The application of antimicrobial stewardship knowledge to nursing practice: A national survey of United Kingdom pre-registration nursing students.

Aim: To assess student nurses understanding and skills in the application of antimicrobial stewardship knowledge to practice.

Design: Quantitative.

Methods: Cross-sectional survey.

Aseptic versus clean technique during wound management? Systematic review with meta-analysis.

The management of wounds by health professionals usually involves aseptic technique. An alternative is the use of clean techniques where the risk of infection is minimised but use of non-sterile materials is considered permissible. This systematic review and meta-analysis compares these two approaches.

Face mask use to prevent COVID-19 in clinical practice. Using a review of reviews to improve decision-making and transparency.

Background: The COVID-19 pandemic has highlighted the importance of transparency and scientific rigour in the development of clinical guidance. Rapid review methodologies were widely used in the development of guidance, and in the United Kingdom, COVID-19 guidance was criticized for methodological inadequacy and erroneous conclusions.

Aims: To summarize the evidence looking at the use of face masks to prevent COVID-19 infection in clinical practice areas, and to show how this can be used in decision-making.

How aseptic technique is taught to undergraduate student nurses: A qualitative study.

Background: Aseptic technique is essential to prevent healthcare-associated infection and reduce the risk of antimicrobial resistance but little research has explored how it is taught in undergraduate nursing curricula.

Objective: Explore how undergraduate student nurses learn about aseptic technique in classroom and clinical settings and the contribution of key stakeholders in the educational process: nurse educators, mentors and infection prevention nurses.

Design: Qualitative interview study with observation of teaching.

Undergraduate nursing students' education and training in aseptic technique: A mixed methods systematic review.

Aim: To appraise and synthesize empirical studies exploring undergraduate nursing students' education and training in aseptic technique.

Design: Mixed methods, systematic literature review adopting Joanna Briggs Institute methodology.

Data Sources: Thirteen electronic databases were searched 1996-2020, followed by searches with a general browser, hand-searching key journals and reviewing reference lists of retrieved papers.

Teaching health care students hand hygiene theory and skills: a systematic review.

Hand hygiene is the cornerstone of infection prevention but is poorly undertaken and under-appreciated by medical, nursing, and other health care students. This systematic review aimed to identify and describe strategies used to teach the theory and practice of hand hygiene, determine impact on knowledge and practice, and identify need for future education and research. Ten studies met the criteria for review.

Undertaking qualitative reviews in nursing and education - A method of thematic analysis for students and clinicians.

Objectives: To develop a simplified but rigorous method for qualitative reviews using thematic analysis, suitable for students and clinicians.

Design: Methodological review.

Data Sources: Cochrane and Joanna Briggs Institute (JBI) methods, key references from these, and important original methodologies.

Survey with content analysis to explore nurses' satisfaction with opportunities to undertake continuing professional education in relation to aseptic technique.

Background: Aseptic technique is a key skill undertaken every day by large numbers of nurses. However, there is relatively little empirical evidence to underpin practice. Furthermore, it is not clear to what extent it should be considered a single task or a set of principles to be applied differentially depending upon the situation and how individual nurses make this decision.

Electronic hand hygiene monitoring: accuracy, impact on the Hawthorne effect and efficiency.

Objectives: To evaluate a type five electronic monitoring system (EMS) for hand hygiene (HH) adherence with respect to accuracy and ability to avoid the Hawthorne effect.

Design: HH events were observed manually and electronically. The agreement between the two observation methods was evaluated.

National cross-sectional survey to explore preparation to undertake aseptic technique in pre-registration nursing curricula in the United Kingdom.

Background: Aseptic technique is a core nursing skill. Sound preparation is required during pre-registration nursing education to enable student nurses to acquire the knowledge and skills necessary to prevent and control healthcare-associated infection and promote patient safety. Few studies have explored nursing students' education and training in aseptic technique.

Qualitative interview study exploring frontline managers' contributions to hand hygiene standards and audit: Local knowledge can inform practice.

Background: Frontline managers promote hand hygiene standards and adherence to hand hygiene protocols. Little is known about this aspect of their role.

Methods: Qualitative interview study with frontline managers on 2 acute admission wards in a large National Health Service Trust in the United Kingdom.

