IP 2 0 2 1 R EVIEW
which included: l New pathogens species and novel variants l Pathogens acquiring resistance l Diseases that cross between animals to humans
l HIV/AIDS, Tuberculosis and Malaria l Epidemic plant diseases l Acute respiratory tract infections l Sexually transmitted diseases l Animal diseases that cross national boundaries
In 2014, the Foresight group reported that very little had been done to address these issues, since they were previously raised on the agenda in 2006. Prof. Loveday commented that identifying the challenges is important, but we also need to act. Changing behaviour is notoriously challenging, however. A famous economist, John Maynard Keynes, once said: “The difficulty lies not so much in developing new ideas as escaping from old ones.” Prof. Loveday said that unlearning old behaviours remains a concern and – like Prof. Wilson – raised the issue of “unlearning” [inappropriate] glove use. “We have to think hard about how we challenge the mental models of our colleagues, both in terms of how they protect patients and their own safety,” she continued. Infection prevention is much more than “hands, drugs
One of the barriers we face in changing behaviour around infection prevention and control is that treatment has become far more siloed and more task orientated. Measures to prevent infection are viewed as ‘getting in the way’ of what people see as being their ‘real jobs’. But IP&C is at the heart of keeping people safe and the heart of fundamental
nursing and care. Professor Heather Loveday, University of West London.
and bins,” she quipped – it requires a range of skills. IP&C teams are largely comprised of specialist nursing, clinical science and data specialists, and the focus is predominantly on acute care. However, COVID-19 has thrown other care settings into the spotlight and IP&C activity remains largely reactive rather than proactive.
Nurse call Half page 6-8-2021(crops).pdf 1 06/08/2021 11:36
Fundamentals of care Prof. Loveday called for a shift in focus to view infection prevention through the lens of “fundamental nursing care” – this is essential
care that patients need to “thrive and get better”. The challenges around fundamental nursing care were described in a paper by Kitson et al (2014).1
These challenges include:
l The need for an integrated way of thinking about the fundamentals of care from a conceptual, methodological, and practical perspective.
l The ongoing and unresolved tension in nursing practice between a depersonalised and mechanistic approach (termed a “task and time” driven culture).
l The need for consistency around
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