Journal article
Evaluation of Daily Environmental Cleaning and Disinfection Practices in Veterans Affairs Acute and Long-Term Care Facilities: A Mixed Methods Study
American journal of infection control, Vol.51(2), pp.205-213
02/2023
DOI: 10.1016/j.ajic.2022.05.014
PMID: 35644297
Abstract
To describe daily environmental cleaning and disinfection practices and their associations with cleaning rates while exploring contextual factors experienced by healthcare workers involved in the cleaning process.
A convergent mixed methods approach using quantitative observations (i.e., direct observation of environmental service staff performing environmental cleaning using a standardized observation form) and qualitative interviews (i.e., semi-structured interviews of key healthcare workers) across three Veterans Affairs acute and long-term care facilities.
Between December 2018 – May 2019 a total of sixty-two room observations (N= 3602 surfaces) were conducted. The average observed surface cleaning rate during daily cleaning in patient rooms was 33.6% for all environmental surfaces and 60.0% for high-touch surfaces (HTS). Higher cleaning rates were observed with bathroom surfaces (Odds Ratio OR = 3.23), HTSs (OR = 1.57), and reusable medical equipment (RME) (OR = 1.40). Lower cleaning rates were observed when cleaning semi-private rooms (OR = 0.71) and rooms in AC (OR = 0.56). In analysis stratified by patient presence (i.e., present, or absent) in the room during cleaning, patient absence was associated with higher cleaning rates for HTSs (OR = 1.71). In addition, the odds that bathroom surfaces being cleaned more frequently than bedroom surfaces decreased (OR = 1.97) as well as the odds that private rooms being cleaned more frequently than semi-private rooms also decreased (OR = 0.26; 0.07 – 0.93). Between January – June 2019 eighteen qualitative interviews were conducted and found key themes (i.e., patient presence and semi-private rooms) as potential barriers to cleaning; this supports findings from the quantitative analysis.
Overall observed rates of daily cleaning of environmental surfaces in both acute and long-term care was low. Standardized environmental cleaning practices to address known barriers, specifically cleaning practices when patients are present in rooms and semi-private rooms are needed to achieve improvements in cleaning rates.
Details
- Title: Subtitle
- Evaluation of Daily Environmental Cleaning and Disinfection Practices in Veterans Affairs Acute and Long-Term Care Facilities: A Mixed Methods Study
- Creators
- L McKinley - Madison VA, Madison WIC C Goedken - University of IowaE Balkenende - University of IowaG Clore - University of IowaSherlock S Hockett - University of IowaR Bartel - Patient-Centered Outcomes Research InstituteS Bradley - Ann Arbor VA, Ann Arbor MIJ Judd - Salt Lake City VA, Salt Lake City UTGoedken Lyons - Ann Arbor VA, Ann Arbor MIC Rock - Johns Hopkins UniversityM Rubin - Salt Lake City VA, Salt Lake City UTC Shaughnessy - Madison VA, Madison WIH S Reisinger - University of IowaE Perencevich - University of IowaN Safdar - Madison VA, Madison WI
- Resource Type
- Journal article
- Publication Details
- American journal of infection control, Vol.51(2), pp.205-213
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.ajic.2022.05.014
- PMID
- 35644297
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Language
- English
- Electronic publication date
- 05/26/2022
- Date published
- 02/2023
- Academic Unit
- Epidemiology; Center for Social Science Innovation; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984359566402771
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