title: Hygiene trained nursing staff at wards – What can this additional educated nurses achieve?
abstract: Background: Hygiene deficits can cause hospital-acquired infections. To meet this public health problem the Robert Koch-Institute advocates the employment of infection control link nurses (ICLN). Aim: This study aimed to evaluate the experiences of ICLNs working in the University Hospital of Cologne. Method: A cross-sectional survey of all ICLNs (n = 64) working at the University Hospital of Cologne was carried out by a self developed questionaire. The data were assessed descriptively. Results: The return rate was 45.3 % (n = 29). The ICLNs were very satisfied with the ICLN training and felt well prepared for their task. The collaboration with other nursing staff, their head nurse and the Department of Hygiene was also positively evaluated. However, only one third of the respondents was satisfied with their working conditions and only half of them indicated feeling that the efforts they made so far were successful. This study also found that, many of the legal intended services were rarely performed. The study identified two barriers to implementation of ICLNs. On the one hand, the release from other routine nursing duties and on the other hand a lack of acceptance of the role by physicians. Conclusions: The task ahead is to find ways to exempt ICLNs from other duties and to involve the physicians more intensely in the implementation of ICLNs.
authors.affiliation: 1 Institut für Gesundheitsökonomie und klinische Epidemiologie, Uniklinik Köln (IGKE).
authors.forename: Ralf
authors.initials: R
authors.lastname: Tebest
authors.affiliation: 1 Institut für Gesundheitsökonomie und klinische Epidemiologie, Uniklinik Köln (IGKE).
authors.forename: Fiona Yoon Mee
authors.initials: FYM
authors.lastname: Honervogt
authors.affiliation: 1 Institut für Gesundheitsökonomie und klinische Epidemiologie, Uniklinik Köln (IGKE).
authors.forename: Kristina
authors.initials: K
authors.lastname: Westermann
authors.affiliation: 1 Institut für Gesundheitsökonomie und klinische Epidemiologie, Uniklinik Köln (IGKE).
authors.forename: Christina
authors.initials: C
authors.lastname: Samel
authors.affiliation: 1 Institut für Gesundheitsökonomie und klinische Epidemiologie, Uniklinik Köln (IGKE).
authors.forename: Marcus
authors.initials: M
authors.lastname: Redaèlli
authors.affiliation: 1 Institut für Gesundheitsökonomie und klinische Epidemiologie, Uniklinik Köln (IGKE).
authors.forename: Stephanie
authors.initials: S
authors.lastname: Stock
mesh_terms: D001291:Attitude of Health Personnel; D003428:Cross Infection / Q000451:nursing* / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005858:Germany; D006284:Health Plan Implementation / Q000458:organization & administration; D006801:Humans; D006920:Hygiene / Q000592:standards*; D017053:Infection Control / Q000458:organization & administration*; D007318:Inservice Training / Q000458:organization & administration; D000072184:Nurse Specialists / Q000193:education; D011795:Surveys and Questionnaires
keywords: Fortbildung; Hygiene; Pflege; Stationsalltag; hygiene; nurses; training; ward routine