1887

Microbiology Education and Infection Control Competency: Offering a New Perspective

    Authors: Jennifer L. Cox1,*, Maree Donna Simpson1
    VIEW AFFILIATIONS HIDE AFFILIATIONS
    Affiliations: 1: Charles Sturt University, Orange NSW 2800, Australia
    AUTHOR AND ARTICLE INFORMATION AUTHOR AND ARTICLE INFORMATION
    • Received 11 September 2017 Accepted 23 February 2018 Published 29 June 2018
    • ©2018 Author(s). Published by the American Society for Microbiology.
    • [open-access] This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-NoDerivatives 4.0 International license (https://creativecommons.org/licenses/by-nc-nd/4.0/ and https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode), which grants the public the nonexclusive right to copy, distribute, or display the published work.

    • *Corresponding author. Mailing address: School of Biomedical Sciences, PO Box 883, Orange, NSW, Australia, 2800. Phone 612 6365 7687. E-mail: [email protected].
    Source: J. Microbiol. Biol. Educ. June 2018 vol. 19 no. 2 doi:10.1128/jmbe.v19i2.1475
MyBook is a cheap paperback edition of the original book and will be sold at uniform, low price.
  • PDF
    190.09 Kb
  • XML
    73.45 Kb
  • HTML
    59.73 Kb

    Abstract:

    Healthcare-associated infections (HAIs) have become a significant and costly problem for healthcare institutions worldwide. Despite the crucial role of infection prevention and control (IC) procedures, there is a substantial body of evidence to indicate that IC knowledge and practices of health professional graduates is, however, sub-optimal. This paper presents a discussion of the critical role microbiology plays in infection control education and practice, arguing that without an ability to apply microbiology knowledge to IC decision-making, there is an inherent risk of incorrect application of IC practices and thus a risk to patient (and nurse) safety. The authors propose a re-conceptualization of infection control competency, using nursing as an exemplar profession, to reflect practice that is not based on simple memorization of protocols but rather on a sound understanding of microbiology and informed decision-making. The proposal for re-conceptualizing the definition and assessment of IC competence, if adopted, would potentially enhance students’ understanding and synthesis of microbiology knowledge and help build students’ capacity to apply that knowledge to practice.

