Beyond the control of the care home: A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people

Gavin Daker‐White; Maria Panagioti; Sally Giles; Thomas Blakeman; Victoria Moore; Alex Hall; Paul P. Jones; Oliver Wright; Bethany Shears; Natasha Tyler; Stephen Campbell

doi:10.1111/hex.13349

Beyond the control of the care home: A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people

Gavin Daker‐White, Maria Panagioti, Sally Giles, Thomas Blakeman, Victoria Moore, Alex Hall, Paul P. Jones, Oliver Wright, Bethany Shears, Natasha Tyler, Stephen Campbell

Research output: Contribution to journal › Review article › peer-review

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Abstract

Objective: This study aimed to develop interpretive insights concerning Infection Prevention and Control (IPC) in care homes for older people.

Design: This study had a meta-ethnography design.

Data Sources: Six bibliographic databases were searched from inception to May 2020 to identify the relevant literature.

Review Methods: A meta-ethnography was performed.

Results: Searches yielded 652 records; 15 were included. Findings were categorized into groups: The difficulties of enacting IPC measures in the care home environment; workload as an impediment to IPC practice; the tension between IPC and quality of life for care home residents; and problems dealing with medical services located outside the facility including diagnostics, general practice and pharmacy. Infection was revealed as something seen to lie ‘outside’ the control of the care home, whether according to origins or control measures. This could help explain the reported variability in IPC practice. Facilitators to IPC uptake involved repetitive training and professional development, although such opportunities can be constrained by the ways in which services are organized and delivered.

Conclusions: Significant challenges were revealed in implementing IPC in care homes including staffing skills, education, workloads and work routines. These challenges cannot be properly addressed without resolving the tension between the objectives of maintaining resident quality of life while enacting IPC practice. Repetitive staff training and professional development with parallel organisational improvements have prospects to enhance IPC uptake in residential and nursing homes. Patient or Public Contribution: A carer of an older person joined study team meetings and was involved in writing a lay summary of the study findings.

Original language	English
Pages (from-to)	2095-2106
Number of pages	12
Journal	Health Expectations
Volume	25
Issue number	5
Early online date	21 Aug 2021
DOIs	https://doi.org/10.1111/hex.13349
Publication status	Published - Oct 2022

Keywords

Infection Prevention and Control
long-term care facilities
meta-synthesis
older people
qualitative studies

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Daker‐White, G., Panagioti, M., Giles, S., Blakeman, T., Moore, V., Hall, A., Jones, P. P., Wright, O., Shears, B., Tyler, N., & Campbell, S. (2022). Beyond the control of the care home: A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people. Health Expectations, 25(5), 2095-2106. https://doi.org/10.1111/hex.13349

@article{8a06f2aa624147ebb15cf7165588fbc7,

title = "Beyond the control of the care home: A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people",

abstract = "Objective: This study aimed to develop interpretive insights concerning Infection Prevention and Control (IPC) in care homes for older people. Design: This study had a meta-ethnography design. Data Sources: Six bibliographic databases were searched from inception to May 2020 to identify the relevant literature. Review Methods: A meta-ethnography was performed. Results: Searches yielded 652 records; 15 were included. Findings were categorized into groups: The difficulties of enacting IPC measures in the care home environment; workload as an impediment to IPC practice; the tension between IPC and quality of life for care home residents; and problems dealing with medical services located outside the facility including diagnostics, general practice and pharmacy. Infection was revealed as something seen to lie {\textquoteleft}outside{\textquoteright} the control of the care home, whether according to origins or control measures. This could help explain the reported variability in IPC practice. Facilitators to IPC uptake involved repetitive training and professional development, although such opportunities can be constrained by the ways in which services are organized and delivered. Conclusions: Significant challenges were revealed in implementing IPC in care homes including staffing skills, education, workloads and work routines. These challenges cannot be properly addressed without resolving the tension between the objectives of maintaining resident quality of life while enacting IPC practice. Repetitive staff training and professional development with parallel organisational improvements have prospects to enhance IPC uptake in residential and nursing homes. Patient or Public Contribution: A carer of an older person joined study team meetings and was involved in writing a lay summary of the study findings.",

keywords = "Infection Prevention and Control, long-term care facilities, meta-synthesis, older people, qualitative studies",

author = "Gavin Daker‐White and Maria Panagioti and Sally Giles and Thomas Blakeman and Victoria Moore and Alex Hall and Jones, {Paul P.} and Oliver Wright and Bethany Shears and Natasha Tyler and Stephen Campbell",

note = "Funding Information: This study was funded by the National Institute for Health Research (NIHR) Greater Manchester Patient Safety Translational Research Centre. The views expressed are those of the authors and not necessarily those of the NIHR or Department of Health or Social Care. Funding for this study was provided by the NIHR Patient Safety and Translational Centre at The University of Manchester. Publisher Copyright: {\textcopyright} 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.",

year = "2022",

month = oct,

doi = "10.1111/hex.13349",

language = "English",

volume = "25",

pages = "2095--2106",

journal = "Health expectations : an international journal of public participation in health care and health policy",

