Journal article
The lived experience of haemodialysis patients managed with transmission-based precautions for MDRO colonisation: A qualitative study
Infection, Disease & Health, Vol.27(4), pp.211-218
2022
PMID: 35690584
Abstract
Background:
Patients undergoing haemodialysis colonised with multi-drug resistant organisms (MDROs) are commonly managed with transmission-based precautions (TBP) to prevent nosocomial transmission. TBP have been linked to mixed effects on patient psychological well-being and clinical care. This study was designed to report the lived experience of dialysis patients managed with TBP.
Methods:
A qualitative study of 15 patients undergoing haemodialysis managed with TBP was performed. Participants took part in individual semi-structured interviews. Data was analysed utilising an interpretive phenomenological approach.
Results:
Four themes were identified.
1. Communication of what MDRO screening meant, the results, and implications of MDRO positivity was perceived by many patients as insufficient and inconsistent.
2. Experiences of care in isolation were described, with both positive (privacy) and negative (reduced interaction) experiences identified.
3. Psychosocial and emotional responses including concern about health implications and stigma were reported, but also screening was described by some as increasing their perception of being cared for by health care workers, as they felt all health risks were being managed.
4. Confusion around perceived inconsistencies of management, particularly across different environments (eg hospital vs home) and staff.
Conclusion:
TBP have complex positive and negative impacts on patients which should be considered when developing MDRO management policy and communication around such policy. Strategies to improve communication, patient and staff education, and remove (or explain) perceived inconsistencies of practice may reduce the negative consequences of TBP leading to improved delivery of quality, person-centred care.
Details
- Title
- The lived experience of haemodialysis patients managed with transmission-based precautions for MDRO colonisation: A qualitative study
- Authors
- Nicholas Gray (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - LegacyLisa Toy (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - LegacyKim Dalla-Bona (Author) - Sunshine Coast University HospitalJennifer K Broom (Author) - University of QueenslandMarion Gray (Author) - University of Southern Queensland
- Publication details
- Infection, Disease & Health, Vol.27(4), pp.211-218
- Publisher
- Elsevier BV
- DOI
- 10.1016/j.idh.2022.05.003
- ISSN
- 2468-0869
- PMID
- 35690584
- Organisation Unit
- School of Health and Behavioural Sciences - Legacy; School of Health and Sport Sciences - Legacy; UniSC Clinical Trials Centre; University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99646278802621
- Output Type
- Journal article
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- Domestic collaboration
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- Public, Environmental & Occupational Health
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Source: InCites