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Environmental hygiene, knowledge and cleaning practice: a phenomenological study of nurses and midwives during COVID-19 - 26/08/21

Doi : 10.1016/j.ajic.2021.04.080 
Cassie Curryer, PhD a, Philip L. Russo, PhD b, c, Martin Kiernan, MPH a, d, Karen D. Wares, M.Sc. a, Kate Smith, Grad Cert (Nurs) a, Brett G. Mitchell, PhD a, e,
a School of Nursing and Midwifery, University of Newcastle, Ourimbah, New South Wales, Australia 
b Department of Nursing Research, Cabrini Institute, Malvern, Victoria, Australia 
c Nursing and Midwifery, Monash University, Frankston, Victoria, Australia 
d Richard Wells Research Centre, University of West London, Brentford, United Kingdom 
e School of Nursing, Avondale College of Higher Education, Wahroonga, New South Wales, Australia 

Address correspondence to: Brett G. Mitchell, PhD, School of Nursing and Midwifery, The University of Newcastle, BE Building, 10 Chittaway Rd, Ourimbah NSW, Australia, 2258.School of Nursing and MidwiferyThe University of NewcastleBE Building, 10 Chittaway RdOurimbahNSW2258Australia

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Highlights

COVID-19 has highlighted the criticality of environmental cleanliness within clinical settings
Workplace factors and hospital design shape compliance with IPC policies
Nurses and midwives experienced significant knowledge and cleaning barriers during COVID-19
COVID-19 increased awareness about why IPC is critical, but compliance may be short-lived
Achieving good compliance demands a concentrated team effort and continual, tailored learning.

El texto completo de este artículo está disponible en PDF.

Abstract

Background

Environmental cleanliness is a fundamental tenet in nursing and midwifery but often overshadowed in practice. This study explored nurses’ and midwives’ knowledge and experiences of infection prevention and control (IPC) processes and cleaning, and perceptions about workplace risk-management during COVID-19.

Methods

Six registered and enrolled nurses (one with dual midwife qualifications) were recruited. In-depth telephone interviews were analyzed using Colaizzi's phenomenological method.

Results

Four major themes were identified: Striving towards environmental cleanliness; Knowledge and learning feeds good practice; There's always doubt in the back of your mind; and COVID has cracked it wide open. These articulate the nurses’ and midwives’ experiences and knowledge of IPC, particularly during COVID-19.

Discussion

The findings emphasize the dynamic, interdependent nature of clinical (time, staff knowledge and compliance, work processes, hospital design) and organizational contexts and environmental cleanliness, which must be constantly maintained. COVID-19 opened up critical insights regarding poor past practices and lack of IPC compliance.

Conclusions

COVID-19 has highlighted the criticality of environmental cleanliness within clinical and community settings. Evidence-based, experiential learning is important for nurses and midwives at all career stages, but provides only one solution. Clinician-led hospital design may also reduce the spread of infection; thus, promoting better patient care.

El texto completo de este artículo está disponible en PDF.

Key Words : Infection prevention and control, Compliance, Shared patient equipment, Hospital design, Evidence-based learning, Organisational contexts


Esquema


 Funding: This study received no external funding.


© 2021  Association for Professionals in Infection Control and Epidemiology, Inc.. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 49 - N° 9

P. 1123-1128 - septembre 2021 Regresar al número
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