Recommendations related to occupational infection prevention and control training to protect healthcare workers from infectious diseases: a scoping review of infection prevention and control guidelines.

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Clinical Guidelines
Authored By
Qureshi MO, Chughtai AA, Seale H
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Infectious Disease & Vaccines
Internal/Family Medicine
Speciality
Infectious Disease & Vaccines
Internal/Family Medicine
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volume
22
ISSN
1472-6963
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ISSN
1472-6963
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Additional Info
["Qureshi MO, Chughtai AA, Seale H","Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE","Journal Article; Scoping Review","2022-03-01","BMC health services research [BMC Health Serv Res] 2022 Mar 01; Vol. 22 (1), pp. 272. Date of Electronic Publication: 2022 Mar 01.","English","1472-6963","COVID-19*\/prevention & control , Communicable Diseases*, Infection Control\/methods ; Pandemics\/prevention & control ; Adult ; Health Personnel ; Humans ; SARS-CoV-2","Infection Control methods, Pandemics prevention & control, Adult, Health Personnel, Humans, SARS-CoV-2, COVID-19 prevention & control, Communicable Diseases","BMC health services research","22"]
Description
Background: Events such as the COVID-19 pandemic remind us of the heightened risk that healthcare workers (HCWs) have from acquiring infectious diseases at work. Reducing the risk requires a multimodal approach, ensuring that staff have the opportunity to undertake occupational infection prevention and control (OIPC) training. While studies have been done within countries to look at availability and delivery of OIPC training opportunities for HCWs, there has been less focus given to whether their infection prevention and control (IPC) guidelines adhere to recommended best practices.<br />Objectives: To examine national IPC guidelines for the inclusion of key recommendations on OIPC training for HCWs to protect them from infectious diseases at work and to report on areas of inconsistencies and gaps.<br />Methods: We applied a scoping review method and reviewed guidelines published in the last twenty years (2000-2020) including the IPC guidelines of World Health Organization and the United States Centers for Disease Control and Prevention. These two guidelines were used as a baseline to compare the inclusion of key elements related to OIPC training with IPC guidelines of four high-income countries /regions i.e., Gulf Cooperation Council, Australia, Canada, United Kingdom and four low-, and middle-income countries (LMIC) i.e. India, Indonesia, Pakistan and, Philippines.<br />Results: Except for the Filipino IPC guideline, all the other guidelines were developed in the last five years. Only two guidelines discussed the need for delivery of OIPC training at undergraduate and/or post graduate level and at workplace induction. Only two acknowledged that training should be based on adult learning principles. None of the LMIC guidelines included recommendations about evaluating training programs. Lastly the mode of delivery and curriculum differed across the guidelines.<br />Conclusions: Developing a culture of learning in healthcare organizations by incorporating and evaluating OIPC training at different stages of HCWs career path, along with incorporating adult learning principles into national IPC guidelines may help standardize guidance for the development of OIPC training programs. Sustainability of this discourse could be achieved by first updating the national IPC guidelines. Further work is needed to ensure that all relevant healthcare organisations are delivering a package of OIPC training that includes the identified best practice elements.<br /> (© 2022. The Author(s).)
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