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1 – 10 of over 6000Health care associated infection has become a health service priority that transcends all clinical areas. Education is commonly cited as the cornerstone of effective practice on…
Abstract
Health care associated infection has become a health service priority that transcends all clinical areas. Education is commonly cited as the cornerstone of effective practice on the tacit assumption that the knowledgeable practitioner will execute their skills more effectively. Consequently, infection control training has become embedded within the pre‐registration curriculum, however, students undertaking the mental health branch have been critical of an unduly adult focus to the topic, which fails to address their specific educational requirements. An educational intervention based on a problem‐based learning approach was developed to address this contention. The intervention received a three‐way evaluation from students who attended the session, a mental health lecturer/ facilitator and an infection control educator/ adviser. The results suggest that students were able to develop salient material, which recognised the principles of infection control practice, while placing it in the context of mental health nursing. The students gave positive feedback in terms of the mode of teaching and the relevance of the content.
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This paper aims to examine the policy and guidance that was issued, either as a direct result of the NHS Plan, or part of a subsequent initiative, surrounding cleaning in the NHS.
Abstract
Purpose
This paper aims to examine the policy and guidance that was issued, either as a direct result of the NHS Plan, or part of a subsequent initiative, surrounding cleaning in the NHS.
Design/methodology/approach
A literature review of the Department of Health and related agency web sites was completed. In addition there was a literature review of the relevant academic journals.
Findings
There is a growing evidence base on environmental cleaning in the NHS and more specifically the relationship between environmental cleaning and infection control. This paper has examined the contradiction in the evidence in the suspected correlation between infection control and environmental cleaning. However, one thing that does appear to be consistent is that a performance measure based on an observation (visual) assessment is not a sufficient tool to evaluate the environmental cleanliness of a hospital ward.
Practical implications
While the clinical community recognise the contribution of environmental cleaning and the impact on healthcare, more needs to be done to have the relevant studies published in the FM domain. Conversely there also needs to be work done to allow the FM community to have a “voice” in the infection control journals. The literature reviewed suggests that a usable technological solution is required to confirm satisfactory cleaning standards in healthcare facilities.
Originality/value
There is relatively little published work on the importance of cleaning to operations in the NHS, particularly in the FM domain.
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Amanda Masters and David Birnbaum
This paper aims to describe the initial experiences in a new option of an established fellowship program, which can serve as a model that strengthens the next generation of our…
Abstract
Purpose
This paper aims to describe the initial experiences in a new option of an established fellowship program, which can serve as a model that strengthens the next generation of our workforce for preventing healthcare‐associated infections.
Design/methodology/approach
Historical narrative.
Findings
The CSTE Applied Epidemiology Fellowship has a long history of success in producing future leaders for the public health workforce. As it expands into a healthcare‐associated infections option, it is addressing an area new to traditional public health departments. However, this also is an area where public health must be viewed as part of the continuum of healthcare systems, where tomorrow's professionals must be credible in a number of settings (health departments, hospitals, clinics and extended care facilities).
Practical implications
CSTE's first class of HAI Fellows offers a new model for producing the type of professionals necessary for the field of hospital epidemiology and infection control to achieve its full potential.
Originality/value
This is the first published description of the Council of State and Territorial Epidemiologists new Applied Epidemiology Fellowship “HAI” graduating class.
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Kenneth R. Ong, Jaycinth Blackman, Maureen Barron, Jimmie Ahmed, Catherine Corbelli and Joseph Skarzynski
As part of Joint Commission on Accreditation of Health Care Organizations survey preparation, two prospective, interventional studies were conducted. The first study compared the…
Abstract
As part of Joint Commission on Accreditation of Health Care Organizations survey preparation, two prospective, interventional studies were conducted. The first study compared the hospital staff that participated in survey‐readiness rounds to staff that did not. The second study compared the scores before and after the educational in‐service of the group that had not participated in these rounds. The mean total score of the rounds group was 92 per cent and for the no‐rounds study group before in‐service education was 85 per cent. The difference was statistically significant. The no‐rounds group’s mean total score rose 14 per cent after in‐service education. In‐service education nearly doubled the likelihood of scoring 90 per cent or better. As part of a coordinated survey‐readiness program, a contest can be a useful and effective method to assess and improve staff knowledge.
