護理之家感染管制的執行現況探討

Current Status of Infection Control Implementation in Nursing Homes

感染管制的執行是全面性的，實務上透過政策性的制定、持續性的監測來落實，其中感染管制的教育訓練，循序漸進地安排，並確實地執行，才能降低機構內感染，以提升照護品質。本文透過國內外文獻的回顧，與參考護理之家感染管制查核作業，就護理之家感染管制認知與執行的實務面，提出三點建議，一，護理之家應該明訂感染管制政策，包括感染管制負責人員及職責，並且確實執行。二、提升照護人員對感染管制的認知，從感染管監測計畫訓練著手，且特別是侵入性技術的執行與考核，應該定期實施並檢討。三、加強工作人員的感染管制教育訓練，例如建議於照顧服務員訓練課程或執照考試時，應加入感染管制基本概念，每年在職教育訓練課程應循序漸進的安排，工作人員對感染管制的實務執行概念，才能完整的應用於住民的臨床照護。

The implementation of infection control should be comprehensive. In practice, infection control can be implemented through policies, constant monitoring, and most importantly, educational training. Infection rates will be reduced and nursing quality will be enhanced in an organization by focusing on the implementation of the above-mentioned aspects. In this study, three suggestions are made on awareness and practical implementation of infection control at nursing homes by referring to the operational standards of infection control inspection at nursing homes that were proposed in a previous study published in Taiwan and abroad. First, infection control policies should be expressly stipulated, including persons in charge of infection control and their responsibilities, as well as the procedures for implementing these policies. Second, nursing staff’s awareness of infection control should be enhanced by providing training programs on infection control monitoring. In particular, the implementation and evaluation of invasive techniques should be made and reviewed periodically. Third, educational training on infection control for related staff should be strengthened. For example, basic concepts of infection control should be incorporated into training programs or examinations for licensed nursing professionals. These concepts can be arranged in sequence while providing on-the-job training programs. By doing so, the concepts to implement infection control can be cultivated in related staff and then comprehensively applied to people receiving clinic nursing services.