Evidence map›Paper›PMID 36823588›Full record

ArticleBMC geriatrics2023

IMpleMenting Effective infection prevention and control in ReSidential aged carE (IMMERSE): protocol for a multi-level mixed methods implementation study.

Joanne Tropea, Sanne Peters, Jill J Francis, Noleen Bennett, Deirdre Fetherstonhaugh, Kirsty Buising, Lyn-Li Lim, Caroline Marshall, Madelaine Flynn, Michael Murray and 7 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

17 authors at 5 institutions in 4 countries.

Joanne TropeaDepartment of Aged Care, Royal Melbourne Hospital, Level 8 CRM, 300 Grattan Street, Parkville, VIC, 3050, Australia. Joanne.Tropea@mh.org.au.ORCID 0000-0002-5799-3977
Sanne PetersSchool of Health Sciences, University of Melbourne, Parkville, VIC, 3010, Australia.
Jill J FrancisSchool of Health Sciences, University of Melbourne, Parkville, VIC, 3010, Australia.
Noleen BennettVictorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Centre and Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne VIC 3000, Australia.
Deirdre FetherstonhaughAustralian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, Bundoora, VIC, 3086, Australia.
Kirsty BuisingVictorian Infectious Diseases Service, Royal Melbourne Hospital, Parkville, VIC, 3050, Australia.
Lyn-Li LimVictorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Centre and Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne VIC 3000, Australia.
Caroline MarshallDepartment of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne VIC 3000, Australia.
Madelaine FlynnDirector of Infection Prevention, Northern Health, Epping, VIC, 3076, Australia.
Michael MurrayAustralian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, Bundoora, VIC, 3086, Australia.
Paul YatesDepartment of Geriatric Medicine, Austin Health, Heidelberg, VIC, 3084, Australia.
Craig AboltinsDepartment of Infectious Diseases, Northern Health, Epping, Vic, 3076, Australia.
Douglas JohnsonDepartment of Medicine - Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, 3010, Australia.
Jason KwongDepartment of Medicine - Austin Health, University of Melbourne, Heidelberg, VIC, 3084, Australia.
Karrie LongDirector Nursing Research Hub, Royal Melbourne Hospital, Parkville VIC 3050, Australia.
Judy McCahonConsumer Representative of the IMMERSE Research Team, and Melbourne Academic Centre for Health, Parkville VIC 3050, Australia.
Wen K LimDepartment of Aged Care, Royal Melbourne Hospital, Level 8 CRM, 300 Grattan Street, Parkville, VIC, 3050, Australia.
The Royal Melbourne Hospital · AUThe University of Melbourne · AULa Trobe University · AUNorthern Health · AUAustin Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder people living in residential aged care facilities are at high risk of acquiring infections such as influenza, gastroenteritis, and more recently COVID-19. These infections are a major cause of morbidity and mortality among this cohort. Quality infection prevention and control practice in residential aged care is therefore imperative. Although appointment of a dedicated infection prevention and control (IPC) lead in every Australian residential aged care facility is now mandated, all people working in this setting have a role to play in IPC. The COVID-19 pandemic revealed inadequacies in IPC in this sector and highlighted the need for interventions to improve implementation of best practice.

methodsUsing mixed methods, this four-phase implementation study will use theory-informed approaches to: (1) assess residential aged care facilities' readiness for IPC practice change, (2) explore current practice using scenario-based assessments, (3) investigate barriers to best practice IPC, and (4) determine and evaluate feasible and locally tailored solutions to overcome the identified barriers. IPC leads will be upskilled and supported to operationalise the selected solutions. Staff working in residential aged care facilities, residents and their families will be recruited for participation in surveys and semi-structured interviews. Data will be analysed and triangulated at each phase, with findings informing the subsequent phases. Stakeholder groups at each facility and the IMMERSE project's Reference Group will contribute to the interpretation of findings at each phase of the project. DISCUSSION: This multi-site study will comprehensively explore infection prevention and control practices in residential aged care. It will inform and support locally appropriate evidence-based strategies for enhancing infection prevention and control practice.

Indexed as

COVID-19Nursing HomesAgedAustraliaHomes for the AgedHumansMulticenter Studies as TopicPandemicsBehaviour changeBest practiceImplementation scienceInfection prevention and controlMixed methodsNursing homesOrganisational readinessResidential aged care

Identifiers

PMID36823588
PMCPMC9948775
OpenAlexW4321615194

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.