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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (16): 9-15.doi: 10.16460/j.issn1008-9969.2021.16.009

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Construction of Cleaning and Disinfection Process in Isolated Units for COVID-19 Patients Based on Evidence-based Practice Guidelines

QIAO Qiu-ge1a, Pan Jie2, Liu Yan1b, Yuan Ya-dong1c, LI Yu-zhuo3a, An He-juan3a, Feng Zhong-jun4, Yang Xing-xiao5, Li Jin-ku6, Zheng Rong-kun3b, You-dao-feng7, Zhang Xiu-ling8, Zheng Jing-jing9, Yan Li1c, SHI Lei1d, XU Zhi-juan1e, Ma Wei1b, Yuan Song1b   

  1. 1a. Dept. of General Surgery, East Branch Hospital; 1b. Dept. of Infection Control; 1c. Dept. of Respiratory Medicine; 1d. Dept. of Urology; 1e. Hepatobiliary Surgery, the Second Hospital of Hebei Medical University,Shijiazhuang, Hebei 050000,China;
    2. Dept. of Nursing, