Evidence map›Paper›PMID 37649046›Full record

ArticleAntimicrobial resistance and infection control2023

Barriers to infection prevention and control in long-term care/assisted living settings in British Columbia during the COVID-19 pandemic: a cross-sectional survey.

Jocelyn A Srigley, Brooke Cheng, Jun Chen Collet, Tara Donovan Towell, Guanghong Han, Dave Keen, Ka Wai Leung, Julie Mori, R Ayesha Ali

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PubMed Full text at PMC Publisher
In one paragraph

Article in Antimicrobial resistance and infection control, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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

9 authors.

Jocelyn A SrigleyFaculty of Medicine, University of British Columbia, 317 - 2194 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada. jocelyn.srigley@cw.bc.ca.
Brooke ChengFaculty of Medicine, University of British Columbia, 317 - 2194 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.
Jun Chen ColletProvincial Health Services Authority, 200-1333 W Broadway, Vancouver, BC, V6H 4C1, Canada.
Tara Donovan TowellProvincial Health Services Authority, 200-1333 W Broadway, Vancouver, BC, V6H 4C1, Canada.
Guanghong HanProvincial Health Services Authority, 200-1333 W Broadway, Vancouver, BC, V6H 4C1, Canada.
Dave KeenFraser Health Authority, Suite 400, Central City Tower 13450 - 102nd Avenue, Surrey, BC, V3T 0H1, Canada.
Ka Wai LeungProvincial Health Services Authority, 200-1333 W Broadway, Vancouver, BC, V6H 4C1, Canada.
Julie MoriInterior Health Authority, 505 Doyle Ave, Kelowna, BC, V1Y 0C5, Canada.
R Ayesha AliDepartment of Mathematics and Statistics, University of Guelph, 50 Stone Road East, Room 437 MacNaughton Building, Guelph, ON, N1G 2W1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic disproportionately impacted long-term care and assisted living (LTC/AL) facilities in Canada, where infection prevention and control (IPAC) programs had been suboptimal. We aimed to identify barriers affecting healthcare workers' (HCW) adherence to IPAC practices during the pandemic in British Columbia in LTC/AL compared to acute care settings.

methodsWe conducted a web-based survey of direct care providers and IPAC professionals across BC from August to September 2021, focused on knowledge and attitudes toward IPAC within the context of the COVID-19 pandemic, and barriers that affected respondents' abilities to follow IPAC practices throughout the pandemic.

resultsThe final analysis included 896 acute care respondents and 441 from LTC/AL. More LTC/AL respondents reported experiencing the following barriers: following IPAC guidance was of lower priority compared to other tasks (29.1% vs. 14.7%, FDR = 0.001) and not their responsibility (28.0% vs. 11.2%, FDR = 0.001); limited supplies for personal protective equipment (PPE) (49.0% vs. 33.6%, FDR = 0.001), hand hygiene products (42.2% vs. 28.8%, FDR = 0.001), and cleaning/disinfection products (44.1% vs. 30.3%, FDR = 0.001); deficits in IPAC leadership support (46.2% vs. 38.9%, FDR = 0.012), IPAC education and training (46.9% vs. 32.0%, FDR = 0.001), and patient care knowledge for managing COVID-19 infections (46.6% vs. 36.0%, FDR = 0.001).

conclusionsThis survey found that barriers to HCWs' adherence to IPAC practices during the COVID-19 pandemic were different in LTC/AL settings compared to acute care. Improvement efforts should focus on strengthening IPAC programs in LTC/AL, particularly enhanced IPAC staffing/leadership, increased training and education, and improving access to PPE, hand hygiene, and cleaning products.

Indexed as

COVID-19British ColumbiaCross-Sectional StudiesHumansLong-Term CarePandemicsCOVID-19Infection prevention and controlLong-term careSurvey

Identifiers

PMID37649046
PMCPMC10469816

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.