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Janie Alison Brown, Elaine Watson and Tamra Rogers
This study aimed to understand the effect of repeated exposure to personal threats on hospital security guards' well-being.
Abstract
Purpose
This study aimed to understand the effect of repeated exposure to personal threats on hospital security guards' well-being.
Design/methodology/approach
A single site, qualitative study using a convenience sampling approach to recruit hospital security guards who attend code black (staff, patient or visitor exposed to a personal threat) calls.
Findings
Five interviews were held with eight hospital security guards. Seven of the eight participants were male. Seven were Caucasian. All had extensive experience in the industry. Six consistent themes emerged from the data covering well-being, coping and support; concerns about physical safety; compassion and compassion fatigue; effective communication is crucial; role/s; and training and equipment.
Research limitations/implications
This study used a convenient sampling approach to recruit security guards from one acute hospital in Australia, limiting the applicability of the findings to other contexts. Although the majority of hospital security guards were interviewed, the format of interviews varied between one-to-one interviews and focus groups, based on the availability of guards to participate and attend.
Practical implications
We recommend that the role of the hospital security guard in Code black situations is documented in policy and practice documents, and articulated in multidisciplinary aggression management training. There should be clear statements on the importance of strong communication and clinical leadership in code black situations. Hospital security guards should attend Mental Health First Aid training, which teaches on and off the job coping strategies. There is a need for debriefing and consideration should be given to supporting “time-out”. Hospital security guards require education on infection control and the risks associated with blood and body fluids.
Originality/value
Hospital security guards play an important role in the safety of patients and staff in code black situations. When they are well supported, they experience high levels of job satisfaction and are able to maintain their compassion towards people who are aggressive and violent towards them. However, repeated exposure to code black situations has the potential to erode the well-being of hospital security guards.
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Venkataramanaiah Saddikuti, Surya Prakash, Vijaydeep Siddharth, Kanika Jain and Sidhartha Satpathy
The primary objective of this article is to examine current procurement, inventory control and management practices in modern healthcare, with a particular focus on the…
Abstract
Purpose
The primary objective of this article is to examine current procurement, inventory control and management practices in modern healthcare, with a particular focus on the procurement and management of surgical supplies in a prominent public, highly specialized healthcare sector.
Design/methodology/approach
This study was conducted in three phases. In Phase 1, the study team interacted with various hospital management stakeholders, including the surgical hospital store, examined the current procurement process and identified challenges. Phase 2 focused on selecting items for a detailed study and collected the qualitative and quantitative details of the store department of the healthcare sector chosen. A detailed study analyzed revenue, output/demand, inventory levels, etc. In Phase 3, a decision-making framework is proposed, and inventory control systems are redesigned and demonstrated for the selected items.
Findings
It was observed that the demand for many surgical items had increased significantly over the years due to an increase in disposable/disposable items, while inventories fluctuated widely. Maximum inventory levels varied between 50 and 75%. Storage and availability were important issues for the hospital. It is assumed the hospital adopts the proposed inventory control system. In this case, the benefits can be a saving of 62% of the maximum inventory, 20% of the average stock in the system and optimal use of storage space, improving the performance and productivity of the hospital.
Research limitations/implications
This study can help the healthcare sector administration to develop better systems for the procurement and delivery of common surgical items and efficient resource allocation. It can help provide adequate training to store staff. This study can help improve management/procurement policies, ordering and delivery systems, better service levels, and inventory control of items in the hospital business context. This study can serve as a pilot study to further investigate the overall hospital operations.
Practical implications
This study can help the healthcare sector administration develop better systems for procuring and delivering common surgical items and efficient resource allocation. It can help provide adequate training to store staff. This study can help improve management/procurement policies, ordering and delivery systems, better service levels and inventory control of items in the hospital business context. This study can serve as a pilot study to further investigate the overall hospital operations.
Originality/value
This study is an early attempt to develop a decision framework and inventory control system from the perspective of healthcare inventory management. The gaps identified in real hospital scenarios are investigated, and theoretically based-inventory management strategies are applied and proposed.
