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Background: As an emerging infectious disease with a heterogenous and uncertain transmission pattern, coronavirus disease 2019 (COVID-19) has created a catastrophe in healthcare-associated infections (HAIs) and posed a significant challenge to infection control practices (ICPs) in healthcare settings. While the unique characteristics of psychiatric patients and clinical settings may make the implementation of ICPs difficult, evidence is lacking for compliance with ICPs among healthcare workers (HCWs) in a psychiatric setting during the COVID-19 pandemic.

Methods: A cross-sectional multi-method study based on participant unobtrusive observation coupled with the completion of a self-administered ICP survey was conducted to assess compliance with ICPs among HCWs in a psychiatric inpatient ward in a regional hospital. An online checklist, called eRub, was used to record the performance of HCWs in hand hygiene (HH) and other essential ICPs. Furthermore, a well-validated questionnaire (i.e., Compliance with Standard Precautions Scale, CSPS) was used to collect the participants' self-reported ICP compliance for later comparison.

Results: A total of 2,670 ICP opportunities were observed from January to April 2020. The overall compliance rate was 42.6%. HCWs exhibited satisfactory compliance to the wearing of mask (91.2%) and the handling of clinical waste (87.5%); suboptimal compliance to the handling of sharp objects (67.7%) and linen (72.7%); and poor compliance to HH (3.3%), use of gloves (40.9%), use of personal protective equipment (20%), and disinfection of used surface/area (0.4%). The compliance rates of the nurses and support staff to HH were significantly different (χ 2 = 123.25, p < 0.001). In the self-reported survey, the overall compliance rate for ICPs was 64.6%.

Conclusion: The compliance of HCWs in a psychiatric inpatient ward to ICPs during the COVID-19 pandemic ranged from poor to suboptimal. This result was alarming. Revisions of current ICP guidelines and policies that specifically target barriers in psychiatric settings will be necessary.

