Center For Disease Control

Health Protection Scotland

Pope C.

Public Health England 2014

World Health Organisation

English

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Patient experience of hospital screening for carbapenemase‐producing Enterobacteriaceae

AimTo explore patients' accounts of screening and being managed for colonisation with the antimicrobial resistant organism, carbapenemase-producing Enterobacteriaceae (CPE), when in hospital. BackgroundAntimicrobial resistance (AMR) has been identified as one of the biggest global health challenges of the 21st Century. As the threat from AMR grows, screening to identify patients who are colonised with resistant organisms such as CPE is becoming an increasingly important aspect of nursing practice, in order to reduce risk of transmission of infection within hospitals. There is currently little research evidence on the patient experience of hospital management of CPE colonisation.MethodsQualitative semi-structured telephone interviews were undertaken, using a topic guide. Nine patients participated in the study. The data were analysed thematically, and rigour was maintained through peer review. The COREQ checklist was used.ResultsTwo main themes were identified: “I can't make sense of CPE,” illustrating limitations in patients' understandings of CPE; and, “I feel as if they are saying it is my fault,” indicating the feelings of responsibility and blame which patients experienced.ConclusionsThis paper contributes original evidence to the limited literature on patients' experiences of being colonised with CPE. The findings suggest that support and information provided for patients by healthcare professionals needs to be based on current evidence-based guidance on the nature of CPE and its implications for patient care, as well as being responsive to patients' emotional needs.Relevance to clinical practiceThis study has international relevance for nursing practice. As the global threat of AMR grows, the demands on healthcare providers to manage resistant organisms and their implications for patient care within healthcare settings are increasing. Enabling healthcare professionals to engage sensitively with patients being managed for colonisation with CPE is paramount to providing patient-centred care.<br/

King, Caroline

Grandison, Tracyanne

Cawthorne , Julie

Currie, Kay

ResearchOnline@GCU

Patient experience of hospital screening for carbapenemase-producing Enterobacteriaceae: a qualitative study

https://researchonline.gcu.ac.uk/files/27536427/CPE_patient_experience_Author_accepted_manuscript_PURE.pdf

Patient experience of hospital screening for carbapenemase-producing Enterobacteriaceae: a qualitative study

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