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Addressing multidrug resistant pathogens in pediatric palliative care patients—the nurses point of view: A qualitative study

BACKGROUND: Multidrug resistant pathogens are a large-scale healthcare issue. In particular, children with life-limiting conditions have a significantly increased risk of multidrug resistant pathogen colonization. Official hygiene requirements recommend children, who are colonized with multidrug res...

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Autores principales: Schmidt, Pia, Hartenstein-Pinter, Almut, Wager, Julia, Hasan, Carola, Zernikow, Boris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074707/
https://www.ncbi.nlm.nih.gov/pubmed/31659938
http://dx.doi.org/10.1177/0269216319883981
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author Schmidt, Pia
Hartenstein-Pinter, Almut
Wager, Julia
Hasan, Carola
Zernikow, Boris
author_facet Schmidt, Pia
Hartenstein-Pinter, Almut
Wager, Julia
Hasan, Carola
Zernikow, Boris
author_sort Schmidt, Pia
collection PubMed
description BACKGROUND: Multidrug resistant pathogens are a large-scale healthcare issue. In particular, children with life-limiting conditions have a significantly increased risk of multidrug resistant pathogen colonization. Official hygiene requirements recommend children, who are colonized with multidrug resistant pathogens, to be isolated. In the context of pediatric palliative care, such isolation adversely affects the aim of social participation. To overcome this challenge of conflicting interests on a pediatric palliative care inpatient unit, a hygiene concept for patients colonized with multidrug resistant pathogens, called PALLINI, was implemented. AIM: The aim of this study was to identify the nurses’ attitudes and opinions toward PALLINI. METHODS: Nurses (N = 14) from the pediatric palliative care unit were queried in guideline-oriented interviews. Interviews were analyzed qualitatively by means of content analysis. RESULTS: The following four categories were identified: (1) safety, (2) effort, (3) quality of care, and (4) participation. All categories demonstrated ambivalence by nursing staff regarding PALLINI. Ambivalence arose from guaranteeing infection control versus noncompliance by the families, additional workload for patients with multidrug resistant pathogens versus lack of resources, impaired relationship with the parents versus enabling better care for the child, as well as enabling some limited contact versus the larger goal of genuine social participation. Despite this, nurses reported the importance of arranging everyday-life for the patients so that they experience as much social participation as possible. CONCLUSION: The implementation of a new hygiene concept is challenging. Despite positive reception of PALLINI from the nurses, ambivalence remained. Addressing these ambivalences may be critical to best implement the new hygiene concept.
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spelling pubmed-70747072020-03-24 Addressing multidrug resistant pathogens in pediatric palliative care patients—the nurses point of view: A qualitative study Schmidt, Pia Hartenstein-Pinter, Almut Wager, Julia Hasan, Carola Zernikow, Boris Palliat Med Original Articles BACKGROUND: Multidrug resistant pathogens are a large-scale healthcare issue. In particular, children with life-limiting conditions have a significantly increased risk of multidrug resistant pathogen colonization. Official hygiene requirements recommend children, who are colonized with multidrug resistant pathogens, to be isolated. In the context of pediatric palliative care, such isolation adversely affects the aim of social participation. To overcome this challenge of conflicting interests on a pediatric palliative care inpatient unit, a hygiene concept for patients colonized with multidrug resistant pathogens, called PALLINI, was implemented. AIM: The aim of this study was to identify the nurses’ attitudes and opinions toward PALLINI. METHODS: Nurses (N = 14) from the pediatric palliative care unit were queried in guideline-oriented interviews. Interviews were analyzed qualitatively by means of content analysis. RESULTS: The following four categories were identified: (1) safety, (2) effort, (3) quality of care, and (4) participation. All categories demonstrated ambivalence by nursing staff regarding PALLINI. Ambivalence arose from guaranteeing infection control versus noncompliance by the families, additional workload for patients with multidrug resistant pathogens versus lack of resources, impaired relationship with the parents versus enabling better care for the child, as well as enabling some limited contact versus the larger goal of genuine social participation. Despite this, nurses reported the importance of arranging everyday-life for the patients so that they experience as much social participation as possible. CONCLUSION: The implementation of a new hygiene concept is challenging. Despite positive reception of PALLINI from the nurses, ambivalence remained. Addressing these ambivalences may be critical to best implement the new hygiene concept. SAGE Publications 2019-10-29 2020-03 /pmc/articles/PMC7074707/ /pubmed/31659938 http://dx.doi.org/10.1177/0269216319883981 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Schmidt, Pia
Hartenstein-Pinter, Almut
Wager, Julia
Hasan, Carola
Zernikow, Boris
Addressing multidrug resistant pathogens in pediatric palliative care patients—the nurses point of view: A qualitative study
title Addressing multidrug resistant pathogens in pediatric palliative care patients—the nurses point of view: A qualitative study
title_full Addressing multidrug resistant pathogens in pediatric palliative care patients—the nurses point of view: A qualitative study
title_fullStr Addressing multidrug resistant pathogens in pediatric palliative care patients—the nurses point of view: A qualitative study
title_full_unstemmed Addressing multidrug resistant pathogens in pediatric palliative care patients—the nurses point of view: A qualitative study
title_short Addressing multidrug resistant pathogens in pediatric palliative care patients—the nurses point of view: A qualitative study
title_sort addressing multidrug resistant pathogens in pediatric palliative care patients—the nurses point of view: a qualitative study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074707/
https://www.ncbi.nlm.nih.gov/pubmed/31659938
http://dx.doi.org/10.1177/0269216319883981
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