Implementation and Barriers in Prevention of Multidrug-Resistant Organisms Transmission Among Community Hospitals
Keywords:
Multidrug-resistant organisms, Implementation, Barriers, Prevention, Community hospitalsAbstract
Healthcare-associated infections caused by multidrug resistant organisms (MDROs) have been steadily increasing. Implementation of MDRO transmission prevention in hospitals is necessary. The purpose of this descriptive study was to determine the implementations and barriers of MDRO transmission prevention in community hospitals. The study sample included 182 infection control nurses in community hospitals. Data were collected from October to December 2017. The research instrument was a questionnaire consisting of four parts: participant background information, hospital information, MDRO transmission prevention implementations, and MDRO transmission prevention barriers. The content validity of the questionnaire was examined by six experts with the content validity index of 0.97 and 0.98 for the implementation and barrier sections. The reliability of the implementation and barriers part were 0.94 and 0.95, respectively. Data were analyzed using descriptive statistics.
Research findings revealed that the activities that had at least 80% implementation by community hospitals were environment control (94.1%), isolation precautions (90.4%), disinfection and sterilization (87.4%) and referral systems (87.4%). The activities that had less than 80% implementation rate included education for healthcare workers, patients and their relatives (79.4%), specimen collection (78.6%), appropriate antimicrobial use (66.8%), MDRO surveillance (65.4%), administrative support (64.9%), and communication (60.0%). The greatest barriers in implementing MDRO transmission precautions were personnel (37.7%), followed by budget (35.6%), materials (34.0%) and administrative (32.7%).
The research results indicated the necessity of encouraging community hospitals to improve MDRO transmission prevention, especially in activities which are implemented less frequently. More support is needed to help community hospitals prevent MDRO transmission more effectively.
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