References & Citations

1. Huttner A, Harbarth S, Carlet J, Cosgrove S, Goossens H, Holmes A, Jarlier V, Voss A, Pittet D 2013 Antimicrobial resistance: a global view from the 2013 World Healthcare-Associated Infections Forum Antimicrob Resist Infect Control 2 1 1 13 10.1186/2047-2994-2-31 http://dx.doi.org/10.1186/2047-2994-2-31
2. Kollef MH, Zilberberg MD, Shorr AF, Vo L, Schein J, Micek ST, Kim M 2011 Epidemiology, microbiology and outcomes of healthcare-associated and community-acquired bacteremia: a multicenter cohort study J Infect 62 2 130 135 10.1016/j.jinf.2010.12.009 21195110 http://dx.doi.org/10.1016/j.jinf.2010.12.009
3. Collignon P, Wilkinson I, Gilbert G, Grayson ML, Whitby RM 2006 Health-care associated Staphylococcus aureus bloodstream infections: a clinical quality indicator for all hospitals Med J Aust 184 404 406 16618240
4. Scott RD 2009 The direct medical costs of healthcare-associated infections in US hospitals and the benefits of prevention Centers for Disease Control and Prevention Atlanta, GA
5. Sy AK, Saito-Obata M, Medado IA, Tohma K, Dapat C, Segubre-Mercado E, Tandoc A, Lupisan S, Oshitani H 2016 Molecular characterization of chikungunya virus, Philippines, 2011–2013 Emerg Infect Dis 22 5 887 10.3201/eid2205.151268 27088593 4861512 http://dx.doi.org/10.3201/eid2205.151268
6. Ioos S, Mallet HP, Leparc Goffart I, Gauthier V, Cardoso T, Herida M 2014 Current Zika virus epidemiology and recent epidemics Médecine et maladies infectieuses 44 7 302 307 10.1016/j.medmal.2014.04.008 http://dx.doi.org/10.1016/j.medmal.2014.04.008
7. Zammarchi L, Stella G, Mantella A, Bartolozzi D, Tappe D, Günther S, Oestereich L, Cadar D, Muñoz-Fontela C, Bartoloni A, Schmidt-Chanasit J 2015 Zika virus infections imported to Italy: clinical, immunological and virological findings, and public health implications J Clin Virol 6 32 35 10.1016/j.jcv.2014.12.005 http://dx.doi.org/10.1016/j.jcv.2014.12.005
8. Bogoch II, Brady OJ, Kraemer MUG, German M, Creatore MI, Kulkarni MA, Brownstein JS, Mekaru SR, Hay SI, Groot E, Watts A, Khan K 2016 Anticipating the international spread of Zika virus from Brazil Lancet 387 10016 335 336 10.1016/S0140-6736(16)00080-5 26777915 4873159 http://dx.doi.org/10.1016/S0140-6736(16)00080-5
9. Donaldson A, Fisher D, Scharmer C, Ng T, Tambyah P 2008 Hand hygiene audits utilising medical student observers and measuring product consumption Healthc Infect 13 10 14 10.1071/HI08002 http://dx.doi.org/10.1071/HI08002
10. Lugg GR, Ahmed HA 2008 Nurses’ perceptions of meticillin-resistant Staphylococcus aureus: impacts on practice Br J Infect Contr 9 1 8 14 10.1177/1469044607084969 http://dx.doi.org/10.1177/1469044607084969
11. Wu CJ, Gardner GE, Chang AM 2009 Taiwanese nursing students’ knowledge, application and confidence with standard and additional precautions in infection control J Clin Nurs 18 8 1105 1112 10.1111/j.1365-2702.2008.02309.x http://dx.doi.org/10.1111/j.1365-2702.2008.02309.x
12. Al-Hussami M, Darawad M 2013 Compliance of nursing students with infection prevention precautions: effectiveness of a teaching program Am J Infect Control 41 4 332 336 10.1016/j.ajic.2012.03.029 http://dx.doi.org/10.1016/j.ajic.2012.03.029
13. Candela L, Bowles C 2008 Recent RN graduate perceptions of educational preparation Nurs Educ Perspec 29 5 266 271
14. Duchscher JEB 2008 A process of becoming: the stages of new nursing graduate professional role transition J Contin Educ Nurs 39 10 441 450 10.3928/00220124-20081001-03 18990890 http://dx.doi.org/10.3928/00220124-20081001-03
15. Sulosaari V, Kajander S, Hupli M, Huupponen R, Leino-Kilpi H 2012 Nurse students’ medication competence—an integrative review of the associated factors Nurse Educ Today 32 4 399 405 10.1016/j.nedt.2011.05.016 http://dx.doi.org/10.1016/j.nedt.2011.05.016
16. Liu L, Curtis J, Crookes PA 2014 Identifying essential infection control competencies for newly graduated nurses: a three-phase study in Australia and Taiwan J Hosp Infect 86 100 109 10.1016/j.jhin.2013.08.009 http://dx.doi.org/10.1016/j.jhin.2013.08.009
17. Hengstberger-Sims C, Cowin LS, Eagar SC, Gregory L, Andrew S, Rolley J 2008 Relating new graduate nurse competence to frequency of use Collegian 15 2 69 76 10.1016/j.colegn.2008.02.003 18567478 http://dx.doi.org/10.1016/j.colegn.2008.02.003
18. Mitchell B, Say R, Wells A, Wilson F, Cloete L, Matheson L 2014 Australian graduating nurses’ knowledge, intentions and beliefs on infection prevention and control: a cross-sectional study BMC Nurs 13 43 10.1186/s12912-014-0043-9 http://dx.doi.org/10.1186/s12912-014-0043-9
19. Slyne H, Phillips C, Parkes J 2012 Infection prevention practice: how does experience affect knowledge and application? J Infect Prevent 13 3 92 96 10.1177/1757177412446855 http://dx.doi.org/10.1177/1757177412446855
20. Cutter J, Jordan S 2012 Inter-professional differences in compliance with standard precautions in operating theatres: a multi-site, mixed methods study Int J Nurs Stud 49 8 953 968 10.1016/j.ijnurstu.2012.03.001 22459981 http://dx.doi.org/10.1016/j.ijnurstu.2012.03.001
21. Kouabenan DR, Dubois M, De Gaudemaris R, Scarnato F, Mallaret MR 2007 Methicillin-resistant Staphylococcus aureus risk perception by healthcare personnel in a public hospital Soc Behav Pers 35 1 89 100 10.2224/sbp.2007.35.1.89 http://dx.doi.org/10.2224/sbp.2007.35.1.89
22. Wynaden D, Calnan W, McGowan S, Hart L, Landsborough I, Watkins RE, Speed G, Wilson S, Orb A, Henderson S 2006 Perceptions of infection control practices among health professionals Contemp Nurse 22 109 118 10.5172/conu.2006.22.1.109 16863418 http://dx.doi.org/10.5172/conu.2006.22.1.109
23. Logan PA, Angel L 2014 Exploring Australian undergraduate pre-registration nursing curricula: where do science subjects fit? J Learn Des 7 2 62 84
24. Taylor V, Ashelford S, Fell P, Goacher PJ 2015 Biosciences in nurse education: is the curriculum fit for practice? Lecturers’ views and recommendations from across the UK J Clin Nurs 24 19–20 2797 2806 10.1111/jocn.12880 25989019 http://dx.doi.org/10.1111/jocn.12880
