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Hygiejnesygeplejerskers udfordringer med de infektionshygiejniske retningslinjer i forhold til forebyggelse af smitte med antibiotikaresistente bakterier
Nordic Council of Ministers, Nordic School of Public Health NHV.
2014 (Danish)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
Infections control nurses’ views on challenges regarding infection control guidelines and preventing infections caused by multi-drug resistant microorganismsin Denmark (English)
Abstract [da]

Formål:Formålet med studiet var at få en forståelse af hvordan hygiejnesygeplejersker i Danmark oplever, at de nationale infektionshygiejniske retningslinjer er anvendelige og relevante i arbejdet med at forebygge smitte med antibiotikaresistente bakterier. Desuden var der en forventning om, at studiet kunne belyse om der var behov for eller ønske om at optimere eller revurdere det infektionshygiejniske fokus på forebyggelse af smitte med antibiotikaresistente bakterier i forhold til de generelle og supplerende infektionshygiejniske retningslinjer.

Metode: Studiet var et kvalitativ studie, hvor det empiriske materiale blev indsamlet i fem fokusgruppeinterviews med i alt 24 danske hygiejnesygeplejersker Til analysen blev der anvendt systematisk tekstkondensering. Den teoretiske og begrebsmæssige ramme omfattede Antonovsky`s teori om Salutogenese, Kommunikation, og Health literacy.

Resultater: Hygiejnesygeplejerskerne fandt varierende støtte i retningslinjerne, som de opfattede som deres teoretiske fundament og som den ramme, de arbejdede ud fra. Deoplevededesuden en stor udfordring i at få de nationale retningslinjer gjort anvendelige i praksis. Dele af sundheds-personalet havde ikke de fornødne forudsætninger for at kunne læse og forståden skrevne tekst, bl.a. fordi demanglede grundlæggende viden om hygiejne. Der var derfor enighed om at retningslinjerne ikke kunne stå alene, men skulle oversættes og suppleres med tilstedeværelse i praksis. Kendskabet og tilgængeligheden til retningslinjerne varierede hos sundhedspersonalet ogdettevar,sammenholdt med hospitalernes indretning og økonomiske prioritering,med til at gøre retningslinjernes anvendelighed i praksis problematisk. Samtidig udtrykte hygiejnesygeplejerskerne manglende tillid til udviklingen afretningslinjerne og opfordrede til nytænkning, specielt mindre fokus på de supplerende og øget fokuspå de generelle retningslinjer.

Konklusion: Der er behov for at revurderefokus for forebyggelse af smitte med antibiotikaresistente bakterier. Desuden bør man fra national side initiere et samarbejde som kan optimere indhold, kommunikation og layout af de infektionshygiejniske retningslinjer for derigennem at gøre dem mere forståelige, anvendelige og relevante i arbejdet med at forebygge smitte med antibiotika-resistente bakterier.

Abstract [en]

Objectives:This study aimed to understandwhetherinfection control nurses in Denmark considerthe national guidelines on infection control asuseful and relevant regarding multi-drug resistant microorganisms. We also aimedto identify potential needs and wishes to optimizeor reconsider the general and supplementary guidelines on infection controlas applied to preventing multi-drug resistant microorganisms.

Methods: This qualitative study collected data from 24 Danish infection control nursesin 5 focus group discussions. Data was analyzedusing systematic text condensation. The theoretical and conceptual frame included Antonovsky’s theory of salutogenesis, communication, and health literacy.

Results: Participants experienced varying levels of support from the guidelines,but mainly perceived them as a theoretical foundation and framework. They saw a great challenge in making the guidelines understandable in practice. Due to language difficulties and lake of helth literacy, some health care professionals lacked elementary knowledge of hygiene because they were unable to read and understand the text. Accordingly, the guidelines required translation and follow up in practice. The health care professionals’ knowledge and ability to access the guidelines also varied. Combined these challenges with hospitals’ arrangements and economic priorities,the guidelines’practicability was problematic. Furthermore, participants distrusted the guidelines’development processand called a new perspective that focuses less focus on making more supplementary guidelines and instead focus more on the general guidelines.

Conclusions: Denmark should reconsider its level of focus on preventing multi-drug resistant microorganisms. A national collaboration could optimizethe contents, layout, and communication of the guidelines to make them understandable, useful,and relevant in preventing infections caused by multi-drug resistant microorganisms

Place, publisher, year, edition, pages
2014. , 51 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2014:19
Keyword [en]
infection control nurses, guidelines on infection control, sense of coherence; communication, health literacy, health promotion
Keyword [da]
hygiejnesygeplejersker, infektionshygiejniske retningslinjer, sense of coherence, kommunikation, health literacy, sundhedsfremme
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3580OAI: oai:DiVA.org:norden-3580DiVA: diva2:778164
Presentation
2014-09-12, Nordic School of Public Health NHV, Box 12133, 402 42 Göteborg, 14:23 (Danish)
Supervisors
Note

ISBN 978-91-86739-84-3

Available from: 2015-01-19 Created: 2015-01-09 Last updated: 2015-01-19Bibliographically approved

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