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Table 2 Provider survey responses, by perceived degree of implementation
| 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 |
