University of Twente Student Theses
Implementatiestrategieën ter preventie en controle van MRSA infecties in zorginstellingen. Een systematisch literatuuronderzoek naar de effecten van implementatiestrategieën ter gedragsverandering in de gezondheidszorg
Bouws, N. (2014) Implementatiestrategieën ter preventie en controle van MRSA infecties in zorginstellingen. Een systematisch literatuuronderzoek naar de effecten van implementatiestrategieën ter gedragsverandering in de gezondheidszorg.
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| Abstract: | Background and aim: Health care-associated infections are often caused by antibiotic-resistant bacteria. Most notably is the methicillin-resistant variant of the Staphylococcus aureus (MRSA) a growing problem in health care utilizations. Infections of patients with MRSA are caused by bad hygiene. This systematic literature review is an update of a previous research with the aim to get a summary of implementation strategies for the prevention and control of MRSA referring to the process and effectiveness. It will be examined how many times eHealth is used, which way it is used and with what effect. Methods: The search in the database Scopus brought 1410 results. These results were reduced to 38 articles by two independent judges. The articles were then analysed and summarized via a data extraction form and a data table. Results: The resulting articles show that most studies are targeted on health care workers (n=23) and take place in hospitals (n=34). Most studies implement strategies that are combinations of multiple strategies (n=33). The strategies Audit and feedback (n=19), Educational meetings (n=19 and Changes in physical structure, facilities and equipment (n=19) are used most often. Prevention and control measures are mostly patient screening (n=34), but also hand hygiene is often used (n=20). Less often applied is the use of medication (n=13). eHealth is used in seven studies. The majority of the studies report positive results related to MRSA reduction (n=26) and adherence in hand hygiene, guidelines and medication use (n=34). Eight studies report no significant changes in MRSA rates and one study shows an increase in MRSA rates. Four studies measure the financial outcome of the intervention and discover that it is more cost-effective to implement prevention and control measures. Discussion: There cannot be made a conclusion about “the best” implementation strategy because there are so many different strategies. The use of eHealth is still low, although eHealth seems to be effective. However, the independent effect of eHealth needs more research. Also, there must be done more research related to the costs of MRSA prevention and control measures because there were not enough studies that reported on the costs. Furthermore it is suggested to make more use of randomized controlled trials. In cases where this is not possible, it is advised to use quasi-experimental designs with control groups. |
| Item Type: | Essay (Bachelor) |
| Faculty: | BMS: Behavioural, Management and Social Sciences |
| Subject: | 77 psychology |
| Programme: | Psychology BSc (56604) |
| Link to this item: | https://purl.utwente.nl/essays/65625 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
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