Healthcare-related infections within nursing homes (NHS)

Detalhes bibliográficos
Autor(a) principal: Lefosse, Giulia
Data de Publicação: 2022
Outros Autores: Rasero, Laura, Bellandi, Tommaso, Sousa, Paulo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/149397
Resumo: Funding Information: I thank first of all my professors and co-authors of this article for all the teachings. I thank the working group “La Buona Cura” and Tuscany Region (Italy) that allowed the realization of the study. Finally, I thank Doctor Margherita D'ambrini and Doctor Riccardo Coletta for the revision of translation and Doctor Yari Longobucco for help in reviewing literature. The authors conducted the research with the support of a Regional funding from Tuscany Region (Italy) sanctioned in the resolution DGRT 1016 of 26-10-2015 and DRGT 953 of 06-09-2017.37,38 Tuscany Region has allocated through Formas (institution for training in healthcare companies) a total amount of €40,000.00 for carrying out the research-intervention. The funding was addressed to different entities including the regional clinical risk management center (GRC) of which Tommaso Bellandi and Giulia Lefosse were affiliated for the conduct of the research. The funding was used for the field observation phases. The rest of the work was conducted under the university system by the student Giulia Lefosse as part of the PhD in clinical sciences at the University of Florence, in collaboration with her PhD tutor Laura Rasero (associate professor at the University of Florence) and professor Paulo Sousa, head of the National Center for Public Health and Research in Lisbon (Portugal), for methodological support. The author(s) received no financial support for authorship, and/or publication of this article. Funding Information: The authors conducted the research with the support of a Regional funding from Tuscany Region (Italy) sanctioned in the resolution DGRT 1016 of 26-10-2015 and DRGT 953 of 06-09-2017. Tuscany Region has allocated through Formas (institution for training in healthcare companies) a total amount of €40,000.00 for carrying out the research-intervention. The funding was addressed to different entities including the regional clinical risk management center (GRC) of which Tommaso Bellandi and Giulia Lefosse were affiliated for the conduct of the research. The funding was used for the field observation phases. The rest of the work was conducted under the university system by the student Giulia Lefosse as part of the PhD in clinical sciences at the University of Florence, in collaboration with her PhD tutor Laura Rasero (associate professor at the University of Florence) and professor Paulo Sousa, head of the National Center for Public Health and Research in Lisbon (Portugal), for methodological support. The author(s) received no financial support for authorship, and/or publication of this article. , Publisher Copyright: © The Author(s) 2022.
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spelling Healthcare-related infections within nursing homes (NHS)a qualitative study of care practices based on a systemic approachhuman factorsInfection controlnursing homespatient safetyrisk managementLeadership and ManagementHealth(social science)Health PolicySDG 3 - Good Health and Well-beingFunding Information: I thank first of all my professors and co-authors of this article for all the teachings. I thank the working group “La Buona Cura” and Tuscany Region (Italy) that allowed the realization of the study. Finally, I thank Doctor Margherita D'ambrini and Doctor Riccardo Coletta for the revision of translation and Doctor Yari Longobucco for help in reviewing literature. The authors conducted the research with the support of a Regional funding from Tuscany Region (Italy) sanctioned in the resolution DGRT 1016 of 26-10-2015 and DRGT 953 of 06-09-2017.37,38 Tuscany Region has allocated through Formas (institution for training in healthcare companies) a total amount of €40,000.00 for carrying out the research-intervention. The funding was addressed to different entities including the regional clinical risk management center (GRC) of which Tommaso Bellandi and Giulia Lefosse were affiliated for the conduct of the research. The funding was used for the field observation phases. The rest of the work was conducted under the university system by the student Giulia Lefosse as part of the PhD in clinical sciences at the University of Florence, in collaboration with her PhD tutor Laura Rasero (associate professor at the University of Florence) and professor Paulo Sousa, head of the National Center for Public Health and Research in Lisbon (Portugal), for methodological support. The author(s) received no financial support for authorship, and/or publication of this article. Funding Information: The authors conducted the research with the support of a Regional funding from Tuscany Region (Italy) sanctioned in the resolution DGRT 1016 of 26-10-2015 and DRGT 953 of 06-09-2017. Tuscany Region has allocated through Formas (institution for training in healthcare companies) a total amount of €40,000.00 for carrying out the research-intervention. The funding was addressed to different entities including the regional clinical risk management center (GRC) of which Tommaso Bellandi and Giulia Lefosse were affiliated for the conduct of the research. The funding was used for the field observation phases. The rest of the work was conducted under the university system by the student Giulia Lefosse as part of the PhD in clinical sciences at the University of Florence, in collaboration with her PhD tutor Laura Rasero (associate professor at the University of Florence) and professor Paulo Sousa, head of the National Center for Public Health and Research in Lisbon (Portugal), for methodological support. The author(s) received no financial support for authorship, and/or publication of this article. , Publisher Copyright: © The Author(s) 2022.Background: Infectious events, often related to healthcare practice, occur frequently within Nursing Homes (NHs), representing one of the main causes for morbidity, hospital admissions and mortality. The aims of this study are the analysis of care delivery problems and contributory factors of healthcare-related