Short Communication

Five core areas to focus infection prevention and transmission risk breaches training based on quarantine staff orientation sessions: A qualitative study

Abstract

Background & Aim: Breach awareness in relation to types, mitigation, and reporting should be a routine part of infection prevention training. Understanding breaches can reduce the risk of disease transmission to staff and communities when contextualized to the infectious disease, environment, and situation. At a large-scale Australian COVID-19 quarantine facility, this study examined the core personal protective equipment and infection prevention breaches new quarantine workers identified during their site orientation to inform future breach training.
Methods & Materials: Through the application of a qualitative approach, the project implemented a descriptive thematic analysis to identify the different types of breaches staff presented. An additional summative content analysis method was applied to determine if the breaches staff identified were breaching and if the risk level staff allocated to the breach was mapped to the risk of disease transmission. Data were collected from 30 orientation sessions and included 603 breach risk responses for analysis.Results: There were five core breach areas identified: donning and doffing of personal protective equipment, failure of personal protective equipment or lack of equipment, environmental factors, staff behaviors, and resident behaviors. The breach allocations by staff demonstrated knowledge deficits across health and non-health staff in disease transmission, particularly in the actual level of risk for transmission.
Conclusion:  Breaches awareness in relation to types, mitigation, and reporting should be a routine part of infection prevention training. The five areas of breaches present an adaptable foundation to base infection prevention breach training for any health facility. When contextualized to the communicable disease, environment, and situation, understanding breaches can reduce the risk of disease transmission to staff and communities.

1. Charles Darwin University. Section 1 Processes, infrastructure and communication: Work Health and Safety. Top End Academic Health Partners; 2023. Available at: https://quarantine-guide.cdu.edu.au/wp-content/uploads/2023/04/Section-1-Work-Health-and-Safety.pdf
2. Curtis SJ, Trewin A, McDermott K, Were K, Walczynski T, Notaras L, Walsh N. An outdoor hotel quarantine facility model in Australia: best practice with optimal outcomes. Australian and New Zealand Journal of Public Health. 2022 Oct 1;46(5):633-9.
3. Department of Finance. Centers For National Resilience. Australian Government; 2022. Available at: https://www.finance.gov.au/government/property-and-construction/centres-national-resilience
4. Batista B, Dickenson D, Gurski K, Kebe M, Rankin N. Minimizing disease spread on a quarantined cruise ship: A model of COVID-19 with asymptomatic infections. Mathematical Biosciences. 2020 Nov 1;329:108442.
5. COVID-19 Hotel Quarantine Inquiry. Final Report and Recommendations, Volume I Parl paper no. 191 (2018–2020). Australian Government; 2022. Available at: https://www.quarantineinquiry.vic.gov.au
6. Haire B, Gilbert GL, Kaldor JM, Hendrickx D, Dawson A, Williams JH. Experiences of risk in Australian hotel quarantine: A qualitative study. BMC Public Health. 2022 Dec;22(1):1-8.
7. Grout L, Katar A, Ouakrim DA, Summers JA, Kvalsvig A, Baker MG, Blakely T, Wilson N. Estimating the failure risk of hotel-based quarantine for preventing COVID-19 outbreaks in Australia and New Zealand. medRxiv. 2021 Feb 19:2021-02....
8. Harris H, Vermeulen L, Shaw K. Mandatory, supervised quarantine of international travellers: Experience from the Centre for National Resilience, Australia. RACMA Quarterly Journal. Q1 2022.
9. World Health Organization (WHO). Infection prevention and control. Health Topics; 2022. Available at: https://www.who.int/health-topics/infection-prevention-and-control#tab=tab
10. Clinical Excellence Commission. COVID-19 Infection Prevention and Control Manual Version 2.5, 2022 Sept 20. New South Wales Government (NSW); 2022. Available at: https://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0018/644004/COVID-19-IPAC-manual.pdf
11. Liow MH, Lee LC, Tan NC, Tan HK, Chow W, Wee GL, Wong SH, Paramasivam J, Tan K, Ling ML. Personal protective equipment training for non-healthcare workers in the Covid-19 pandemic: Effectiveness of an evidence-based skills training framework. Infection, Disease & Health. 2022 Feb 1;27(1):38-48.
12. Australian Commission of Safety and Quality in Healthcare. Use of the hierarchy of controls in infection prevention and control–Factsheet; 2022. Available at: https://www.safetyandquality.gov.au/publications-and-resources/resource-library/use-hierarchy-controls-infection-prevention-and-control-factsheet
13. Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences. 2013 Sep;15(3):398-405.
14. Communicable Diseases Network Australia (CDNA). Coronavirus Disease Series of National Guidelines, 2022. Australian Government, Department of Health; 2022. Available at: https://www1.health.gov.au/internet/main/publishing.nsf/Content/cdna-song-novel-coronavirus.htm
15. O'Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Academic Medicine. 2014 Sep 1;89(9):1245-51.
16. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International journal for quality in health care. 2007 Dec 1;19(6):349-57.
17. Australian Government. Minimising the risk of infectious respiratory disease transmission in the context of COVID-19: The hierarchy of controls; 2022. Available at: https://www.health.gov.au/sites/default/files/documents/2021/07/minimising-the-risk-of-infectious-respiratory-disease-transmission-in-the-context-of-covid-19-the-hierarchy-of-controls.pdf.
18. Bagcchi S. Stigma during the COVID-19 pandemic. The Lancet Infectious Diseases. 2020 Jul 1;20(7):782.
Molina-Mula J, González-Trujillo A, Perelló-Campaner C, Tortosa-Espínola S, Tera-Donoso J, De la Rosa LO, Romero-Franco N. The emotional impact of COVID-19 on Spanish nurses and potential strategies to reduce it. Collegian. 2022 Jun 1;29(3):296-310.
Files
IssueVol 10 No 4 (2023): Autumn QRcode
SectionShort Communication(s)
DOI https://doi.org/10.18502/npt.v10i4.14074
Keywords
breach; infection prevention; quarantine; personal protective equipment; risk; training
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Sheedy A, Fitzgerald A, Black D, Scott J, Rettie F. Five core areas to focus infection prevention and transmission risk breaches training based on quarantine staff orientation sessions: A qualitative study. NPT. 2023;10(4):279-285.