Highlights
- •The purpose of the study was to increase the knowledge of what it means for staff in acute care settings and nursing homes to care for patients with extended-spectrum β-lactamase (ESBL)-producing bacteria.
- •The results showed that conditions varied between acute care settings and nursing homes.
- •Staff in acute care settings and nursing homes must have adequate knowledge and reasonable working conditions to be able to provide high-quality care for patients and residents who are ESBL carriers.
Background
Patients who become carriers of antibiotic-resistant bacteria are sometimes stigmatized
by health professionals. Staff members' fears of becoming infected could affect their
willingness to care for these patients.
Methods
The purpose of this study was to increase the knowledge of what it means for staff
in acute care settings and nursing homes to care for patients with extended-spectrum
β-lactamase (ESBL)-producing bacteria. Assistant nurses, registered nurses, and physicians
from acute care settings and nursing homes were interviewed. A modified version of
Grounded Theory was used for the analysis.
Results
The analysis resulted in the core category “to operate as an expert in a chaotic environment”
in acute care settings. Despite a lack of resources, hospital staff try to provide
the best possible care for patients with ESBL. The analysis of the interviews in the
nursing homes resulted in the core category “the employee who, despite uncertainty,
provides good care.” Despite some fear, and a lack of knowledge, the study participants
tried to provide the residents with good care.
Conclusion
Staff in acute care settings and nursing homes must have adequate knowledge and reasonable
working conditions to be able to provide high-quality care for patients and residents
who are ESBL carriers.
Key Words
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Article info
Publication history
Published online: August 17, 2015
Footnotes
Conflicts of interest: None to report.
Identification
Copyright
© 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