Titel:	Compliance of healthcare workers in a psychiatric inpatient ward to infection control practices during the COVID-19 pandemic: a participant observation study supplemented with a self-reported survey.
Autor/in / Beteiligte Person:	Lau, LHW ; Lam, QSK ; Siu, MMY ; Tang, TSK ; Suen, LKP ; Lam, SC
Link:	Zum Volltext
Zeitschrift:	BMC infectious diseases, Jg. 24 (2024-06-17), Heft 1, S. 592
Veröffentlichung:	London : BioMed Central, [2001-, 2024
Medientyp:	academicJournal
ISSN:	1471-2334 (electronic)
DOI:	10.1186/s12879-024-09429-3
Schlagwort:	Humans Cross-Sectional Studies Surveys and Questionnaires Male SARS-CoV-2 Female Cross Infection prevention & control Hand Hygiene statistics & numerical data Adult Middle Aged Psychiatric Department, Hospital Personal Protective Equipment statistics & numerical data COVID-19 prevention & control COVID-19 epidemiology Infection Control methods Health Personnel psychology Guideline Adherence statistics & numerical data Self Report
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Observational Study Language: English [BMC Infect Dis] 2024 Jun 17; Vol. 24 (1), pp. 592. <i>Date of Electronic Publication: </i>2024 Jun 17. MeSH Terms: COVID-19* / prevention & control ; COVID-19* / epidemiology ; Infection Control* / methods ; Health Personnel* / psychology ; Guideline Adherence* / statistics & numerical data ; Self Report* ; Humans ; Cross-Sectional Studies ; Surveys and Questionnaires ; Male ; SARS-CoV-2 ; Female ; Cross Infection / prevention & control ; Hand Hygiene / statistics & numerical data ; Adult ; Middle Aged ; Psychiatric Department, Hospital ; Personal Protective Equipment / statistics & numerical data References: BMC Nurs. 2011 Jan 21;10:1. (PMID: 21255419) ; J Hosp Infect. 2020 Aug;105(4):779-781. (PMID: 32422309) ; Antimicrob Resist Infect Control. 2021 Jan 6;10(1):7. (PMID: 33407833) ; J Hosp Infect. 2003 Aug;54(4):258-66; quiz 321. (PMID: 12919755) ; J Infect Public Health. 2017 Jul - Aug;10(4):421-430. (PMID: 27425794) ; J Environ Public Health. 2017;2017:2050635. (PMID: 28191020) ; Infect Drug Resist. 2018 Nov 15;11:2321-2333. (PMID: 30532565) ; Am J Infect Control. 2015 Jul 1;43(7):769-72. (PMID: 25934059) ; Infect Control Hosp Epidemiol. 2020 Oct;41(10):1196-1206. (PMID: 32408911) ; Nurs Stand. 2004 Jun 16-22;18(40):45-51; quiz 52, 54. (PMID: 15224614) ; Int J Nurs Stud. 2011 Dec;48(12):1533-9. (PMID: 21803354) ; Am J Infect Control. 2016 Jan 1;44(1):8-13. (PMID: 26341402) ; CMAJ. 2020 May 11;192(19):E511-E515. (PMID: 32332040) ; Am J Infect Control. 2020 Aug;48(8):964-965. (PMID: 32405127) ; J Hosp Infect. 2012 Jun;81(2):98-103. (PMID: 22560251) ; Int J Nurs Pract. 2020 Jun;26(3):e12839. (PMID: 32304177) ; J Hosp Infect. 2010 Aug;75(4):299-303. (PMID: 20199822) ; J Hosp Infect. 2004 Jun;57(2):162-9. (PMID: 15183248) ; Nurs Health Sci. 2011 Mar;13(1):53-9. (PMID: 21352434) ; Clinics (Sao Paulo). 2023 Jun 13;78:100231. (PMID: 37348255) ; BMC Infect Dis. 2021 Jan 14;21(1):75. (PMID: 33446137) ; Infect Control Hosp Epidemiol. 2009 May;30(5):415-9. (PMID: 19344264) ; J Hosp Infect. 2015 May;90(1):10-1. (PMID: 25737090) ; Hong Kong Med J. 2008 Aug;14 Suppl 4:44-7. (PMID: 18708675) ; Bull World Health Organ. 2020 Jul 01;98(7):475-483. (PMID: 32742033) ; Health Educ Res. 2015 Dec;30(6):959-70. (PMID: 26590244) ; Am J Infect Control. 2017 Apr 1;45(4):389-395. (PMID: 27986296) ; BMJ Open. 2022 Jun 13;12(6):e054837. (PMID: 35697439) ; Asian J Psychiatr. 2020 Dec;54:102270. (PMID: 32619835) ; PLoS Med. 2021 Oct 12;18(10):e1003816. (PMID: 34637439) ; Front Public Health. 2022 Jul 18;10:878396. (PMID: 35923958) ; J Hosp Infect. 2021 Feb;108:94-103. (PMID: 33271215) ; Rev Lat Am Enfermagem. 2017 Mar 02;25:e2850. (PMID: 28301030) ; Int J Environ Res Public Health. 2021 Mar 25;18(7):. (PMID: 33806138) ; Infect Control Hosp Epidemiol. 2006 Sep;27(9):931-4. (PMID: 16941318) ; Infect Control Hosp Epidemiol. 2005 Mar;26(3):312-5. (PMID: 15796286) ; Int J Nurs Stud. 2012 Aug;49(8):953-68. (PMID: 22459981) ; Infect Control Hosp Epidemiol. 2011 Dec;32(12):1194-9. (PMID: 22080658) ; Indian J Crit Care Med. 2019 May;23(5):224-226. (PMID: 31160839) ; J Hosp Infect. 2024 Apr;146:76-81. (PMID: 38141665) ; Infect Control Hosp Epidemiol. 2014 May;35(5):547-55. (PMID: 24709724) ; Infect Control Hosp Epidemiol. 2013 Jan;34(1):80-8. (PMID: 23221197) ; Int J Environ Res Public Health. 2019 Nov 27;16(23):. (PMID: 31783559) ; Int J Environ Res Public Health. 2019 Jan 04;16(1):. (PMID: 30621210) ; Am J Infect Control. 2008 Dec;36(10):739-42. (PMID: 18945523) Contributed Indexing: Keywords: COVID-19; Healthcare workers; Observational study; Psychiatric ward; Self-reported survey; Standard precautions Entry Date(s): Date Created: 20240617 Date Completed: 20240618 Latest Revision: 20240620 Update Code: 20240620 PubMed Central ID: PMC11181547

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Compliance of healthcare workers in a psychiatric inpatient ward to infection control practices during the COVID-19 pandemic: a participant observation study supplemented with a self-reported survey.