Patients' perspectives of healthcare-associated infection: 'you don't know what impacts it will have on your life'.

Communication Cross-infection Healthcare-associated infection Nurses Nurse–patient relationship Nursing Patient coping Patient experience Patients Person-centred care Persons Qualitative research

Journal

The Journal of hospital infection
ISSN: 1532-2939
Titre abrégé: J Hosp Infect
Pays: England
ID NLM: 8007166

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 22 03 2022
revised: 28 04 2022
accepted: 29 04 2022
pubmed: 14 5 2022
medline: 27 7 2022
entrez: 13 5 2022
Statut: ppublish

Résumé

Healthcare-associated infections (HAIs) are not present on admission but are contracted while a patient is undergoing hospital treatment. While the prevalence of HAIs, and their causes and treatments have been researched in various contexts to date, patients' perspectives of contracting and living with the consequences of an HAI remain under-researched. To explore patients' experiences of having an HAI. A qualitative phenomenological study that drew on data from semi-structured interviews was conducted in order to explore the lived experiences of patients who had recently contracted an HAI while in hospital. Participants were recruited from two Australian hospitals in 2019 and 2021. Telephone interviews were conducted with 10 participants by two research team members, and transcripts from these interviews were analysed qualitatively using a thematic coding process to identify the patients' perspectives of contracting an HAI. The participants had a range of different HAIs. The participants described how the experience of having an HAI can be very isolating and distressing from the patient's perspective, with life-long implications. This contributes to understanding of the way in which patients are impacted emotionally and mentally as a result of contracting an HAI. There is a need for improved, person-centred communication about the source, treatment and prognosis of HAIs. The findings from this study indicate the importance of considering patients' voices in their own health care.

Sections du résumé

BACKGROUND BACKGROUND
Healthcare-associated infections (HAIs) are not present on admission but are contracted while a patient is undergoing hospital treatment. While the prevalence of HAIs, and their causes and treatments have been researched in various contexts to date, patients' perspectives of contracting and living with the consequences of an HAI remain under-researched.
OBJECTIVE OBJECTIVE
To explore patients' experiences of having an HAI.
METHODS METHODS
A qualitative phenomenological study that drew on data from semi-structured interviews was conducted in order to explore the lived experiences of patients who had recently contracted an HAI while in hospital. Participants were recruited from two Australian hospitals in 2019 and 2021. Telephone interviews were conducted with 10 participants by two research team members, and transcripts from these interviews were analysed qualitatively using a thematic coding process to identify the patients' perspectives of contracting an HAI.
RESULTS RESULTS
The participants had a range of different HAIs. The participants described how the experience of having an HAI can be very isolating and distressing from the patient's perspective, with life-long implications. This contributes to understanding of the way in which patients are impacted emotionally and mentally as a result of contracting an HAI.
CONCLUSION CONCLUSIONS
There is a need for improved, person-centred communication about the source, treatment and prognosis of HAIs. The findings from this study indicate the importance of considering patients' voices in their own health care.

Identifiants

pubmed: 35562072
pii: S0195-6701(22)00128-1
doi: 10.1016/j.jhin.2022.04.014
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

93-102

Informations de copyright

Copyright © 2022 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Auteurs

B G Mitchell (BG)

School of Nursing and Midwifery, The University of Newcastle, Gosford, NSW, Australia; Avondale University, School of Nursing and School of Education, Lake Macquarie, NSW, Australia; School of Nursing and Midwifery, Monash University, Frankston, Victoria, Australia; Cabrini Health, Malvern, Victoria, Australia. Electronic address: brett.mitchell@newcastle.edu.au.

M Northcote (M)

Avondale University, School of Nursing and School of Education, Lake Macquarie, NSW, Australia.

C Rickett (C)

Avondale University, School of Nursing and School of Education, Lake Macquarie, NSW, Australia.

P L Russo (PL)

School of Nursing and Midwifery, Monash University, Frankston, Victoria, Australia; Cabrini Health, Malvern, Victoria, Australia.

M Amin (M)

Central Coast Local Health District, NSW Health, Australia.

F De Sousa (F)

Launceston General Hospital, Launceston, Tasmania, Australia.

K Pearce (K)

Avondale University, School of Nursing and School of Education, Lake Macquarie, NSW, Australia.

J Sim (J)

School of Nursing and Midwifery, The University of Newcastle, Gosford, NSW, Australia; School of Nursing, University of Wollongong, NSW, Australia; Australian Health Services Research Institute, University of Wollongong, Wollongong, NSW, Australia.

C Curryer (C)

NSW Regional Health Partners, Central Coast Local Health District Research Office, Gosford, NSW, Australia.

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Classifications MeSH