgát og mælingar endurteknar um það bil sautján mánuðum seinna. Metnir þættir voru: a) reglur um grundvallarsmitgát á deild, b) almennar reglur um grundvallarsmitgát hjá starfsmönnum og c) grundvallarsmitgát við umbúðaskipti á sárum. Tveir hjúkrunarfræðingar á hverri deild sáu um upplýsingasöfnun ákveðinn dag í nóvember 2006 og í apríl 2008. Tíu legudeildir tóku þátt árið 2006 og ellefu árið 2008. Fylgst var með 158 starfsmönnum árið 2006 og 142 seinna árið. Eftir umbætur báru færri skartgripi (hringi, langa eyrnalokka og hálsfestar) í vinnu með sjúklingum (p=0,03), einnig armbandsúr og armbönd (p<0,001), og fleiri með sítt hár voru með hárið uppsett (p=0,02). Hins vegar fækkaði þeim sem skiptu daglega um starfsmannaföt (p=0,03) og líka þeim sem notuðu hanska við snertingu líkamsvessa ( p<0,001) milli mælinga Niðurstöður í kjölfar umbóta gefa vísbendingar um að fylgni starfsmanna á Sjúkrahúsinu á Akureyri við reglur um grundvallarsmitgát hafi batnað nema varðandi dagleg skipti á vinnufatnaði og í notkun á hönskum við snertingu líkamsvessa. Samt sem áður er það þekkt að gæðaverkefni sem þetta hefur ekki langtímaáhrif á grundvallarsmitgát. ------------------------------------------------------------------------------------------------------------------------------------Standard precautions is an important factor to decrease nosocomial hospital infections, particularly because the incidence of multiresistant bacteria is increasing. The purpose of this quality project was to increase hospital staff follow up with standard precautions and as a consequence decrease the possibility of spread of bacteria between staff and patients. The aims were to compare attendance with standard precaution recommendations pre and post interventions; a) general on wards, b) among staff, and c) at wound dressing changes. The study design was quantitative and a point-prevalence methodology with pre-test/post-test design was used. Interventions were improvements in hospital standard precautions and the study was repeated seventeen months later. Assessments were; a) standard precautions of the wards, b) individual staff standard precautions, and c) standard precautions at wound dressing changes. Two research nurses per ward had the responsibility for data collection which took place at one specific day in November 2006 and April 2008. Ten wards participated in 2006 and 11 in 2008. Total number of staff observed was 158 in 2006 and 142 in 2008. After the quality project fewer staff were wearing rings, long ear rings or necklaces (<0.03), wristwatches and bracelets (p<0.001), and more with long hair had long hair set up (p=0.02). However, change of utility clothes (p=0.03) and use of gloves when at risk of body fluid exposure (p<0.001), decreased between measurements. The results indicate that follow up with standard precautions among the staff at Akureyri Hospital increased but change of utility clothes and use of gloves when at risk of body fluid exposure decreased after the interventions. However, it is known that quality projects are unlikely to have long term effects on standard precautions.
Description
Efst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn.
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Icelandic Journal Articles (Peer Reviewed)

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