Impact of isolation on hospitalised patients who are infectious: systematic review with meta-analysis.

Objective: To systematically review the literature exploring the impact of isolation on hospitalised patients who are infectious: psychological and non-psychological outcomes.

Design: Systematic review with meta-analysis.

Data Sources: Embase, Medline and PsycINFO were searched from inception until December 2018.

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care.

Objectives: Hand hygiene is considered the most important preventive measure for healthcare-associated infections, but adherence is suboptimal. We previously undertook a Cochrane Review that demonstrated that interventions to improve adherence are moderately effective. Impact varied between organisations and sites with the same intervention and implementation approaches.

Modelling the annual NHS costs and outcomes attributable to healthcare-associated infections in England.

Objectives: To estimate the annual health economic impact of healthcare-associated infections (HCAIs) to the National Health Service (NHS) in England.

Design: A modelling study based on a combination of published data and clinical practice.

Setting: NHS hospitals in England.

Modelling the costs and consequences of reducing healthcare-associated infections by improving hand hygiene in an average hospital in England.

Objective: To assess the potential clinical and economic impact of introducing an electronic audit and feedback system into current practice to improve hand hygiene compliance in a hypothetical general hospital in England, to reduce the incidence of healthcare-associated infections (HCAIs).

Methods: Decision analysis estimated the impact of introducing an electronic audit and feedback system into current practice to improve hand hygiene compliance among front-line healthcare practitioners (HCPs).

Results: The model assumed 4.

Ethnographic study using Normalization Process Theory to understand the implementation process of infection prevention and control guidelines in Ireland.

Objective: The aim of this study was to explore how infection prevention and control (IPC) guidelines are used and understood by healthcare professionals, patients and families.

Design: Ethnographic study with 59 hours of non-participant observation and 57 conversational interviews. Data analysis was underpinned by the Normalization Process Theory (NPT) as a theoretical framework.

Moving beyond hand hygiene monitoring as a marker of infection prevention performance: Development of a tailored infection control continuous quality improvement tool.

Background: Infection control practice compliance is commonly monitored by measuring hand hygiene compliance. The limitations of this approach were recognized in 1 acute health care organization that led to the development of an Infection Control Continuous Quality Improvement tool.

Methods: The Pronovost cycle, Barriers and Mitigation tool, and Hexagon framework were used to review the existing monitoring system and develop a quality improvement data collection tool that considered the context of care delivery.

Patient involvement in the implementation of infection prevention and control guidelines and associated interventions: a scoping review.

Objective: To explore patient involvement in the implementation of infection prevention and control (IPC) guidelines and associated interventions.

Design: Scoping review.

Methods: A methodological framework was followed to identify recent publications on patient involvement in the implementation of IPC guidelines and interventions.

Hidden voices: an interpretative phenomenological analysis of the experience of surviving breast cancer in Saudi Arabia.

Background: Women with breast cancer often have difficulties in making sense of and understanding their experiences, specifically the ways in which cultural sensitivities impact on and shape their lifeworlds.

Aims: The aim of this study is to explore the experience of being a breast cancer survivor in Saudi Arabia.

Methods: Qualitative, in-depth, semi-structured interviews were conducted with 18 Saudi breast cancer survivors aged between 30 and 50 years who had finished treatment 6-47 months before data collection.

Validity of hand hygiene compliance measurement by observation: A systematic review.

Background: Hand hygiene is monitored by direct observation to improve practice, but this approach can potentially cause information, selection, and confounding bias, threatening the validity of findings. The aim of this study was to identify and describe the potential biases in hand hygiene compliance monitoring by direct observation; develop a typology of biases and propose improvements to reduce bias; and increase the validity of compliance measurements.

Methods: This systematic review of hospital-based intervention studies used direct observation to monitor health care workers' hand hygiene compliance.

Isolating infectious patients: organizational, clinical, and ethical issues.

Background: Isolating infectious patients is essential to reduce infection risk. Effectiveness depends on identifying infectious patients, transferring them to suitable accommodations, and maintaining precautions.

Methods: Online study to address identification of infectious patients, transfer, and challenges of maintaining isolation in hospitals in the United Kingdom.