title: Framework for controlling infection through isolation precautions in Japan.
abstract: In Japan, nurses certified in infection control face organizational and structural challenges to the implementation of the recommended isolation precautions. In this study, we developed a conceptual framework for the problem-solving process of certified nurses in infection control when implementing appropriate isolation-precaution measures. We conducted a qualitative, descriptive study using directed content analysis. Semistructured interviews were conducted with 40 nurses who had over five years' experience in infection control. Factors assessing the risk of infection in patients were identified, including microorganism characteristics, patient characteristics, and risk of infection to the entire unit. The nurses also assessed the risk of infection in institutions from the following perspectives: organizational culture, infection control system, human resources, environment surrounding the facility, ethical issues, and external factors. Individual characteristics, such as attributes, knowledge, expertise, and job function, were identified as major influencing factors in the problem-solving process. These findings could be useful for newly-certified nurses in infection control and provide recommendations on implementing isolation-precaution measures.
authors.affiliation: Department of Gerontological Nursing, Juntendo University, Chiba.
authors.forename: Kazumi
authors.initials: K
authors.lastname: Kawakami
authors.forename: Hanako
authors.initials: H
authors.lastname: Misao
mesh_terms: D000328:Adult; D002568:Certification / Q000592:standards; D003659:Decision Making, Organizational; D005260:Female; D006742:Hospital Bed Capacity; D006761:Hospitals / Q000145:classification; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007407:Interviews as Topic; D007564:Japan; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D009736:Nursing Process; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology*; D009784:Occupational Diseases / Q000517:prevention & control; D010356:Patient Isolation / Q000592:standards*; D018794:Problem-Based Learning; D036301:Qualitative Research; D018570:Risk Assessment / Q000379:methods*; D016635:Universal Precautions
keywords: directed content analysis; infection control; infection risk assessment; isolation precaution; problem-solving process; professional development