Journal article
The Impact of Isolation on Healthcare Worker Contact and Compliance With Infection Control Practices in Nursing Homes
Infection control and hospital epidemiology, Vol.39(6), pp.683-687
06/2018
DOI: 10.1017/ice.2018.50
PMCID: PMC8628818
PMID: 29606163
Abstract
OBJECTIVETo directly observe healthcare workers in a nursing home setting to measure frequency and duration of resident contact and infection prevention behavior as a factor of isolation practiceDESIGNObservational studySETTING AND PARTICIPANTSHealthcare workers in 8 VA nursing homes in Florida, Maryland, Massachusetts, Michigan, Washington, and TexasMETHODSOver a 15-month period, trained research staff without clinical responsibilities on the units observed nursing home resident room activity for 15-30-minute intervals. Observers recorded time of entry and exit, isolation status, visitor type (staff, visitor, etc), hand hygiene, use of gloves and gowns, and activities performed in the room when visible.RESULTSA total of 999 hours of observation were conducted across 8 VA nursing homes during which 4,325 visits were observed. Residents in isolation received an average of 4.73 visits per hour of observation compared with 4.21 for nonisolation residents (P<.01), a 12.4% increase in visits for residents in isolation. Residents in isolation received an average of 3.53 resident care activities per hour of observation, compared with 2.46 for residents not in isolation (P<.01). For residents in isolation, compliance was 34% for gowns and 58% for gloves. Healthcare worker hand hygiene compliance was 45% versus 44% (P=.79) on entry and 66% versus 55% (P<.01) on exit for isolation and nonisolation rooms, respectively.CONCLUSIONSHealthcare workers visited residents in isolation more frequently, likely because they required greater assistance. Compliance with gowns and gloves for isolation was limited in the nursing home setting. Adherence to hand hygiene also was less than optimal, regardless of isolation status of residents.Infect Control Hosp Epidemiol 2018;39:683-687.
Details
- Title: Subtitle
- The Impact of Isolation on Healthcare Worker Contact and Compliance With Infection Control Practices in Nursing Homes
- Creators
- Lisa Pineles - 1VA Maryland Health Care System,Baltimore,MarylandChris Petruccelli - 1VA Maryland Health Care System,Baltimore,MarylandEli N Perencevich - 2Center for Comprehensive Access and Delivery Research and Evaluation,Iowa City Veterans Affairs Health Care System,Iowa City,IowaMary-Claire Roghmann - 1VA Maryland Health Care System,Baltimore,MarylandKalpana Gupta - 3VA Boston Health Care System,Boston,MassachusettsJose Cadena - 4South Texas Veterans Health Care System,San Antonio,TexasGio Baracco - 5Miami Veterans Affairs Healthcare System,Miami,FloridaChristopher D Pfeiffer - 6Veterans Affairs Portland Healthcare System,Portland,OregonGraeme Forrest - 6Veterans Affairs Portland Healthcare System,Portland,OregonSuzanne F Bradley - 8Infectious Diseases Section,Veterans Affairs Ann Arbor Healthcare System,Ann Arbor,MichiganChris Crnich - 9Infectious Diseases Section,William S. Middleton VA,Madison,WisconsinHeather Reisinger - 2Center for Comprehensive Access and Delivery Research and Evaluation,Iowa City Veterans Affairs Health Care System,Iowa City,IowaDaniel J Morgan - 1VA Maryland Health Care System,Baltimore,Maryland
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.39(6), pp.683-687
- DOI
- 10.1017/ice.2018.50
- PMID
- 29606163
- PMCID
- PMC8628818
- NLM abbreviation
- Infect Control Hosp Epidemiol
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Publisher
- United States
- Language
- English
- Date published
- 06/2018
- Academic Unit
- Epidemiology; Center for Social Science Innovation; Internal Medicine
- Record Identifier
- 9984001247702771
Metrics
26 Record Views