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Should I stay or should I go? Patient understandings of and responses to sourceisolation practices


Wyer, M and Iedema, R and Jorm, C and Armstrong, G and Hor, S-Y and Hooker, C and Jackson, D and Hughes, C and O'Sullivan, MVN and Gilbert, GL, Should I stay or should I go? Patient understandings of and responses to sourceisolation practices, Patient Experience Journal, 2, (2) Article 9. ISSN 2372-0247 (2015) [Refereed Article]


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© The Author(s), 2015. Published in association with The Beryl Institute and Patient Experience Institute. Free and open access by Patient Experience Journal.

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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 patientsí 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.

Item Details

Item Type:Refereed Article
Keywords:patient involvement, patient experience, patient engagement, patient- and family-centred care, source-isolation, MRSA, infection prevention and control, qualitative methods, health literacy
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Wyer, M (Ms Mary Wyer)
UTAS Author:Iedema, R (Professor Rick Iedema)
UTAS Author:Hor, S-Y (Dr Su-Yin Hor)
UTAS Author:Hughes, C (Dr Clarissa Hughes)
ID Code:106265
Year Published:2015
Deposited By:Health Sciences
Deposited On:2016-02-03
Last Modified:2016-09-05
Downloads:90 View Download Statistics

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