Evidence map›Paper›PMID 37924023›Full record

ArticleBMC public health2023

Identifying barriers and enablers to participation in infection surveillance in Australian residential aged care facilities.

Eliza Watson, Leslie Dowson, David Dunt, Karin Thursky, Leon J Worth, Janet K Sluggett, Amanda Appathurai, Noleen Bennett, National Infection Surveillance Program in Aged Care (NISPAC) Advisory Group

Abstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. Observational
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.

Eliza WatsonVictorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Centre, Melbourne, VIC, 3000, Australia.
Leslie DowsonNational Centre for Antimicrobial Stewardship, Department of Infectious Diseases, The University of Melbourne, Parkville, VIC, 3010, Australia.
David DuntProfessor Emeritus, The University of Melbourne, Parkville, VIC, 3010, Australia.
Karin ThurskyNational Centre for Antimicrobial Stewardship, Department of Infectious Diseases, The University of Melbourne, Parkville, VIC, 3010, Australia.
Leon J WorthVictorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Centre, Melbourne, VIC, 3000, Australia.
Janet K SluggettUniversity of South Australia, UniSA Allied Health and Human Performance, Adelaide, SA, 5001, Australia.
Amanda AppathuraiNational Centre for Antimicrobial Stewardship, Department of Infectious Diseases, The University of Melbourne, Parkville, VIC, 3010, Australia.
Noleen BennettVictorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Centre, Melbourne, VIC, 3000, Australia. Noleen.Bennett@mh.org.au.
National Infection Surveillance Program in Aged Care (NISPAC) Advisory Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfection surveillance is a vital part of infection prevention and control activities for the aged care sector. In Australia there are two currently available infection and antimicrobial use surveillance programs for residential aged care facilities. These programs are not mandated nor available to all facilities. Development of a new surveillance program will provide standardised surveillance for all facilities in Australia.

methodsThis study aimed to assess barriers and enablers to participation in the two existing infection and antimicrobial use surveillance programs, to improve development and implementation of a new program. A mixed-methods study was performed. Aged Care staff involved in infection surveillance were invited to participate in focus groups and complete an online survey comprising 17 items. Interviews were transcribed and analysed using the COM-B framework.

resultsTwenty-nine staff took part in the focus groups and two hundred took part in the survey. Barriers to participating in aged care infection surveillance programs were the time needed to collect and enter data, competing priority tasks, limited understanding of surveillance from some staff, difficulty engaging clinicians, and staff fatigue after the COVID-19 pandemic. Factors that enabled participation were previous experience with surveillance, and sharing responsibilities, educational materials and using data for benchmarking and to improve practice.

conclusionStreamlined and simple data entry methods will reduce the burden of surveillance on staff. Education materials will be vital for the implementation of a new surveillance program. These materials must be tailored to different aged care workers, specific to the aged care context and provide guidance on how to use surveillance results to improve practice.

Indexed as

Anti-Infective AgentsPandemicsAgedAustraliaHomes for the AgedHumansInfection ControlAnti-Infective AgentsCross infectionNursing homeSurveillance and Qualitative research

Identifiers

PMID37924023
PMCPMC10625226

What OpenQuestion holds

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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.