Effect of a Infection Control Program on the Reduction of Bacterial Contamination on NG Tube Feeding in RCHEs
Infection, Bacterial
About this trial
This is an interventional other trial for Infection, Bacterial focused on measuring infection control ; bacterial contamination
Eligibility Criteria
Inclusion criteria of RCHEs:
The investigator will search the Hong Kong Social Welfare Department website to determine which RCHEs should be invited based on the following inclusion criteria:
- Chinese facilities licensed under The Hong Kong Social Welfare Department;
- provision of NG tube feeding service to elders;
- provision of nursing care services to elders by RNs, ENs, HWs, and PCW;
- government subsidisation [either subvented homes operated by non-government organisations (NGOs) or private homes participating in an Enhanced Bought Place Scheme (EBPS), EA1]; and
- consent to participate and assurance that the entire staff team will join the study.
Exclusion criteria of RCHEs:
- RCHEs do not provide NG tube feeding to residents.
- RCHEs do not assurance the entire staff team will join the study.
Inclusion Criteria of Residential care home staff: :
- RCHEs staff members (RNs, ENs, HWs, and PCWs) who participate in the daily care of residents at the selected RCHEs.
- RCHEs staff can read Chinese and speak Cantonese.
Exclusion criteria of Residential care home staff::
- RCHEs staff do not understand Chinese
- RCHEs staff do not participate in NG tube feeding
Inclusion criteria of residents:
(1) All residents receiving NG tube feeding in the participating homes will be included.
Exclusion Criteria of residents:
- Residents in whom NG tube feeding is assisted by relatives or caregivers other than RCHE staff members.
- Residents with presence of transmission-based precautions, such as airborne, contact, or droplet contamination will be excluded.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Experimental RCHEs staff
Control RCHEs staff
Experimental RCHEs staff will received a multimodal ICP regarding the NG tube feeding. Knowledge and skills of NG tube feeding will be measured before and after the multimodal ICP. In addition, 10 fingertips of RCHEs staff, enteral milk and NG tube hubs of residents will be taken for bacterial counts before and after the intervnetion.
No multimodal ICP will be offered to the staff of control RCHEs.