TY - JOUR
T1 - Perceptions of methicillin-resistant Staphylococcus aureus and hand hygiene provider training and patient education
T2 - Results of a mixed method study of health care providers in Department of Veterans Affairs spinal cord injury and disorder units
AU - Hill, Jennifer N.
AU - Hogan, Timothy P.
AU - Cameron, Kenzie A.
AU - Guihan, Marylou
AU - Goldstein, Barry
AU - Evans, Martin E.
AU - Evans, Charlesnika T.
N1 - Funding Information:
This study was supported by the United States Department of Veterans Affairs , Office of Research and Development , Health Services Research and Development Service , and Quality Enhancement Research Initiative (Grant: RRP09-163). The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs.
PY - 2014/8
Y1 - 2014/8
N2 - Background The goal of this study was to assess current practices for training of spinal cord injury and disorder (SCI/D) health care workers and education of veterans with SCI/D in Department of Veterans Affairs (VA) spinal cord injury (SCI) centers on methicillin-resistant Staphylococcus aureus (MRSA) prevention. Methods Mixed methods. A Web-based survey was distributed to 673 VA SCI/D providers across 24 SCI centers; 21 acute care and 1 long-term care facility participated. There were 295 that responded, 228 had complete data and were included in this analysis. Semistructured interviews were conducted with 30 SCI/D providers across 9 SCI centers. Results Nurses, physicians, and therapists represent most respondents (92.1%, n = 210); over half (56.6%, n = 129) were nurses. Of providers, 75.9% (n = 173) reported receiving excellent or good training on how to educate patients about MRSA. However, nurses were more likely to report having excellent or good training for how to educate patients about MRSA (P =.005). Despite this, only 63.6% (n = 82) of nurses perceived the education they provide patients on how MRSA is transmitted as excellent or good. Conclusion Despite health care workers reporting receiving excellent or good training on MRSA-related topics, this did not translate to excellent or good education for patients, suggesting that health care workers need additional training for educating patients. Population-specific MRSA prevention educational materials may also assist providers in educating patients about MRSA prevention for individuals with SCI/D.
AB - Background The goal of this study was to assess current practices for training of spinal cord injury and disorder (SCI/D) health care workers and education of veterans with SCI/D in Department of Veterans Affairs (VA) spinal cord injury (SCI) centers on methicillin-resistant Staphylococcus aureus (MRSA) prevention. Methods Mixed methods. A Web-based survey was distributed to 673 VA SCI/D providers across 24 SCI centers; 21 acute care and 1 long-term care facility participated. There were 295 that responded, 228 had complete data and were included in this analysis. Semistructured interviews were conducted with 30 SCI/D providers across 9 SCI centers. Results Nurses, physicians, and therapists represent most respondents (92.1%, n = 210); over half (56.6%, n = 129) were nurses. Of providers, 75.9% (n = 173) reported receiving excellent or good training on how to educate patients about MRSA. However, nurses were more likely to report having excellent or good training for how to educate patients about MRSA (P =.005). Despite this, only 63.6% (n = 82) of nurses perceived the education they provide patients on how MRSA is transmitted as excellent or good. Conclusion Despite health care workers reporting receiving excellent or good training on MRSA-related topics, this did not translate to excellent or good education for patients, suggesting that health care workers need additional training for educating patients. Population-specific MRSA prevention educational materials may also assist providers in educating patients about MRSA prevention for individuals with SCI/D.
KW - Methicillin-resistant Staphylococcus aureus
KW - Patient education
KW - Provider training
KW - Spinal cord injury and disorders
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U2 - 10.1016/j.ajic.2014.04.026
DO - 10.1016/j.ajic.2014.04.026
M3 - Article
C2 - 24950922
AN - SCOPUS:84905574862
SN - 0196-6553
VL - 42
SP - 834
EP - 840
JO - American Journal of Infection Control
JF - American Journal of Infection Control
IS - 8
ER -