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The quantity and scope of the information that has materialized so far on the subject of AIDS (Acquired Immune Deficiency Syndrome) has increased significantly since the first…
Abstract
The quantity and scope of the information that has materialized so far on the subject of AIDS (Acquired Immune Deficiency Syndrome) has increased significantly since the first case of the syndrome in the United States was diagnosed in 1981. Initially, information could be found only in a few articles in the medical periodical literature or in a few newspapers. Gradually, more information appeared in health care, allied health, and other professional journals and periodicals. As the incidence of the syndrome increased, more newspapers and the mass market magazines and the electronic media began covering the syndrome, and both health care professionals and the general public found themselves presented with a steady stream of information, research, and education on the subject of AIDS.
Teik-Leong Chuah, Meenchee Hong and Behzad Foroughi
Infection and cross-contamination have been massive concerns in the medical field. This study aims to investigate consumers’ awareness and their choices of endoscopes, which may…
Abstract
Purpose
Infection and cross-contamination have been massive concerns in the medical field. This study aims to investigate consumers’ awareness and their choices of endoscopes, which may deter them from the cross-contamination problem.
Design/methodology/approach
A discrete choice experiment survey was administered to 166 respondents in Penang, Malaysia. Participants were asked to make hypothetical choices and estimate their preference for endoscopes. The multinomial logit model was used to estimate the assumptions based on the stated preference data collected.
Findings
Only two-fifths of respondents are aware of their rights regarding endoscope selection. The findings are consistent with utility theory, where choices are made to maximise personal satisfaction. If given the choice, consumers preferred the single-use endoscope over the reusable or the doctor’s preferred endoscope. Price, insurance coverage and personal income are significant determinants of the consumer’s choice of endoscopes.
Research limitations/implications
This study only investigates subjects living in Penang. Other possible important attributes to endoscope choices, such as environmental and device availability may be considered in future study.
Practical implications
The findings may create awareness among consumers about their rights when choosing medical devices. It may also improve health-care institutions’ (users’) and device manufacturers’ (industry players’) understanding of consumer needs and demands from socioeconomic perspectives.
Social implications
The research offers insights into consumer rights and awareness of health-care services. Ultimately leading to better policy to protect consumers’ rights and safety.
Originality/value
This study contributes to the rare literature on consumer rights toward medical devices, in particular, the consumer’s awareness of the choice of endoscopes.
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Jamila Chellan and Nokuthula Maureen Sibiya
The purpose of this paper is to assess nursing staff perceptions regarding the clinical audit tool used for relicensing inspections within private hospitals in eThekwini district.
Abstract
Purpose
The purpose of this paper is to assess nursing staff perceptions regarding the clinical audit tool used for relicensing inspections within private hospitals in eThekwini district.
Design/methodology/approach
An exploratory sequential mixed method research design was used with a qualitative first phase involving a total population of 40 nurse managers through purposive sampling. Nurse managers (n=24) were interviewed. This was followed by a quantitative phase in which a structured questionnaire was administered to nurses (n=270) who were randomly sampled for the study from (n=4) hospitals. Documentation review, a third phase was used to corroborate the findings of the first two phases of the study.
Findings
The results of the study showed that the participants perceptions of the selected private hospitals in eThekwini district is that they have not fully implemented the approach to practice standards and healthcare audits in relation to three clinical domains of the National Core Standards and the Batho Pele principles. These findings were significant and denoted the need for a standardised clinical audit tool for private hospitals in eThekwini district.
Research limitations/implications
This study was confined to an independent group of hospitals and the findings may not be suitable for generalising across all private hospitals in eThekwini district.
Originality/value
These findings led to the development of a clinical audit tool with measurements representing elements of care that are critical to the provision of safe, quality health care services.
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foodlink’s National Food Safety Week provides a focus for communicating messages designed to help people understand and initiate the basic precautions which can be taken to reduce…
Abstract
foodlink’s National Food Safety Week provides a focus for communicating messages designed to help people understand and initiate the basic precautions which can be taken to reduce the risk of food poisoning and in the process provide fun and entertainment for thousands throughout the UK. There were over 100,000 reported cases of food poisoning last year and there has been much speculation recently that many more cases go unreported. National Food Safety Week provides the tools both to raise awareness of the problem and to provide the answers in a fun, inclusive and effective way. Indeed, keeping food safe is one of the most basic applications of technology in the home.