COVID-19, infection prevention and control within acute inpatient mental health facilities: a new challenge requiring a new approach

2020 ◽  
Vol 16 (2) ◽  
pp. 69-74
Author(s):  
Lisa McLean ◽  
Louise Forrester

Mental Health inpatient units have a primary purpose of treating mental health problems, managing disturbance and promoting social contact and support networks. These factors can conflict with optimal infection prevention and control (IPC) measures.<br/> This commentary describes an IPC perspective of the challenges in managing the effects of the COVID-19 pandemic that are specific to acute mental health settings. It points out the main areas for IPC and mental health practice development.<br/> The need for a new paradigm in the relationship between IPC and mental health specialists is identified. Recent collaboration between mental health and IPC specialists in evaluating personal protective equipment (PPE) for use in restraint is outlined.

2020 ◽  
Author(s):  
Daniel Poremski ◽  
Sandra Henrietta Subner ◽  
Grace Lam Fong Kin ◽  
Raveen Dev Ram Dev ◽  
Mok Yee Ming ◽  
...  

The Institute of Mental Health in Singapore continues to attempt to prevent the introduction of COVID-19, despite community transmission. Essential services are maintained and quarantine measures are currently unnecessary. To help similar organizations, strategies are listed along three themes: sustaining essential services, preventing infection, and managing human and consumable resources.


2019 ◽  
Author(s):  
Asep Rahmadiana ◽  
Ati Surya Mediawati ◽  
Irman Somantri

Background: Infection Prevention and Control Program (ICP) is very important to be implemented in hospitals to protect patients, officers, visitors, and families from the risk of infection. IPCLN (Infection Prevention and Control Link Nurse) as a PPI program implementer in a hospital is expected to be able to carry out its duties to monitor health personnel compliance with standard precautions. Objectives:This study aims to identify the relationship between nurses’ perceptions of IPCLN supervision and compliance withhandhygieneofnursesattheHospitalinTasikmalayaCity. Methods:The research method used is quantitative research with descriptive correlation design usinga cross sectional approach with a population of implementing nurses in 16 inpatients with a totalsampleof152implementingnurses.Analysisofresearchdatawithnonparametric statistics, with Mann Whitney’s test. Results: Results nurse’s perception of effective IPCLN supervision was 50.7%, and adhrence hand hygiene is mean 69.96%. The relationship between IPCLN supervision and compliance with hand hygiene ρ-value 0.006. Conclusion: The implications of this study indicate that nurses ’perceptions of effective supervision will be able to improve compliance with nurses’ hand hygiene when taking nursing care actions. To hospital management, there needs to be an increase in understanding of IPCLN about the importance of supervising implementing nurses when providing care with resocialization of tasks and IPCLN functions.  


2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Walelegn Worku Yallew ◽  
Abera Kumie ◽  
Feleke Moges Yehuala

Healthcare workers have good perception towards infection prevention, but there has been a poor practice towards it. Therefore, the aim of this study was to explore barriers to practice of infection prevention and control practice in teaching hospitals in Amhara region. A phenomenological approach used to explore the lived experience of healthcare workers and management staffs towards infection prevention practice and control. The data was collected from ten in-depth interviews and 23 focus group discussion participants, by face to face interview using open ended interview performed in safe and quiet places. Data was managed using OpenCode software version 4.03 and contents were analyzed thematically. Totally ten different barriers were identified, such as availability of facilities, shortage of material supply, lack of maintenance of facilities and equipment, high patient flow, experience, emergency situation, healthcare worker behaviour and healthcare worker’s information about infection prevention, low awareness of patients and visitors and overflow of families and visitors to the hospital. For effective infection prevention practice implementation, barriers should be considered via identifying specific organizational, healthcare worker, patients and visitors as targets.


2021 ◽  
pp. 175717742110127
Author(s):  
Salma Abbas ◽  
Faisal Sultan

Background: Patient and staff safety at healthcare facilities during outbreaks hinges on a prompt infection prevention and control response. Physicians leading these programmes have encountered numerous obstacles during the pandemic. Aim/objective: The aim of this study was to evaluate infection prevention and control practices and explore the challenges in Pakistan during the coronavirus disease 2019 pandemic. Methods: We conducted a cross-sectional study and administered a survey to physicians leading infection prevention and control programmes at 18 hospitals in Pakistan. Results: All participants implemented universal masking, limited the intake of patients and designated separate triage areas, wards and intensive care units for coronavirus disease 2019 patients at their hospitals. Eleven (61%) physicians reported personal protective equipment shortages. Staff at three (17%) hospitals worked without the appropriate personal protective equipment due to limited supplies. All participants felt overworked and 17 (94%) reported stress. Physicians identified the lack of negative pressure rooms, fear and anxiety among hospital staff, rapidly evolving guidelines, personal protective equipment shortages and opposition from hospital staff regarding the choice of recommended personal protective equipment as major challenges during the pandemic. Discussion: The results of this study highlight the challenges faced by physicians leading infection prevention and control programmes in Pakistan. It is essential to support infection prevention and control personnel and bridge the identified gaps to ensure patient and staff safety at healthcare facilities.


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