Handwashing: answering questions and pursuing compliance.
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Biomedical subjects
Publications and source records attributed to E A Jenner.
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The Diploma in Hospital Infection Control (DipHIC) was established by the Hospital Infection Society (HIS), the London School of Hygiene and Tropical Medicine (LSHTM) and the Public Health Laboratory Service (PHLS) in 1997 and has now completed two examinations. We outline progress since the announcement of the diploma and changes to the written examination and reflective portfolio. The reflective process is described and guidance provided to active infection control practitioners wishing to consider application for the diploma by accreditation of prior learning.
This review sets out to explore how education and training provisions for members of the Infection Control Team (ICT) have developed alongside their roles and in response to changes in the British National Health Service. It focuses on the Consultant in Communicable Disease Control, the Infection Control Doctor and the Infection Control Nurse in the United Kingdom, but also briefly considers approaches adopted by other countries. Future developments should include maximizing information technology for delivering teaching materials, shared learning and improvements to pre-registration curricula for both doctors and nurses.
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This paper arises out of two workshop sessions held at the fourth meeting of the Federation of Infection Societies, Manchester, 1997. The aims of the workshops were, first, to identify the factors which impede the process of translating research findings into infection control practice and second, to suggest how these barriers may be overcome. Key points from the workshops are presented within an idealized framework of creating, implementing and maintaining evidence-based infection control practice. This lends structure to our exploration of the evidence underlying infection control guidance and the reasons why such guidance often does not result in appropriate action by healthcare workers. The strengths and weaknesses of each stage of the process are examined, using examples provided by participants at the workshop.
A case study analysis of a trust hospital piloting patient-focused care (PFC) on two wards was undertaken with a view to determining the education and training needs of registered nurses. The impact of PFC on the roles of the nurses was examined and nurses' perceptions of their training needs, and the extent to which these have been met was explored. The competency model which has been operationalized to meet the training needs was also determined. Twenty-three members of staff were interviewed including members of the project team, care leaders (registered nurses), managers and trainers, and various documents were examined. Multi-skilling of staff has so far been limited to nurses. The cross-training programme developed, which is far from complete, is based on a model of competence which focuses on specific task skills. It is suggested that an 'output' model of competence which focuses on the whole work role may be more appropriate for qualified nurses vested with the co-ordination of care in accordance with multi-disciplinary protocols. In addition, given that a whole range of 'soft skills' are needed to manage the changing role boundaries, Spencer's model of competency is also an appropriate model to adopt for the identification of superior performance from both care leaders and clinical managers. Implications for both pre- and post-registration education and training are highlighted. Inadequate resourcing is currently a major weakness which could jeopardize the entire project which otherwise is viewed very favourably by the majority of those who participated in this study.
This article explores implications of Patient-Focused Care (PFC) for the education and training of nurses. It does so by examining various models of competence and their strengths and limitations as bases for developing training programmes. It cautions against attempting to transpose an approach to training based on the U.S.A. model of PFC without modification, given the differing nursing roles in the U.K. PFC setting. It argues for a broad-based definition of competence rather than a narrower focus on training in specific skills alone.
An outbreak of gentamicin-methicillin-resistant Staphylococcus aureus (gentamicin-resistant MRSA) which occurred during 1983-84 at the Whittington Hospital, London, is described. This involved a total of 40 patients and staff and was largely confined to a urology ward. Seventeen of the patients had catheter-associated infections, 11 had wound infections and five had simultaneous infections of the urine and wound. Six members of staff and one patient were colonized with gentamicin-resistant MRSA. Vigorous and extensive infection control methods were carried out together with the use of a topical antibacterial nasal cream, mupirocin (pseudomonic acid). Seventeen patients and staff were treated with this agent and all were cleared of the original gentamicin-resistant MRSA. Sixteen patients who were not treated with mupirocin were discharged home still carrying the epidemic strain. Sporadic cases of gentamicin-resistant MRSA still occur at infrequent intervals.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.