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Table 3 Perceived strength of evidence among providers, 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)

Perceived strength of evidence for prevention of MRSA transmission in SCI/D patients for the following practices

   

 Gloving and gowning before entry into a MRSA-positive patient’s room

  

<0.0001

  Very strong/strong

86 (89.58)

86 (65.15)

 

  Neutral/weak/very weak/don’t know

10 (10.42)

46 (34.85)

 

 Taking off gloves and gown before leaving a patient’s room.

  

0.0001

  Very strong/strong

88 (91.67)

94 (71.21)

 

  Neutral/weak/very weak/don’t know

8 (8.33)

38 (28.79)

 

 That anyone entering a MRSA-positive patient’s room should wear gown and gloves

  

<0.0001

  Very strong/strong

80 (83.33)

68 (51.52)

 

  Neutral/weak/very weak/don’t know

16 (16.67)

64 (48.48)

 

Perceived strength of evidence for handwashing to prevent the spread of resistant organisms (including MRSA) in SCI/D

   

 Health care workers before and after patient contact

  

0.012

  Very strong/strong

90 (93.75)

109 (82.58)

 

  Neutral/weak/very weak/don’t know

6 (6.25)

23 (17.42)

 

 Visitors/family members before and after patient contact

  

0.001

  Very strong/strong

79 (82.29)

83 (62.88)

 

  Neutral/weak/very weak/don’t know

17 (17.71)

49 (37.12)

 

 SCI/D patients

  

0.004

  Very strong/strong

73 (76.04)

76 (57.58)

 

  Neutral/weak/very weak/don’t know

23 (23.96)

56 (42.42)

 

 SCI/D patients with poor hand function

  

0.044

  Very strong/strong

63 (65.63)

69 (52.27)

 

  Neutral/weak/very weak/don’t know

33 (34.38)

63 (47.73)

 

Perceived strength of evidence that supports the following practices in SCI/D units

   

 Active surveillance at admission

  

0.002

  Very strong/strong

79 (82.29)

84 (63.64)

 

  Neutral/weak/very weak/don’t know

17 (17.71)

48 (36.36)

 

 Active surveillance at transfer to another unit

  

<0.0001

  Very strong/strong

76 (79.17)

69 (52.27)

 

  Neutral/weak/very weak/don’t know

20 (20.83)

63 (47.73)

 

 Active surveillance at discharge

  

0.0001

  Very strong/strong

76 (79.17)

72 (54.55)

 

  Neutral/weak/very weak/don’t know

20 (20.83)

60 (45.45)

 

 Active surveillance of wounds or pressure ulcers

  

0.0004

  Very strong/strong

73 (76.04)

70 (53.03)

 

  Neutral/weak/very weak/don’t know

23 (23.96)

62 (46.97)

 

 Rescreening during long admissions

  

<0.0001

  Very strong/strong

67 (69.79)

57 (43.18)

 

  Neutral/weak/very weak/don’t know

29 (30.21)

75 (56.82)