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Title: Should I stay or should I go? Patient experiences of and responses to source-isolation practices
Contributor(s): Wyer, Mary (author); Iedema, Rick (author); Jorm, Christine (author); Armstrong, Gary (author); Hor, Su-Yin (author); Hooker, Claire (author); Jackson, Debra  (author); Hughes, Clarissa (author); O'Sullivan, Matthew (author); Gilbert, Gwendolyn L (author)
Publication Date: 2015
Open Access: Yes
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Open Access Link: Access Link
Abstract: 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 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. 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.
Publication Type: Journal Article
Grant Details: NHMRC/1009178
Source of Publication: Patient Experience Journal, 2(2), p. 60-68
Publisher: The Beryl Institute
Place of Publication: United Kingdom
ISSN: 2372-0247
Field of Research (FOR): 111099 Nursing not elsewhere classified
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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