Should I stay or should I go? Patient understandings of and responses to source-isolation practices
Isolation of patients, who are colonised or infected with a multidrug-resistant organism (source-isolation), is a common practice in most acute health-care settings, to prevent transmission to other patients. Efforts to improve the efficacy of source-isolation in hospitals focus on healthcare staff...
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The Beryl Institute
2015
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oai:doaj.org-article:28ccceece22c420a8e79853e8bdf14152021-11-15T04:21:32ZShould I stay or should I go? Patient understandings of and responses to source-isolation practices2372-0247https://doaj.org/article/28ccceece22c420a8e79853e8bdf14152015-11-01T00:00:00Zhttps://pxjournal.org/journal/vol2/iss2/9https://doaj.org/toc/2372-0247Isolation of patients, who are colonised or infected with a multidrug-resistant organism (source-isolation), is a common practice in most acute health-care settings, to prevent transmission to other patients. Efforts to improve the efficacy of source-isolation in hospitals focus on healthcare staff compliance with isolation precautions. In this article we examine patients’ awareness, understandings and observance of source-isolation practices and directives with a view to understanding better the roles patients play or could play in transmitting, or limiting transmission, of multidrug-resistant organisms (MRO). Seventeen source-isolated adult surgical patients and two relatives participated in video-reflexive ethnography and interviews. We learned that, although most of these patients wanted to protect themselves and others from colonisation/infection with a MRO, they<strong> </strong>had a limited understanding of what precautions they could take while in isolation and found it difficult to obtain ongoing information. Thus, many patients regularly left their source-isolation rooms without taking appropriate precautions and were potentially contributing to environmental contamination and transmission. Some patients also interacted with other patients and their personal belongings in ways that exposed other patients, unnecessarily, to colonisation/infection risk. By not providing patients with adequate information on infection risk or how they could contribute to their own safety or that of others, they are denied the opportunity to fully engage in their healthcare.<strong> </strong>To improve the efficacy of source-isolation and contact precautions in general, patient care providers should consider colonised or infected patients as active partners in reducing transmission and involve patients and relatives in regular, ongoing conversations about transmission prevention.Mary WyerRick IedemaChristine JormGary ArmstrongSu-Yin HorClaire HookerDebra JacksonClarissa HughesMatthew O'SullivanGwendolyn GilbertThe Beryl Institutearticlepatient involvementpatient experiencepatient engagementpatient- and family-centred caresource-isolationmrsainfection prevention and controlqualitative methodshealth literacyMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2015) |
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| collection |
DOAJ |
| language |
EN |
| topic |
patient involvement patient experience patient engagement patient- and family-centred care source-isolation mrsa infection prevention and control qualitative methods health literacy Medicine (General) R5-920 Public aspects of medicine RA1-1270 |
| spellingShingle |
patient involvement patient experience patient engagement patient- and family-centred care source-isolation mrsa infection prevention and control qualitative methods health literacy Medicine (General) R5-920 Public aspects of medicine RA1-1270 Mary Wyer Rick Iedema Christine Jorm Gary Armstrong Su-Yin Hor Claire Hooker Debra Jackson Clarissa Hughes Matthew O'Sullivan Gwendolyn Gilbert Should I stay or should I go? Patient understandings of and responses to source-isolation practices |
| description |
Isolation of patients, who are colonised or infected with a multidrug-resistant organism (source-isolation), is a common practice in most acute health-care settings, to prevent transmission to other patients. Efforts to improve the efficacy of source-isolation in hospitals focus on healthcare staff compliance with isolation precautions. In this article we examine patients’ awareness, understandings and observance of source-isolation practices and directives with a view to understanding better the roles patients play or could play in transmitting, or limiting transmission, of multidrug-resistant organisms (MRO). Seventeen source-isolated adult surgical patients and two relatives participated in video-reflexive ethnography and interviews. We learned that, although most of these patients wanted to protect themselves and others from colonisation/infection with a MRO, they<strong> </strong>had a limited understanding of what precautions they could take while in isolation and found it difficult to obtain ongoing information. Thus, many patients regularly left their source-isolation rooms without taking appropriate precautions and were potentially contributing to environmental contamination and transmission. Some patients also interacted with other patients and their personal belongings in ways that exposed other patients, unnecessarily, to colonisation/infection risk. By not providing patients with adequate information on infection risk or how they could contribute to their own safety or that of others, they are denied the opportunity to fully engage in their healthcare.<strong> </strong>To improve the efficacy of source-isolation and contact precautions in general, patient care providers should consider colonised or infected patients as active partners in reducing transmission and involve patients and relatives in regular, ongoing conversations about transmission prevention. |
| format |
article |
| author |
Mary Wyer Rick Iedema Christine Jorm Gary Armstrong Su-Yin Hor Claire Hooker Debra Jackson Clarissa Hughes Matthew O'Sullivan Gwendolyn Gilbert |
| author_facet |
Mary Wyer Rick Iedema Christine Jorm Gary Armstrong Su-Yin Hor Claire Hooker Debra Jackson Clarissa Hughes Matthew O'Sullivan Gwendolyn Gilbert |
| author_sort |
Mary Wyer |
| title |
Should I stay or should I go? Patient understandings of and responses to source-isolation practices |
| title_short |
Should I stay or should I go? Patient understandings of and responses to source-isolation practices |
| title_full |
Should I stay or should I go? Patient understandings of and responses to source-isolation practices |
| title_fullStr |
Should I stay or should I go? Patient understandings of and responses to source-isolation practices |
| title_full_unstemmed |
Should I stay or should I go? Patient understandings of and responses to source-isolation practices |
| title_sort |
should i stay or should i go? patient understandings of and responses to source-isolation practices |
| publisher |
The Beryl Institute |
| publishDate |
2015 |
| url |
https://doaj.org/article/28ccceece22c420a8e79853e8bdf1415 |
| work_keys_str_mv |
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