IMpleMenting Effective infection prevention and control in ReSidential aged carE (IMMERSE): protocol for a multi-level mixed methods implementation study

BMC Geriatrics

Study Protocol

Deirdre Fetherstonhaugh¹  Michael Murray²  Judy McCahon³  Joanne Tropea⁴  Wen K. Lim⁴  Paul Yates⁵  Craig Aboltins⁶  Caroline Marshall⁷  Jason Kwong⁸  Douglas Johnson⁹  Karrie Long^1,10  Madelaine Flynn^1,11  Jill J. Francis^1,12  Sanne Peters^1,13  Lyn-li Lim^1,14  Noleen Bennett^1,15  Kirsty Buising^1,16 

[1]Australian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, 3086, Bundoora, VIC, Australia

[2]Australian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, 3086, Bundoora, VIC, Australia

[3]Department of Geriatric Medicine, 3084, Austin Health, Heidelberg, VIC, Australia

[4]Department of Medicine – Austin Health, University of Melbourne, 3084, Heidelberg, VIC, Australia

[5]Consumer Representative of the IMMERSE Research Team, and Melbourne Academic Centre for Health, Parkville VIC 3050, Australia

[6]Department of Aged Care, Royal Melbourne Hospital, Level 8 CRM, 300 Grattan Street, 3050, Parkville, VIC, Australia

[7]Department of Medicine – Royal Melbourne Hospital, University of Melbourne, 3010, Parkville, VIC, Australia

[8]Department of Geriatric Medicine, 3084, Austin Health, Heidelberg, VIC, Australia

[9]Department of Medicine – Austin Health, University of Melbourne, 3084, Heidelberg, VIC, Australia

[10]Department of Infectious Diseases, Northern Health, 3076, Epping, Vic, Australia

[11]Department of Medicine, Northern Clinical School, University of Melbourne, Epping VIC 3076, Australia

[12]Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne VIC 3000, Australia

[13]Infection Prevention and Surveillance Service, Royal Melbourne Hospital, 3050, Parkville, VIC, Australia

[14]Department of Medicine – Austin Health, University of Melbourne, 3084, Heidelberg, VIC, Australia

[15]Department of Infectious Diseases, Austin Health, Heidelberg VIC 3084, Australia

[16]Department of Microbiology & Immunology, University of Melbourne at the Peter Doherty Institute for Infection & Immunity, Melbourne VIC 3000, Australia

[17]Department of Medicine – Royal Melbourne Hospital, University of Melbourne, 3010, Parkville, VIC, Australia

[18]Departments of General Medicine and Infectious Diseases, Royal Melbourne Hospital, Parkville VIC 3050, Australia

[19]Director Nursing Research Hub, Royal Melbourne Hospital, Parkville VIC 3050, Australia

[20]Director of Infection Prevention, Northern Health, 3076, Epping, VIC, Australia

[21]Victorian Aged Care Response Centre, Australian Department of Health, Melbourne VIC 3000, Australia

[22]School of Health Sciences, University of Melbourne, 3010, Parkville, VIC, Australia

[23]Department of Health Services Research, Peter MacCallum Cancer Centre, 3000, Melbourne, VIC, Australia

[24]Department of Oncology, Sir Peter MacCallum, University of Melbourne, 3010, Parkville, VIC, Australia

[25]Ottawa Hospital Research Institute – General Campus, Centre for Implementation Research, 501 Smyth Road, K1H 8L6, Ottawa, ON, Canada

[26]School of Health Sciences, University of Melbourne, 3010, Parkville, VIC, Australia

[27]Department of Public Health and Primary Care, University of Leuven, KU Leuven, Louvain, Belgium

[28]Victorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Centre and Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne VIC 3000, Australia

[29]Victorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Centre and Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne VIC 3000, Australia

[30]Department of Infectious Diseases, National Centre for Antimicrobial Stewardship, University of Melbourne, 3000, Melbourne, VIC, Australia

[31]Department of Nursing, School of Health Sciences, University of Melbourne, 3010, Parkville, VIC, Australia

[32]Victorian Infectious Diseases Service, Royal Melbourne Hospital, 3050, Parkville, VIC, Australia

[33]Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne VIC 3000, Australia

关键词: Infection prevention and control;    Nursing homes;    Residential aged care;    Best practice;    Implementation science;    Organisational readiness;    Behaviour change;    Mixed methods;   

DOI  :  10.1186/s12877-023-03766-9

 received in 2022-07-18, accepted in 2023-01-19,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundOlder people living in residential aged care facilities are at high risk of acquiring infections such as influenza, gastroenteritis, and more recently COVID-19. These infections are a major cause of morbidity and mortality among this cohort. Quality infection prevention and control practice in residential aged care is therefore imperative. Although appointment of a dedicated infection prevention and control (IPC) lead in every Australian residential aged care facility is now mandated, all people working in this setting have a role to play in IPC. The COVID-19 pandemic revealed inadequacies in IPC in this sector and highlighted the need for interventions to improve implementation of best practice.MethodsUsing mixed methods, this four-phase implementation study will use theory-informed approaches to: (1) assess residential aged care facilities’ readiness for IPC practice change, (2) explore current practice using scenario-based assessments, (3) investigate barriers to best practice IPC, and (4) determine and evaluate feasible and locally tailored solutions to overcome the identified barriers. IPC leads will be upskilled and supported to operationalise the selected solutions. Staff working in residential aged care facilities, residents and their families will be recruited for participation in surveys and semi-structured interviews. Data will be analysed and triangulated at each phase, with findings informing the subsequent phases. Stakeholder groups at each facility and the IMMERSE project’s Reference Group will contribute to the interpretation of findings at each phase of the project.DiscussionThis multi-site study will comprehensively explore infection prevention and control practices in residential aged care. It will inform and support locally appropriate evidence-based strategies for enhancing infection prevention and control practice.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 1