Benchmarking Nursing Practice for Clients with Extended Spectrum Beta-Lactamases Bacteria
Gurung, Archana; Bhutia, Tenzing Zorden (2017)
Bhutia, Tenzing Zorden
Creative Commons Attribution-NonCommercial-NoDerivs 1.0 Finland
Julkaisun pysyvä osoite on
The prevalence of multi-resistant ESBL-producing bacteria in nursing homes is a problem not only in Finland but worldwide. It presents a major challenge for nurses and healthcare workers in providing quality care to residents. The ESBL-producing bacteria might reside in a carrier without any infection but it severely limits the treatment choices if the carrier becomes ill. In a nursing home, where most residents stay for long periods, nurses have an important role in preventing the spread of ESBL from carriers to other residents and staff. The aim of this study is to provide nurses with evidence-based guidelines to care for ESBL carriers residing in nursing homes. Furthermore, the current situation of evidence-based practices regarding care of ESBL carriers in nursing homes and the situation of ESBL in Finland is investigated. The study is conducted through a review of literature. Nineteen topic-relevant articles have been selected using different academic search databases. The Health Promotion Model by Nola Pender provides the theoretical frame-work. This study found that the lack of implementation of infection prevention measures was associated with the spread of ESBL in nursing homes. Despite having knowledge, nurses did not implement the proper procedures in practice due to lack of time, resources and proper guidelines. Additionally, inappropriate use of antibiotics was one of the main risk factor in ESBL carriers. In conclusion, healthcare workers must have proper knowledge and implement proper infection control practices in order to restrict the spread of ESBL. Continued education for nurses in the form of training and educational programs could affect the spread of this disease along with proper use of antibiotics. Further study about isolation precaution in nursing homes could shed light on the sources of cross-transmission so that good nursing practice could be developed, impacting the safety of clients and staff.