TY - JOUR
T1 - Perceived barriers to infection prevention and control for nursing home certified nursing assistants
T2 - A qualitative study
AU - Travers, Jasmine
AU - Herzig, Carolyn T.A.
AU - Pogorzelska-Maziarz, Monika
AU - Carter, Eileen
AU - Cohen, Catherine C.
AU - Semeraro, Patricia K.
AU - Bjarnadottir, Ragnhildur I.
AU - Stone, Patricia W.
N1 - Funding Information:
Funding sources: This study was funded by the National Institute of Nursing Research (NINR) ( R01NR013687 , T32NR013454 , F31NR015176 ). J.T. received additional support from the Jonas Center for Nursing and Veterans Healthcare . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the Jonas Center for Nursing and Veterans Healthcare.
Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/9
Y1 - 2015/9
N2 - Healthcare-associated infections, while preventable, result in increased morbidity and mortality in nursing home (NH) residents. Frontline personnel, such as certified nursing assistants (CNAs), are crucial to successful implementation of infection prevention and control (IPC) practices. The purpose of this study was to explore barriers to implementing and maintaining IPC practices for NH CNAs as well as to describe strategies used to overcome these barriers. We conducted a multi-site qualitative study of NH personnel important to infection control. Audio-recorded interviews were transcribed verbatim and transcripts were analyzed using conventional content analysis. Five key themes emerged as perceived barriers to effective IPC for CNAs: 1) language/culture; 2) knowledge/training; 3) per-diem/part-time staff; 4) workload; and 5) accountability. Strategies used to overcome these barriers included: translating in-services, hands on training, on-the-spot training for per-diem/part-time staff, increased staffing ratios, and inclusion/empowerment of CNAs. Understanding IPC barriers and strategies to overcome these barriers may better enable NHs to achieve infection reduction goals.
AB - Healthcare-associated infections, while preventable, result in increased morbidity and mortality in nursing home (NH) residents. Frontline personnel, such as certified nursing assistants (CNAs), are crucial to successful implementation of infection prevention and control (IPC) practices. The purpose of this study was to explore barriers to implementing and maintaining IPC practices for NH CNAs as well as to describe strategies used to overcome these barriers. We conducted a multi-site qualitative study of NH personnel important to infection control. Audio-recorded interviews were transcribed verbatim and transcripts were analyzed using conventional content analysis. Five key themes emerged as perceived barriers to effective IPC for CNAs: 1) language/culture; 2) knowledge/training; 3) per-diem/part-time staff; 4) workload; and 5) accountability. Strategies used to overcome these barriers included: translating in-services, hands on training, on-the-spot training for per-diem/part-time staff, increased staffing ratios, and inclusion/empowerment of CNAs. Understanding IPC barriers and strategies to overcome these barriers may better enable NHs to achieve infection reduction goals.
KW - Certified nursing assistants
KW - Healthcare-associated infections
KW - Infection prevention and control
KW - Nursing homes
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U2 - 10.1016/j.gerinurse.2015.05.001
DO - 10.1016/j.gerinurse.2015.05.001
M3 - Article
C2 - 26071320
AN - SCOPUS:84943584646
SN - 0197-4572
VL - 36
SP - 355
EP - 360
JO - Geriatric Nursing
JF - Geriatric Nursing
IS - 5
ER -