Friday, March 6, 2015

More precautions = less care?



Healthcare workers generally feel a deep sense of responsibility to patients for prevention of MRSA and other infections.  But one study shows patients who are on contact precautions receive fewer hourly visits and have less direct contact time with healthcare workers than those who are not on contact precautions (Siebert, Speroni, Oh, DeVoe, & Jacobsen, 2014).  Working with patients in isolation is reported by healthcare workers to be an on-the-job stressor and may impact the level of care that our most vulnerable patients receive.  Have you observed it to be true that patients in isolation receive less frequent contact by healthcare workers?  What might be some reasons why healthcare workers pay less attention to patients in isolation? How do you think this problem be addressed?

Siebert, D. J., Speroni, K. G., Oh, K. M., DeVoe, M. C., & Jacobsen, K. H. (2014). Preventing transmission of MRSA: A qualitative study of health care workers’ attitudes and suggestions. American Journal of Infection Control 42, 405-411. http://dx.doi.org/10.1016/j.ajic.2013.10.008

 

Preventing transmission of MRSA: A qualitative study of health care workers’ attitudes and suggestions.

3 comments:

  1. Hi Bryan,

    This was an interesting post and disappointing to hear. Upon your review of the article shared was your team surprised by the results and are there any thoughts on how to minimize the reduced care and/or quality of care?

    Thanks,
    Sara

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  2. Hi Bryan,

    This was an interesting post and disappointing to hear. Upon your review of the article shared was your team surprised by the results and are there any thoughts on how to minimize the reduced care and/or quality of care?

    Thanks,
    Sara

    ReplyDelete
  3. Hi, Sara -

    Initially this was a bit surprising, but considering health care workers general fear of catching something and taking it home to their family, and the amount of extra work associated with taking precautions, etc. I am really not surprised.

    This would be somewhat an individual facility operations review, but in many cases providing one on one care to these patients could help increase the attention they receive, as well as placing them at facilities or with providers who are more experienced and comfortable in treating their conditions.

    ReplyDelete