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AN10436699V21pp107-121.pdf884.06 kBAdobe PDF見る/開く
タイトル: 病床規模の異なる6病院における感染対策の実態
その他のタイトル: Current Status of Infection Control among 6 Different-Sized Hospitals
著者: 佐藤, 淑子 link image; 平尾, 百合子 link image
著者(別表記) : Sato, Yoshiko; Hirao, Yuriko
著者読み: さとう, よしこ; ひらお, ゆりこ
キーワード: infection control; infection control team; hospitals with 100-200 beds; hospitals with more than 800 beds
発行日: 2013年 3月 1日
出版者: 奈良女子大学社会学研究会
引用: 佐藤淑子・平尾百合子:奈良女子大学社会学論集, 第21号, pp.107-121
抄録: To determine the state of hospital infection control systems, we had conducted an interview survey among infection control nurses at 21 hospitals with ≥100 beds in 2008. In the present study, we focused on three major hospitals (≥800 beds) and three small-scale hospitals (100–200 beds) with and without a full-time certified nurse infection control staff, respectively. Here we investigated the infection control-related systems, activities performed, associated problems, and measures taken to control infection. At each small-scale hospital, the infection control teams (ICTs) were composed of different members, and surveillance was either in the preparatory stages or had just been initiated. However, initiatives such as staff training, in-hospital rounds and promote appropriate antimicrobial use were being implemented at both the small-scale and major hospitals. Infection control problems encountered at both the small-scale and major hospitals were related to “coordination and cooperation among the staff,” “staff shortages and hectic schedules,” “infection control costs,” “infection prevention measures taken by staff and staff training” and “implementation of surveillance.” The problems of “infection control manual utilization” and “application of evaluation criteria” were limited to the small-scale hospitals. Associated measures for these problems included “responding to staff shortage,” “responding to equipment and funding shortage,” “effective staff training,” “response to infectious disease outbreaks,” and “division of roles for infection control measures” at both the small-scale and major hospitals, whereas “measures to acquire in-hospital cooperation” were limited to the major hospitals. Our results suggested the presence of serious cost-related infection control problems at small-scale hospitals and the harmful influence of a large number of trainee nurses at major hospitals. The members of the ICT may experience psychological stress during the intervention phases to the infectious disease treatment by the attending physicians.
URI: http://hdl.handle.net/10935/3736
ISSN: 1340-4032
出現コレクション:21号

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