Evidence map›Paper›PMID 33157183›Full record

ArticleAmerican journal of infection control2021

Infection prevention and control practices in the home environment: Examining enablers and barriers to adherence among home health care nurses.

Victoria Adams, Jiyoun Song, Jingjing Shang, Margaret McDonald, Dawn Dowding, Marietta Ojo, David Russell

Open access · greenAbstract read
In one paragraph

Article in American journal of infection control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
0.5field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Victoria AdamsInfection Prevention and Control, Visiting Nurse Service of New York, New York, NY. Electronic address: victoria.adams@vnsny.org.
Jiyoun SongColumbia University School of Nursing, New York, NY.
Jingjing ShangColumbia University School of Nursing, New York, NY.
Margaret McDonaldCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY.
Dawn DowdingDivision of Nursing, Midwifery and Social Work, School of Health Sciences, The University of Manchester, Manchester, United Kingdom.
Marietta OjoColumbia University School of Nursing, New York, NY.
David RussellCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY; Department of Sociology, Appalachian State University, Boone, NC.
Columbia University · USVisiting Nurse Service of New York · USUniversity of Manchester · GB

Funding

Infection Control in Home Care and Predictive Risk ModelingR01HS024723 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING · 2016 to 2018
$1.4M
AHRQ HHS R01 HS024723
6 · The paper itself

Abstract

backgroundInfection Prevention and Control (IPC) practices have been established in home health care. Adherence to IPC practices has been suboptimal with limited available evidence. The study aim was to examine the impact of individual, home environment, and organizational factors on IPC practices using human factors model.

methodsThree hundred and fifty-three nurses were surveyed across two large home care agencies to examine the relationship between IPC adherence and individual, home environment, and organizational factors.

resultsNurses reported multiple barriers to IPC practices in patients' homes (mean = 4.34, standard deviation = 2.53). Frequent barriers included clutter (reported by 74.5% of nurses) and a dirty environment (70.3%). Nurses also reported limited availability of some IPC supplies (mean = 7.76, standard deviation = 2.44), including personal protective equipment. Home environment factors were significant barriers, and availability of IPC supplies were significant enablers of IPC adherence. Agency-provided training and decision-making resources were not significant factors for IPC adherence in the presence of home environment barriers and IPC supplies.

conclusionsThis study findings suggest that IPC adherence strategies point to addressing barriers in the home environment and increasing availability of IPC supplies. The relationship between the patient's home environment, organizational factors, and IPC practices among home health care nurses warrants further study.

Indexed as

Home Care ServicesNursesHumansInfection ControlPersonal Protective EquipmentComplianceHome health careInfection prevention and control

Identifiers

PMID33157183
PMCPMC8093314
OpenAlexW3097911410

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.