医院感染控制及消毒工作薄弱环节的定性研究

Qualitative study on the weak link of hospital infection control and disinfection

目的分析重庆市巴南区医疗机构在消毒以及感染控制工作中的薄弱环节,为提升医疗机构的消毒灭菌质量、预防及控制医院感染提供决策性依据。方法采用定性研究方法,拟定调查提纲,选取具有代表性的医务工作者进行个人和小组深入访谈,以信息饱和为依据,纳入一定人数进行调查。结果共访谈26名医务工作者,主题框架分析结果显示:全区医疗机构医院感染控制及消毒工作的核心问题是管理薄弱。副主题涉及机构不健全,监督机制不完整,无人才储备和培养措施。结论随着区域内医疗建设的兴起,医院感染控制的管理薄弱问题是一潜在的医疗风险,迫切需要有关部门在机构建设、监督管理、人才培养等方面做出决策。

Objective The purpose of the thesis is to analyze the weak links of medical institutions in Banan District in hospital disinfection and infection control so as to provide decision basis for prevention and control of nosocomial infection. Methods Using qualitative research methods,by mapping out investigation outline,representative related medical staff are selected to carry out individual and group interview. Based on information saturation,certain number of people is included into the survey. Results A total of 26 medical workers were interviewed. The research of frame analysis shows the core problem of hospital infection control and disinfection among all medical institutions is the weak management. The sub- theme involves incomplete institutions,incomplete supervision mechanism,no reserve of talents and cultivation measures. Conclusion With the rise of medical construction within the district,the weak management of nosocomial infection control is a potential medical risk,which is urgent for some departments to make decisions on institution building,monitoring management and talent cultivation.