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BACKGROUND: In healthcare implementation research, there is little discussion of researchers' experiences of using frameworks, including the Consolidated Framework for Implementation Research (CFIR). AIM: To identify and discuss the benefits and challenges encountered and the lessons learnt from researchers' experiences of using the CFIR in different contexts and phases of research. DISCUSSION: This article synthesises the reflections of nursing and public health researchers on their experiences of using the CFIR across four separate healthcare-associated infection prevention and control implementation studies. The CFIR's benefits and challenges, the resolutions to these challenges and the lessons learnt from the application of the framework were discussed. CONCLUSIONS: Identified benefits included the framework's adaptability and flexibility, and its provision of structure and shared language for research. Translation to another language and differentiating between domains and constructs were challenges. IMPLICATIONS FOR PRACTICE: Nurse researchers may find this article useful when considering use of the CFIR, or to anticipate and prepare to overcome the challenges highlighted when using the framework.
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Investigación sobre Servicios de Salud , TraduccionesRESUMEN
BACKGROUND: Infection prevention and control program (IPCP) assessment tools help to identify the improvement needs. This study aimed to identify fit-for-purpose of 3 IPCP assessment tools. METHODS: An exploratory mixed-method study was performed from 2018-2019 in Brazil, using a convenience sample of IPC professionals with various levels of experience to evaluate the IPCP tools: (1) the WHO Infection Prevention and Control Assessment Framework at the Facility Level (IPCAF), (2) the University of Sao Paulo IPCP tool (OGIPCP), and (3) the Infection Prevention and Control Programme Evaluation (IPCPE) tool. A quantitative survey followed by a semi-structured interview accessed the participants' perceptions about these tools. Quantitative data analysis were descriptive and qualitative data were thematical. RESULTS: IPCPE was considered more complete, better for effectiveness, easy to apply, and with easily interpreted indicators. IPCAF was the best regarding to purpose, easy reporting, and interpretation; however, requires professional experience. OGIPCP have the fastest application, easy to understand, and easily calculated indicators, requiring less experience. Qualitative data endorsed the quantitative results and showed IPCPE and IPCAF tools as the most accepted. CONCLUSIONS: The 3 assessment tools for IPCP have similar potential for use to support improvements in the IPCP. The IPCPE and IPCAF were considered advantageous on the effectiveness and fit-for-purpose compared to OGIPCP, despite the higher familiarity of participants with this tool.
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Control de Infecciones , Brasil , Humanos , Control de Infecciones/métodos , Encuestas y CuestionariosRESUMEN
Descrever as características da síndrome tóxica do segmento anterior (TASS) e as implicações para as ações de enfermagem. Método: Trata-se de uma revisão da literatura por meio de pesquisa nas bases de dados Medical Literature Analysis and Retrievel System Online (MEDLINE) e Literatura Latino-Americana em Ciências da Saúde (LILACS). Resultados: A TASS é uma reação inflamatória ocular aguda após cirurgias oftálmicas, principalmente a cirurgia de catarata, cuja apresentação clínica nas primeiras 12 horas após o procedimento inclui sinais como edema da córnea, presença de células na câmara anterior (CA), pressão intraocularaumentada e pupila irregular. As principais causas estão relacionadas com substâncias não infecciosas introduzidas no olho do paciente a partir de produtos usados durante a cirurgia ou devido a falhas no processamento dos instrumentais. Conclusão: As implicações para a enfermagem consistem nas medidas de prevenção, treinamento de pessoal, orientação aos pacientes e vigilância epidemiológica ativa visando à identificação precoce de sinais indicativos da TASS...