25. Durrant RJ, Doig AK, Buxton RL, Fenn JP 2017 Microbiology education in nursing practice J Microbiol Biol Educ 18 2 10.1128/jmbe.v18i2.1224 28861140 5577971 http://dx.doi.org/10.1128/jmbe.v18i2.1224
26. Jordan S, Davies S, Green B 1999 The biosciences in the pre-registration nursing curriculum: staff and students’ perceptions of difficulties and relevance Nurse Educ Today 19 3 215 266 10.1016/S0260-6917(99)80007-0 10578831 http://dx.doi.org/10.1016/S0260-6917(99)80007-0
27. Davis GM 2010 What is provided and what the registered nurse needs—bioscience learning through the preregistration curriculum Nurse Educ Today 30 8 707 712 10.1016/j.nedt.2010.01.008 20129721 http://dx.doi.org/10.1016/j.nedt.2010.01.008
28. Ward DJ 2011 The infection control education needs of nursing students: an interview study with students and mentors Nurse Educ Today 31 8 819 824 10.1016/j.nedt.2010.12.017 21239089 http://dx.doi.org/10.1016/j.nedt.2010.12.017
29. Cox JL, Simpson MD, Letts W, Cavanagh HMA 2015 Rethinking microbiology/infection control education to enhance the practice-readiness of health professional students: more than just a curriculum issue J Learn Des 8 1 55 67
30. Carrico RM, Rebmann T, English JF, Mackey J, Cronin SN 2008 Infection prevention and control competencies for hospital-based health care personnel Am J Infect Control 36 10 691 701 10.1016/j.ajic.2008.05.017 19084164 http://dx.doi.org/10.1016/j.ajic.2008.05.017
31. Evans RJ, Donnelly GW 2006 A model to describe the relationship between knowledge, skill, and judgment in nursing practice Nurs Forum 41 4 150 157 10.1111/j.1744-6198.2006.00053.x 17076797 http://dx.doi.org/10.1111/j.1744-6198.2006.00053.x
32. Benner P 2001 From novice to expert: excellence and power in clinical nursing practice, commemorative ed Prentice Hall Upper Saddle River, NJ
33. Gustavsson B 2004 Revisiting the philosophical roots of practical knowledge 35 50 Higgs J, Richardson B, Abrandt Dahlgren M Developing practice knowledge for health professionals Butterworth Heinemann London, UK 10.1016/B978-0-7506-5429-6.50006-9 http://dx.doi.org/10.1016/B978-0-7506-5429-6.50006-9
34. Australian Nursing and Midwifery Accreditation Council [ANMAC] 2012 Registered Nurse Accreditation Standards 2012 ANMAC Canberra, Australia
35. Nursing and Midwifery Council 2015 The code: professional standards of practice and behaviour for nurses and midwives Nursing and Midwifery Council London, UK
36. Honey M, Lim AG 2008 Application of pharmacology knowledge in medication management by final year undergraduate nursing students Contemp Nurs 30 1 12 19 10.5172/conu.673.30.1.12 http://dx.doi.org/10.5172/conu.673.30.1.12
37. King RL 2004 Nurses’ perceptions of their pharmacology educational needs J Adv Nurs 45 4 392 400 10.1046/j.1365-2648.2003.02922.x 14756833 http://dx.doi.org/10.1046/j.1365-2648.2003.02922.x
38. Wilkes LM, Batts J 1996 Registered nurses’ ideas of physical science concepts relevant to their clinical practice Res Sci Educ 26 3 327 340 10.1007/BF02356943 http://dx.doi.org/10.1007/BF02356943
39. Eraut M 1994 Developing professional knowledge and competence Falmer Press London, UK
40. Meyer JHF, Land R 2005 Threshold concepts and troublesome knowledge (2): Epistemological considerations and a conceptual framework for teaching and learning Higher Educ 49 3 373 388 10.1007/s10734-004-6779-5 http://dx.doi.org/10.1007/s10734-004-6779-5
41. Paustian T, Briggs A, Brennan R, Boury N, Buchner J, Harris S, Horak R, Hughes L, Katz-Amburn D, Massimelli M, McDonald A, Primm T, Smith A, Stevens A, Yung S 2017 Development, validation, and application of the microbiology concept inventory J Microbiol Biol Educ 18 3 10.1128/jmbe.v18i3.1320 http://dx.doi.org/10.1128/jmbe.v18i3.1320
42. Stevens A, Smith A, Marbach-Ad G, Balcom S, Buchner J, Daniel S, DeStefano J, El-Sayed N, Frauwirth K, Lee V, McIver K, Melville S, Mosser D, Popham D, Scharf B, Schubot F, Seyler R, Shields P, Song W, Stein D, Stewart R, Thompson K, Yang Z, Yarwood S 2017 Using a concept inventory to reveal student thinking associated with common misconceptions about antibiotic resistance J Microbiol Biol Educ 18 1 10.1128/jmbe.v18i1.1281 28512513 5524436 http://dx.doi.org/10.1128/jmbe.v18i1.1281
43. Barradell S, Kennedy-Jones M 2013 Threshold concepts, student learning and curriculum: making connections between theory and practice Innov Educ Teach Internat 52 5 536 545 10.1080/14703297.2013.866592 http://dx.doi.org/10.1080/14703297.2013.866592
44. Higgs J, Andresen L, Fish D 2004 Practice knowledge—its nature, sources and contexts 51 69 Higgs J, Richardson B, Abrandt Dahlgren M Developing practice knowledge for health professionals Butterworth Heinemann London, UK 10.1016/B978-0-7506-5429-6.50007-0 http://dx.doi.org/10.1016/B978-0-7506-5429-6.50007-0
45. Roden J 2004 Revisiting the health belief model: nurses applying it to young families and their health promotion needs Nurs Health Sci 6 1 1 10 10.1111/j.1442-2018.2003.00167.x 14764188 http://dx.doi.org/10.1111/j.1442-2018.2003.00167.x
46. Marra AR, Reis Guastelli L, Pereira de Araújo CM, Saraiva dos Santos JL, Filho MAO, Silva CV, Kawagoe JY, Cendoroglo Neto M, Pavão dos Santos OF, Edmond MB 2011 Positive deviance: a program for sustained improvement in hand hygiene compliance Am J Infect Control 39 1 1 5 10.1016/j.ajic.2010.05.024 21281882 http://dx.doi.org/10.1016/j.ajic.2010.05.024
47. Jones J, Sackett K 2009 Integrating leadership and management content across the curriculum: a 3-course approach Nurse Educ 34 5 204 208 10.1097/NNE.0b013e3181b4c4c6 19726961 http://dx.doi.org/10.1097/NNE.0b013e3181b4c4c6
48. Wilson C 2011 Developing a coaching culture Industr Commerc Train 43 7 407 414 10.1108/00197851111171827 http://dx.doi.org/10.1108/00197851111171827
49. Middleton R 2013 Active learning and leadership in an undergraduate curriculum: how effective is it for student learning and transition to practice? Nurse Educ Pract 13 2 83 88 10.1016/j.nepr.2012.07.012 http://dx.doi.org/10.1016/j.nepr.2012.07.012

