Igneous petrogenesis and tectonic setting of plutonic and volcanic rocks of the Cordillera de Talamanca, Costa Rica-Panama, Central American arc

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ID: 295614
1995
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Abstract

Background

Isolation-based practices in nursing homes (NHs) differ from those in acute care. NHs must promote quality of life while preventing infection transmission. Practices used in NHs to reconcile these goals of care have not been characterised.

Purpose

To explore decision-making in isolation-based infection prevention and control practices in NHs.

Methods

A qualitative study was conducted with staff (eg, staff nurses, infection prevention directors and directors of nursing) employed in purposefully sampled US NHs. Semistructured, role-specific interview guides were developed and interviews were digitally recorded, transcribed verbatim and analysed using directed content analysis. The research team discussed emerging themes in weekly meetings to confirm consensus.

Results

We inferred from 73 interviews in 10 NHs that there was variation between NHs in practices regarding who was isolated, when isolation-based practices took place, how they were implemented, and how they were tailored for each resident. Interviewees’ decision-making depended on staff perceptions of acceptable transmission risk and resident quality of life. NH resources also influenced decision-making, including availability of private rooms, extent to which staff can devote time to isolation-based practices and communication tools. A lack of understanding of key infection prevention and control concepts was also revealed.

Conclusions and implications

Current clinical guidelines are not specific enough to ensure consistent practice that meets care goals and resource constraints in NHs. However, new epidemiological research regarding effectiveness of varying isolation practices in this setting is needed to inform clinical practice. Further, additional infection prevention and control education for NH staff may be required.
Reference Key
openalex_W2321470230 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Mark S. Drummond, Marc J. Bordelon, Jelle Zeilinga de Boer, Marc J. Defant, Hervé Bellón, Mark D. Feigenson
Journal american journal of science
Year 1995
DOI
10.2475/ajs.295.7.875
URL
https://ajs.scholasticahq.com/article/60691.pdf
Keywords Keywords not found

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