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Risk behaviours for organism transmission in daily care activities: a longitudinal observational case study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Fac Hlth & Occupat Studies, Dept Hlth & Caring Sci, Gävle, Sweden.ORCID iD: 0000-0003-1289-9896
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Fac Hlth & Occupat Studies, Dept Hlth & Caring Sci, Gävle, Sweden.ORCID iD: 0000-0002-1495-4943
Fac Hlth & Occupat Studies, Dept Hlth & Caring Sci, Gävle, Sweden.
Fac Hlth & Occupat Studies, Dept Hlth & Caring Sci, Gävle, Sweden.
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2018 (English)In: Journal of Hospital Infection, ISSN 0195-6701, E-ISSN 1532-2939, Vol. 100, no 3, p. e146-e150, article id S0195-6701(18)30406-7Article in journal (Refereed) Published
Abstract [en]

Background: To understand healthcare personnel's infection prevention behaviour has long been viewed as a key factor in preventing healthcare-associated infections. Suboptimal hand hygiene compliance and handling of materials, equipment, and surfaces present the main risks for potential organism transmission. Further exploration is needed regarding the role of context-specific conditions and the infection prevention behaviours of healthcare personnel. Such knowledge could enable the development of new intervention strategies for modifying behaviour.

Aim: To describe risk behaviours for organism transmission in daily care activities over time.

Methods: Unstructured observations of healthcare personnel carrying out patient-related activities were performed on 12 occasions over a period of 18 months.

Findings: Risk behaviours for organism transmission occur frequently in daily care activities and the results show that the occurrence is somewhat stable over time. Interruptions in care activities contribute to an increased risk for organism transmission that could lead to subsequent healthcare-associated infection.

Conclusion: Interventions aimed at reducing the risks of healthcare-associated infections need to focus on strategies that address: hand hygiene compliance; the handling of materials, equipment, work clothes and surfaces; the effects of interruptions in care activities if they are to alter healthcare personnel's infection prevention behaviour sufficiently.

Place, publisher, year, edition, pages
2018. Vol. 100, no 3, p. e146-e150, article id S0195-6701(18)30406-7
Keywords [en]
Hand hygiene, Healthcare-associated infection, Hygiene, Infection control, Interruptions, Observation of practice
National Category
Infectious Medicine Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-365806DOI: 10.1016/j.jhin.2018.07.041ISI: 000448006000024PubMedID: 30081148OAI: oai:DiVA.org:uu-365806DiVA, id: diva2:1263049
Available from: 2018-11-14 Created: 2018-11-14 Last updated: 2019-01-08Bibliographically approved

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Lindberg, MagnusSkytt, BerniceLindberg, Maria

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