Patient and provider perspectives on methicillin-resistant Staphylococcus aureus: A qualitative assessment of knowledge, beliefs, and behavior

Jennifer N. Hill*, Charlesnika T. Evans, Kenzie A. Cameron, Thea J. Rogers, Kathleen Risa, Susan Kellie, Michael S A Richardson, Vicki Anderson, Barry Goldstein, Marylou Guihan

*Corresponding author for this work

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a frequent cause of healthcare-associated infection. Individuals with spinal cord injuries and disorders (SCI/D) are at high risk of MRSA colonization and infection. The Department of Veterans Affairs (VA) released guidelines to prevent the spread of MRSA in Veterans with SCI/D; however, available patient educational materials did not address the unique issues for this population. Objective: To assess perceptions of SCI/D providers and Veterans with SCI/D regarding MRSA and their educational needs about MRSA prevention, with an ultimate goal of developing patient educational materials that address the issues unique to SCI/D. Methods: Purposive samples of SCI/D providers (six groups) and Veterans with SCI/D (one group) at two VA facilities participated in 60-90-minute focus group sessions. Qualitative data were analyzed using latent content and constant comparative techniques to identify focal themes. Participants: Thirty-three providers (physicians and nurses working in inpatient, outpatient, and homecare settings) and eight Veterans participated. Results: Three overarching themes emerged from the analysis: knowledge about MRSA, hand hygiene, and barriers to educating Veterans with SCI/D. Conclusions: SCI/D providers and Veterans with SCI/D identified gaps in general MRSA knowledge, gaps in knowledge of good hand hygiene practices and of required frequency of hand hygiene, and barriers to educating Veterans with SCI/D during inpatient stays. Future educational materials and strategies should address these gaps.

Original languageEnglish (US)
Pages (from-to)82-90
Number of pages9
JournalJournal of Spinal Cord Medicine
Volume36
Issue number2
DOIs
StatePublished - Mar 1 2013

Keywords

  • Hand hygiene
  • Infectious disease
  • Methicillin resistant
  • Paraplegia
  • Patient education
  • Prevention
  • Spinal cord injuries
  • Staphylococcus aureus
  • Tetraplegia
  • Veterans

ASJC Scopus subject areas

  • Clinical Neurology

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