Addressing the need for an infection prevention and control framework that incorporates the role of surveillance: a discussion paper. (23rd June 2013)

• Record Type: Journal Article
• Authors: Mitchell, Brett G.; Gardner, Anne
• Is Part Of: Journal of advanced nursing. Volume 70:Number 3(2014:Mar.)
• Page Start: 533
• Page End: 542
• Publication Date: 2013-06-23
• Subjects: Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.12193
• Languages: English
• ISSNs: 0309-2402

Abstract

<abstract abstract-type="main" id="jan12193-abs-0001"> <title>Abstract</title> <sec id="jan12193-sec-0001" sec-type="section"> <title>Aim</title> <p>To present a discussion on theoretical frameworks in infection prevention and control.</p> </sec> <sec id="jan12193-sec-0002" sec-type="section"> <title>Background</title> <p>Infection prevention and control programmes have been in place for several years in response to the incidence of healthcare‐associated infections and their associated morbidity and mortality. Theoretical frameworks play an important role in formalizing the understanding of infection prevention activities.</p> </sec> <sec id="jan12193-sec-0003" sec-type="section"> <title>Design</title> <p>Discussion paper.</p> </sec> <sec id="jan12193-sec-0004" sec-type="section"> <title>Data sources</title> <p>A literature search using electronic databases was conducted for published articles in English addressing theoretical frameworks in infection prevention and control between 1980–2012.</p> </sec> <sec id="jan12193-sec-0005" sec-type="section"> <title>Results</title> <p>Nineteen papers that included a reference to frameworks were identified in the review. A narrative analysis of these papers was completed. Two models were identified and neither included the role of surveillance.</p> </sec> <sec id="jan12193-sec-0006" sec-type="section"> <title>Discussion</title> <p>To reduce the risk of acquiring a healthcare‐associated infection, a multifaceted approach to infection prevention is required. One key component in this approach is surveillance. The review identified two infection prevention and control frameworks, yet these are rarely applied in infection prevention and control programmes. Only one framework considered the multifaceted approach required for infection prevention. It did not, however, incorporate the role of surveillance. We present a framework that incorporates the role of surveillance into a biopsychosocial approach to infection prevention and control.</p> </sec> <sec id="jan12193-sec-0007" sec-type="section"> <title>Conclusion</title> <p>Infection prevention and control programmes and associated research are led primarily by nurses. There is a need for an explicit infection prevention and control framework incorporating the important role that surveillance has in infection prevention activities. This study presents one framework for further critique and discussion.</p> </sec> </abstract>