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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