Supporting Patients and Their Carers to Participate in Infection Prevention and Control Activities: The Views of Patients, Family Members and Hospital Staff From Bangladesh, Indonesia, and South Korea
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Journal Article
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Elsevier
Abstract
BACKGROUND: Hand hygiene reminders for healthcare workers (HCWs) are commonly used to empower patients. However, this approach overlooks the role of family carers in delivering direct contact care in Asian countries. Limited knowledge exists regarding empowerment strategies for patients and their family carers in infection prevention and control (IPC) recommendations. This study aimed to provide a comprehensive exploration of IPC empowerment within the context of family involvement in care provision across Bangladesh, Indonesia, and South Korea METHOD: In-depth interviews were conducted in five tertiary-level hospitals in Bangladesh, Indonesia, and South Korea. A total of 64 participants through 57 group interviews were interviewed, comprising two groups: 1) patients and family/private carers; and 2) HCWs. RESULT: The study identified barriers to engaging patients and family carers in IPC measures. These included concerns about the patient-HCW hierarchical relationship, lack of knowledge about healthcare-associated infection, IPC, and patient zone, perceptions of IPC as a barrier to family connections, and disempowerment of patients in IPC due to family bonds. CONCLUSION: This study provides diverse perspectives on IPC empowerment, revealing challenges faced by patients, family carers, and HCWs. The interlaced relationship established by social norms of family carer provision hinders the empowerment of family carers. Acknowledging the cultural influence on healthcare arrangements and its implication for IPC empowerment is crucial in mitigating these barriers.Description
Keywords
Family caregiver, Hand Hygiene, Healthcare-associated infection, Infection, Informal caregiver, Patient empowerment, prevention and control, Family caregiver, Hand hygiene, Healthcare–associated infection, Infection control, Informal caregiver, Patient empowerment, 4203 Health Services and Systems, 4205 Nursing, 42 Health Sciences, Clinical Research, Infectious Diseases, 7.1 Individual care needs, 7 Management of diseases and conditions, 3 Good Health and Well Being, 1110 Nursing, 1117 Public Health and Health Services, Epidemiology, 3202 Clinical sciences, 4202 Epidemiology, 4206 Public health
Source
American Journal of Infection Control, ISSN: 0161-6005 (Print); 1527-3296 (Online), Elsevier, 52(2), 200-206. doi: 10.1016/j.ajic.2023.06.019
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© 2023 The Author(s). Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc. This is an open access article
under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).