title: How do Clostridium difficile infections affect nurses' everyday hospital work: A qualitative study.
abstract: This qualitative study explored the impact of Clostridium difficile infections on nurses' everyday work in the hospital. Twelve nurses (six in France and six in the United States) were interviewed in depth using a semi-structured interview guide. Thematic analysis of the interviews was performed. Managing diarrhoea and taking precautionary measures for infection control were the two most inconvenient aspects nurses reported with C. difficile patient management. Precautions included contact isolation, hand hygiene and reorganization/coordination of nursing care and ward. Precautions were time consuming and significantly increased nurses' workload when combined with caring for patients with uncontrollable, frequent bouts of diarrhoea. Management of C. difficile infection is extremely burdensome for nurses in their everyday work and disruptive to hospital organizations as a whole. Prevention of C. difficile infections, together with coordinated team work and communication, would therefore contribute to decreasing nurses' workload and the burden to health-care facilities associated with caring for these patients.
authors.affiliation: PROs and ClinROs, HEOR and Strategic Market Access, Mapi, Lyon, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Guillemin
authors.affiliation: PROs and ClinROs, HEOR and Strategic Market Access, Mapi, Lyon, France.
authors.forename: Alexia
authors.initials: A
authors.lastname: Marrel
authors.affiliation: Sanofi Pasteur, Lyon, France.
authors.forename: Axelle
authors.initials: A
authors.lastname: Beriot-Mathiot
authors.affiliation: Sanofi Pasteur, Lyon, France.
authors.forename: Carole
authors.initials: C
authors.lastname: Doucet
authors.affiliation: Sanofi Pasteur, Lyon, France.
authors.forename: Odysseas
authors.initials: O
authors.lastname: Kazoglou
authors.affiliation: Sanofi Pasteur, Lyon, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Luxemburger
authors.affiliation: Sanofi Pasteur, Lyon, France.
authors.forename: Camille
authors.initials: C
authors.lastname: Reygrobellet
authors.affiliation: PROs and ClinROs, HEOR and Strategic Market Access, Mapi, Lyon, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Arnould
mesh_terms: D000328:Adult; D000368:Aged; D016360:Clostridioides difficile; D003015:Clostridium Infections / Q000451:nursing* / Q000517:prevention & control*; D005260:Female; D005602:France; D006801:Humans; D017053:Infection Control; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D057184:Practice Patterns, Nurses'; D036301:Qualitative Research; D014481:United States
keywords: Clostridium difficile; cross infection; diarrhoea; hospitals; isolation; nurses