infections in a sample of NHs. This research could help identify organizational, technological and behavioural aspects, to implement improvement actions and reduce the impact of infections in long-term care. Methods: The study is a qualitative research with a systemic approach, based on the analysis of interactions in real practice between human factors, technologies and organizational structure and processes in 7 NHs in Tuscany (Italy), through extensive and structured observations of daily practices. The collected data were analyzed by applying clinical and ergonomic competences, comparing the data collected with established safe practices. The study was conducted by a nurse and a psychologist Results: From the data several problems related to infection control emerge. Buildings are often not suitable for confined spaces, room ventilation, natural light and rapid emergency response. Hand washing is not sufficient, use of antibiotics is usually not adequate. The microclimate is often not adequate, hygienic procedures are not always flawless. Staff members are in small numbers. Discussions: This study highlights high risk of contracting infections related to NHs. The study shows that dedicated infection prevention guidance are needed, to develop a local plan integrated with hospital setting, customized to needs of guests and characteristics of long-term care facilities, supported by a deep understanding of daily practices.Escola Nacional de Saúde Pública (ENSP)RUNLefosse, GiuliaRasero, LauraBellandi, TommasoSousa, Paulo2023-02-17T22:23:49Z2022-042022-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10application/pdfhttp://hdl.handle.net/10362/149397eng2516-0435PURE: 53597602https://doi.org/10.1177/25160435221081105info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:31:21Zoai:run.unl.pt:10362/149397Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:45.069093Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Healthcare-related infections within nursing homes (NHS)
a qualitative study of care practices based on a systemic approach
title Healthcare-related infections within nursing homes (NHS)
spellingShingle Healthcare-related infections within nursing homes (NHS)
Lefosse, Giulia
human factors
Infection control
nursing homes
patient safety
risk management
Leadership and Management
Health(social science)
Health Policy
SDG 3 - Good Health and Well-being
title_short Healthcare-related infections within nursing homes (NHS)
title_full Healthcare-related infections within nursing homes (NHS)
title_fullStr Healthcare-related infections within nursing homes (NHS)
title_full_unstemmed Healthcare-related infections within nursing homes (NHS)
title_sort Healthcare-related infections within nursing homes (NHS)
author Lefosse, Giulia
author_facet Lefosse, Giulia
Rasero, Laura
Bellandi, Tommaso
Sousa, Paulo
author_role author
author2 Rasero, Laura
Bellandi, Tommaso
Sousa, Paulo
author2_role author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Lefosse, Giulia
Rasero, Laura
Bellandi, Tommaso
Sousa, Paulo
dc.subject.por.fl_str_mv human factors
Infection control
nursing homes
patient safety
risk management
Leadership and Management
Health(social science)
Health Policy
SDG 3 - Good Health and Well-being
topic human factors
Infection control
nursing homes
patient safety
risk management
Leadership and Management
Health(social science)
Health Policy
SDG 3 - Good Health and Well-being
description Funding Information: I thank first of all my professors and co-authors of this article for all the teachings. I thank the working group “La Buona Cura” and Tuscany Region (Italy) that allowed the realization of the study. Finally, I thank Doctor Margherita D'ambrini and Doctor Riccardo Coletta for the revision of translation and Doctor Yari Longobucco for help in reviewing literature. The authors conducted the research with the support of a Regional funding from Tuscany Region (Italy) sanctioned in the resolution DGRT 1016 of 26-10-2015 and DRGT 953 of 06-09-2017.37,38 Tuscany Region has allocated through Formas (institution for training in healthcare companies) a total amount of €40,000.00 for carrying out the research-intervention. The funding was addressed to different entities including the regional clinical risk management center (GRC) of which Tommaso Bellandi and Giulia Lefosse were affiliated for the conduct of the research. The funding was used for the field observation phases. The rest of the work was conducted under the university system by the student Giulia Lefosse as part of the PhD in clinical sciences at the University of Florence, in collaboration with her PhD tutor Laura Rasero (associate professor at the University of Florence) and professor Paulo Sousa, head of the National Center for Public Health and Research in Lisbon (Portugal), for methodological support. The author(s) received no financial support for authorship, and/or publication of this article. Funding Information: The authors conducted the research with the support of a Regional funding from Tuscany Region (Italy) sanctioned in the resolution DGRT 1016 of 26-10-2015 and DRGT 953 of 06-09-2017. Tuscany Region has allocated through Formas (institution for training in healthcare companies) a total amount of €40,000.00 for carrying out the research-intervention. The funding was addressed to different entities including the regional clinical risk management center (GRC) of which Tommaso Bellandi and Giulia Lefosse were affiliated for the conduct of the research. The funding was used for the field observation phases. The rest of the work was conducted under the university system by the student Giulia Lefosse as part of the PhD in clinical sciences at the University of Florence, in collaboration with her PhD tutor Laura Rasero (associate professor at the University of Florence) and professor Paulo Sousa, head of the National Center for Public Health and Research in Lisbon (Portugal), for methodological support. The author(s) received no financial support for authorship, and/or publication of this article. , Publisher Copyright: © The Author(s) 2022.
publishDate 2022
dc.date.none.fl_str_mv 2022-04
2022-04-01T00:00:00Z
2023-02-17T22:23:49Z
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