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number = "5",

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Daker‐White, G, Panagioti, M , Giles, S , Blakeman, T , Moore, V , Hall, A, Jones, PP, Wright, O, Shears, B, Tyler, N & Campbell, S 2022, 'Beyond the control of the care home: A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people', Health Expectations, vol. 25, no. 5, pp. 2095-2106. https://doi.org/10.1111/hex.13349

TY - JOUR

T1 - Beyond the control of the care home

T2 - A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people

AU - Daker‐White, Gavin

AU - Panagioti, Maria

AU - Giles, Sally

AU - Blakeman, Thomas

AU - Moore, Victoria

AU - Hall, Alex

AU - Jones, Paul P.

AU - Wright, Oliver

AU - Shears, Bethany

AU - Tyler, Natasha

AU - Campbell, Stephen

N1 - Funding Information: This study was funded by the National Institute for Health Research (NIHR) Greater Manchester Patient Safety Translational Research Centre. The views expressed are those of the authors and not necessarily those of the NIHR or Department of Health or Social Care. Funding for this study was provided by the NIHR Patient Safety and Translational Centre at The University of Manchester. Publisher Copyright: © 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.

PY - 2022/10

Y1 - 2022/10

N2 - Objective: This study aimed to develop interpretive insights concerning Infection Prevention and Control (IPC) in care homes for older people. Design: This study had a meta-ethnography design. Data Sources: Six bibliographic databases were searched from inception to May 2020 to identify the relevant literature. Review Methods: A meta-ethnography was performed. Results: Searches yielded 652 records; 15 were included. Findings were categorized into groups: The difficulties of enacting IPC measures in the care home environment; workload as an impediment to IPC practice; the tension between IPC and quality of life for care home residents; and problems dealing with medical services located outside the facility including diagnostics, general practice and pharmacy. Infection was revealed as something seen to lie ‘outside’ the control of the care home, whether according to origins or control measures. This could help explain the reported variability in IPC practice. Facilitators to IPC uptake involved repetitive training and professional development, although such opportunities can be constrained by the ways in which services are organized and delivered. Conclusions: Significant challenges were revealed in implementing IPC in care homes including staffing skills, education, workloads and work routines. These challenges cannot be properly addressed without resolving the tension between the objectives of maintaining resident quality of life while enacting IPC practice. Repetitive staff training and professional development with parallel organisational improvements have prospects to enhance IPC uptake in residential and nursing homes. Patient or Public Contribution: A carer of an older person joined study team meetings and was involved in writing a lay summary of the study findings.

AB - Objective: This study aimed to develop interpretive insights concerning Infection Prevention and Control (IPC) in care homes for older people. Design: This study had a meta-ethnography design. Data Sources: Six bibliographic databases were searched from inception to May 2020 to identify the relevant literature. Review Methods: A meta-ethnography was performed. Results: Searches yielded 652 records; 15 were included. Findings were categorized into groups: The difficulties of enacting IPC measures in the care home environment; workload as an impediment to IPC practice; the tension between IPC and quality of life for care home residents; and problems dealing with medical services located outside the facility including diagnostics, general practice and pharmacy. Infection was revealed as something seen to lie ‘outside’ the control of the care home, whether according to origins or control measures. This could help explain the reported variability in IPC practice. Facilitators to IPC uptake involved repetitive training and professional development, although such opportunities can be constrained by the ways in which services are organized and delivered. Conclusions: Significant challenges were revealed in implementing IPC in care homes including staffing skills, education, workloads and work routines. These challenges cannot be properly addressed without resolving the tension between the objectives of maintaining resident quality of life while enacting IPC practice. Repetitive staff training and professional development with parallel organisational improvements have prospects to enhance IPC uptake in residential and nursing homes. Patient or Public Contribution: A carer of an older person joined study team meetings and was involved in writing a lay summary of the study findings.

KW - Infection Prevention and Control

KW - long-term care facilities

KW - meta-synthesis

KW - older people

KW - qualitative studies

U2 - 10.1111/hex.13349

DO - 10.1111/hex.13349

M3 - Review article

VL - 25

SP - 2095

EP - 2106

JO - Health expectations : an international journal of public participation in health care and health policy

JF - Health expectations : an international journal of public participation in health care and health policy

SN - 1369-7625

IS - 5

ER -

Beyond the control of the care home: A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people

Abstract

Keywords

UN SDGs

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