Supplemental Material

No supplementary material available for this content.

Loading

Article metrics loading...

/content/journal/jmbe/10.1128/jmbe.v19i2.1475
2018-06-29
2019-10-14

Abstract:

Healthcare-associated infections (HAIs) have become a significant and costly problem for healthcare institutions worldwide. Despite the crucial role of infection prevention and control (IC) procedures, there is a substantial body of evidence to indicate that IC knowledge and practices of health professional graduates is, however, sub-optimal. This paper presents a discussion of the critical role microbiology plays in infection control education and practice, arguing that without an ability to apply microbiology knowledge to IC decision-making, there is an inherent risk of incorrect application of IC practices and thus a risk to patient (and nurse) safety. The authors propose a re-conceptualization of infection control competency, using nursing as an exemplar profession, to reflect practice that is not based on simple memorization of protocols but rather on a sound understanding of microbiology and informed decision-making. The proposal for re-conceptualizing the definition and assessment of IC competence, if adopted, would potentially enhance students’ understanding and synthesis of microbiology knowledge and help build students’ capacity to apply that knowledge to practice.

Highlighted Text: Show | Hide
Loading full text...

Full text loading...

/deliver/fulltext/jmbe/19/2/jmbe-19-71.html?itemId=/content/journal/jmbe/10.1128/jmbe.v19i2.1475&mimeType=html&fmt=ahah

This is a required field
Please enter a valid email address
Please check the format of the address you have entered.
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error