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Terms used for isolation practices by nurses at an academic medical center

Authors

  • Timothy Landers,

    1. Timothy Landers PhD RN Assistant Professor College of Nursing, The Ohio State University, Columbus, Ohio, USA, and Postdoctoral Fellow, Center for Interdisciplinary Research to Reduce Antimicrobial Resistance, School of Nursing, Columbia University, New York, USA
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  • Jessica McWalters,

    1. Jessica McWalters BA Research Assistant Center for Interdisciplinary Research to Reduce Antimicrobial Resistance, School of Nursing, Columbia University, New York, USA
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  • Maryam Behta,

    1. Maryam Behta PharmD Director of Quality, Research & Technology Utilization New York Presbyterian Hospital, USA
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  • Gina Bufe,

    1. Gina Bufe PhD RN Director of Nursing for Education, Quality and Research New York Presbyterian Hospital, USA
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  • Barbara Ross,

    1. Barbara Ross RN CIC Nurse Epidemiologist New York Presbyterian Hospital, USA
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  • David K. Vawdrey,

    1. David K. Vawdrey PhD Assistant Professor Department of Biomedical Informatics, Columbia University, New York, USA
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  • Elaine Larson

    1. Elaine Larson PhD RN Director Center for Interdisciplinary Research to Reduce Antimicrobial Resistance, and Professor & Associate Dean for Research School of Nursing, Columbia University, New York, USA
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T. Landers: e-mail: landers.37@osu.edu

Abstract

landers t., mcwalters j., behta m., bufe g., ross b., vawdrey d.k. & larson e. (2010) Terms used for isolation practices by nurses at an academic medical center. Journal of Advanced Nursing66(10), 2309–2319.

Abstract

Aim.  This paper is a report of a study to determine if the terms used by nurses to describe isolation precautions are associated with correct identification of required personal protective equipment.

Background.  Isolation measures are important in the prevention of healthcare-associated infections. The terms used to describe categories of isolation have changed in response to new pathogens and with advances in infection prevention.

Methods.  For 3 months in 2009, nurses from an academic medical center on the East Coast of the United States of America completed a survey consisting of ten clinical scenarios which asked about recommended personal protective equipment and for the name of the recommended isolation type. Correct identification of required personal protective equipment was compared to use of an approved isolation category term, controlling for infection knowledge and demographic variables.

Results.  Three hundred and seventeen nurses gave responses to 2215 clinical scenarios. Use of non-approved category terms was associated with statistically significantly lower rates of correct personal protective equipment identification compared to use of an approved term (62·2% vs. 77·8%; P < 0·001). Specific PPE was also selected for use when not indicated – including gowns (42%), N-95 respirators (13%), fluid shield masks (13%) and sterile gloves (6%).

Conclusion.  Inconsistent terminology for isolation precautions may contribute to variations in practice. Adoption of internationally accepted and standardized category terms may improve adherence to these precautions.

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