Exploring rural patients' understanding of the types, risk factors and measures to prevent healthcare-associated infections in Australia.

Australia / epidemiology Cross Infection / epidemiology Delivery of Health Care Humans Infection Control Risk Factors
Cross infection Healthcare-associated infection Infection control Rural health

Journal

Infection, disease & health
ISSN: 2468-0869
Titre abrégé: Infect Dis Health
Pays: Netherlands
ID NLM: 101689703

Informations de publication

Date de publication:
02 2021
Historique:
received: 19 05 2020
revised: 04 08 2020
accepted: 09 08 2020
pubmed: 15 10 2020
medline: 26 10 2021
entrez: 14 10 2020
Statut: ppublish

Résumé

In Australia, there are approximately 165,000 healthcare-associated infections (HAIs) per year. Improving patient knowledge on HAIs and actively involving them in infection prevention is essential. This study assessed patient knowledge on types of and risk factors for HAIs and their perceptions of HAI information provision and hospital infection control practices in rural New South Wales, Australia. Medical and surgical ward patients in three rural hospitals completed a questionnaire between February and March 2019. Open ended responses were grouped under categories, decided upon by two researchers, one of which is an infection prevention and control nurse. Descriptive analysis was completed. A total of 153 patients completed the survey. Most (n = 126, 82%) participants were previously aware of HAIs, with common sources of education/information being family/friends (n = 55, 36%), television (n = 28, 18%), newspapers (n = 27, 18%), and previous experience of a HAI (n = 20, 13%). Satisfaction with infection control measures and hospital cleanliness was high. Over half (n = 83, 54%) of participants thought they received too little information on HAIs, and only 35% (n = 21) of those that had surgery reported receiving information. Participants suggested that more education for the general public (n = 117, 76%) and patients (n = 110, 72%) in both written form and verbally from hospital staff, and education outside of the hospital in various mediums, could help reduce the risk and rates of HAI. Awareness of HAIs amongst respondents was high, however, education appeared to be lacking. More can be done to inform patient, family and general public education programs in rural and regional Australian hospitals.

Sections du résumé

BACKGROUND
In Australia, there are approximately 165,000 healthcare-associated infections (HAIs) per year. Improving patient knowledge on HAIs and actively involving them in infection prevention is essential. This study assessed patient knowledge on types of and risk factors for HAIs and their perceptions of HAI information provision and hospital infection control practices in rural New South Wales, Australia.
METHODS
Medical and surgical ward patients in three rural hospitals completed a questionnaire between February and March 2019. Open ended responses were grouped under categories, decided upon by two researchers, one of which is an infection prevention and control nurse. Descriptive analysis was completed.
RESULTS
A total of 153 patients completed the survey. Most (n = 126, 82%) participants were previously aware of HAIs, with common sources of education/information being family/friends (n = 55, 36%), television (n = 28, 18%), newspapers (n = 27, 18%), and previous experience of a HAI (n = 20, 13%). Satisfaction with infection control measures and hospital cleanliness was high. Over half (n = 83, 54%) of participants thought they received too little information on HAIs, and only 35% (n = 21) of those that had surgery reported receiving information. Participants suggested that more education for the general public (n = 117, 76%) and patients (n = 110, 72%) in both written form and verbally from hospital staff, and education outside of the hospital in various mediums, could help reduce the risk and rates of HAI.
CONCLUSION
Awareness of HAIs amongst respondents was high, however, education appeared to be lacking. More can be done to inform patient, family and general public education programs in rural and regional Australian hospitals.

Identifiants

DOI: 10.1016/j.idh.2020.08.006 PMID: 33051153
pubmed: 33051153
pii: S2468-0451(20)30062-6
doi: 10.1016/j.idh.2020.08.006
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

31-37

Informations de copyright

Copyright © 2020 Australasian College for Infection Prevention and Control. Published by Elsevier B.V. All rights reserved.

Auteurs

Jannine Bailey (J)

Bathurst Rural Clinical School, School of Medicine, Western Sydney University, PO Box 9008, Bathurst NSW 2795, Australia; Western NSW Health Research Network, NSW, Australia.

Tegan Dutton (T)

Bathurst Rural Clinical School, School of Medicine, Western Sydney University, PO Box 9008, Bathurst NSW 2795, Australia; Western NSW Health Research Network, NSW, Australia. Electronic address: Tegan.Dutton@westernsydney.edu.au.

Catherine Hawke (C)

School of Rural Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Orange, 2800, Australia; Western NSW Health Research Network, NSW, Australia.

Jessica Illife (J)

Dubbo Base Hospital, Western New South Wales Local Health District, NSW, Australia; Western NSW Health Research Network, NSW, Australia.

Michelle Kirkby (M)

Dubbo Base Hospital, Western New South Wales Local Health District, NSW, Australia; Western NSW Health Research Network, NSW, Australia.

Suzanne Lovell Smart (SL)

Orange Health Service, Western New South Wales Local Health District, NSW, Australia; Western NSW Health Research Network, NSW, Australia.

Peta O'Brien (P)

School of Rural Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Orange, 2800, Australia; Western NSW Health Research Network, NSW, Australia.

Karen Paxton (K)

School of Rural Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Orange, 2800, Australia; Western NSW Health Research Network, NSW, Australia.

Ramon Z Shaban (RZ)

Susan Wakil School of Nursing and Midwifery & Marie Bashir Institute for Infectious Diseases and Biosecurity, Faculty of Medicine and Health, University of Sydney, NSW, Australia; Department of Infectious Diseases and Sexual Health, Westmead Hospital, Western Sydney Local Health District, Westmead, NSW, Australia.

Linda Thomas (L)

Bathurst Base Hospital, Western New South Wales Local Health District, NSW, Australia; Western NSW Health Research Network, NSW, Australia.

Sandra Wharton (S)

Western New South Wales Local Health District, Australia; Western NSW Health Research Network, NSW, Australia.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Exploring rural patients' understanding of the...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie iatrogène › Infection croisée › Exploring rural patients' understanding of the...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Exploring rural patients' understanding of the...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Exploring rural patients' understanding of the...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Contrôle des maladies transmissibles › Prévention des infections › Exploring rural patients' understanding of the...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › Exploring rural patients' understanding of the...