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Table 2 Provider survey responses, by perceived degree of implementation

From: Evaluating implementation of methicillin-resistant Staphylococcus aureus (MRSA) prevention guidelines in spinal cord injury centers using the PARIHS framework: a mixed methods study

  n = 228
Frequency (%)
  Fully implemented Not fully implemented p value (chi-square)
Have seen the VA guidelines for MRSA prevention in SCI/D Centers 76 (79.17) 69 (52.27) <0.0001
Agreea that your SCI/D center/interdisciplinary team works closely with the hospital MRSA Prevention Coordinator (MPC) to prevent MRSA transmission 72 (75) 85 (64.39) 0.0877
There is a person or a group of people (aside from the hospital MPC) responsible for implementation of SCI/D Center MRSA Program guidelines in your unit 69 (71.88) 75 (56.82) 0.02
Agreea that staff resources provided by the SCI/D Chief to implement the SCI/D MRSA Program are adequate 79 (84.04) 75 (61.98) 0.0004
Agreea that training resources provided by the SCI/D Chief to implement the SCI/D MRSA Program are adequate 76 (81.72) 76 (63.87) 0.0042
Agreea that funding resources provided by the SCI/D Chief to implement the SCI/D MRSA Program are adequate 45 (70.31) 41 (43.16) 0.0008
Agreea that implementation of the SCI/D Center MRSA Program guidelines has greatly improved your ability to prevent MRSA transmission to MRSA-negative patients in the SCI/D unit 71 (73.96) 65 (49.24) 0.0002
Agreea that implementation of the SCI/D Center MRSA Program guidelines has greatly improved your ability to prevent MRSA infection in all SCI/D patients 65 (67.71) 58 (43.94) 0.0004
Usually or alwaysb indicate in a signed/dated progress note that communication with a patient about MRSA screening has occurred 56 (65.12) 39 (34.82) <0.0001
Frequency of practicing the following in your SCI/D center    
 Usually or alwaysb encourage visitors/family members to perform hand hygiene before/after all patient contact 82 (88.17) 86 (68.25) 0.0006
 Usually or alwaysb encourage SCI/D patients to perform hand hygiene before/after interacting with other patients 80 (84.21) 79 (61.72) 0.0002
 Usually or alwaysb encourage SCI/D patients with impaired hand function to ask for assistance to perform hand hygiene 82 (86.32) 82 (64.57) 0.0003
 Usually or alwaysb bathe SCI/D patients every day 31 (43.66) 29 (28.16) 0.0344
Agreea that health care worker hand hygiene is an effective way to reduce MRSA transmission and the development of MRSA infections in SCI/D patients 94 (97.92) 125 (94.7) 0.2177
Agreea that I feel comfortable reminding other staff in the SCI/D unit when they do not clean their hands 74 (77.08) 79 (59.85) 0.0062
Agreea that patient hand hygiene is an effective way to reduce MRSA transmission and development of MRSA infections in SCI/D patients 91 (94.79) 113 (85.61) 0.0257
Agreea that MRSA colonization can be prevented in SCI/D patients 66 (70.97) 74 (62.71) 0.2076
Agreea that MRSA transmission in hospitalized SCI/D patients can be prevented 77 (81.05) 92 (73.6) 0.1945
Barriers to cohorting/isolating MRSA-positive patients    
 Availability of beds 63 (65.63) 85 (64.39) 0.8475
 Too many MRSA-positive patients 60 (62.5) 72 (54.55) 0.2297
 Layout of unit 24 (25) 47 (35.61) 0.0877
 Patients refuse or get upset 20 (20.83) 34 (25.76) 0.3879
 Visitors/family members refuse or get upset 21 (21.88) 37 (28.03) 0.292
 Too busy 7 (7.29) 9 (6.82) 0.8901
 Delayed time to get results 13 (13.54) 18 (13.64) 0.9836
 Disrupts work flow of unit 15 (15.63) 26 (19.7) 0.4293
 Other 10 (10.42) 24 (18.18) 0.1041
Barriers to patient hand hygiene in your SCI/D unit    
 Not enough staff available to assist 19 (19.79) 34 (25.76) 0.2924
 Inadequate availability of wheelchair accessible sink with soap and water 9 (9.38) 22 (16.67) 0.1127
 Inadequate availability of touchless soap or hand sanitizer 16 (16.67) 34 (25.76) 0.1014
 Patient unwilling to perform hand hygiene 52 (54.17) 85 (64.39) 0.1195
 Other 21 (21.88) 27 (20.45) 0.7951
Barriers to changing gown and gloves in-between patients    
 SCI/D unit layout 9 (9.38) 31 (23.48) 0.0057
 Competing demands/too busy 27 (28.13) 38 (28.79) 0.9128
 Multi-bed rooms 37 (38.54) 71 (53.79) 0.0228
 Expense of supplies 3 (3.13) 17 (12.88) 0.0102
 Staff do not follow the SCI/D Center MRSA Program guidelines 15 (15.63) 37 (28.03) 0.0275
 Other 20 (20.83) 33 (25) 0.4621
  1. aAgree = Strongly agree/agree versus neutral/disagree/strongly disagree
  2. bUsually/always = usually/always versus sometimes/rarely/never