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Infection Control in Small Residential Care Settings: Insights From a National Survey and Washington State Data

Infection control is a vital issue in long-term care, and the increasing popularity of small residential care facilities (SRCF) raises questions about the effectiveness of this model for preventing facility-acquired infections. In SRCF, care is provided in a residential home to a small number of res...

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Autores principales: Ham, Carolyn, Unutzer, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682438/
http://dx.doi.org/10.1093/geroni/igab046.3499
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author Ham, Carolyn
Unutzer, Anna
author_facet Ham, Carolyn
Unutzer, Anna
author_sort Ham, Carolyn
collection PubMed
description Infection control is a vital issue in long-term care, and the increasing popularity of small residential care facilities (SRCF) raises questions about the effectiveness of this model for preventing facility-acquired infections. In SRCF, care is provided in a residential home to a small number of residents. The setting lacks common terminology, and states license SRCF under various titles including Adult Family Homes, Adult Foster Homes and Family Care Homes. To better inform infection control efforts in this unique setting type, DOH staff conducted a comprehensive search to locate states that license SRCF. A total of 24 states were identified and approached to participate in a qualitative research study; 21 responded, three declined and nine were unable to participate due to staff time constraints. Between March 12th and April 15th, 2021, ten public health and regulatory staff from nine states completed semi-structured telephonic interviews on infection control in SRCF. Infection control licensing requirements and public health oversight for SRCF varied significantly across participating states. Data from these interviews was analyzed and compared with two Washington State Adult Family Home (AFH) sources: 1) online survey of AFH providers 2) Infection Control Assessment and Response evaluations conducted by public health staff. Four themes were identified in all three data sets: access to personal protective equipment, environmental safety, staffing issues and knowledge deficits. SRCF are valued by states that license them. Despite the challenges of implementing infection control in the home-like environment, extraordinary opportunities exist for improving care and preventing infections in this setting.
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spelling pubmed-86824382021-12-20 Infection Control in Small Residential Care Settings: Insights From a National Survey and Washington State Data Ham, Carolyn Unutzer, Anna Innov Aging Abstracts Infection control is a vital issue in long-term care, and the increasing popularity of small residential care facilities (SRCF) raises questions about the effectiveness of this model for preventing facility-acquired infections. In SRCF, care is provided in a residential home to a small number of residents. The setting lacks common terminology, and states license SRCF under various titles including Adult Family Homes, Adult Foster Homes and Family Care Homes. To better inform infection control efforts in this unique setting type, DOH staff conducted a comprehensive search to locate states that license SRCF. A total of 24 states were identified and approached to participate in a qualitative research study; 21 responded, three declined and nine were unable to participate due to staff time constraints. Between March 12th and April 15th, 2021, ten public health and regulatory staff from nine states completed semi-structured telephonic interviews on infection control in SRCF. Infection control licensing requirements and public health oversight for SRCF varied significantly across participating states. Data from these interviews was analyzed and compared with two Washington State Adult Family Home (AFH) sources: 1) online survey of AFH providers 2) Infection Control Assessment and Response evaluations conducted by public health staff. Four themes were identified in all three data sets: access to personal protective equipment, environmental safety, staffing issues and knowledge deficits. SRCF are valued by states that license them. Despite the challenges of implementing infection control in the home-like environment, extraordinary opportunities exist for improving care and preventing infections in this setting. Oxford University Press 2021-12-17 /pmc/articles/PMC8682438/ http://dx.doi.org/10.1093/geroni/igab046.3499 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Ham, Carolyn
Unutzer, Anna
Infection Control in Small Residential Care Settings: Insights From a National Survey and Washington State Data
title Infection Control in Small Residential Care Settings: Insights From a National Survey and Washington State Data
title_full Infection Control in Small Residential Care Settings: Insights From a National Survey and Washington State Data
title_fullStr Infection Control in Small Residential Care Settings: Insights From a National Survey and Washington State Data
title_full_unstemmed Infection Control in Small Residential Care Settings: Insights From a National Survey and Washington State Data
title_short Infection Control in Small Residential Care Settings: Insights From a National Survey and Washington State Data
title_sort infection control in small residential care settings: insights from a national survey and washington state data
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682438/
http://dx.doi.org/10.1093/geroni/igab046.3499
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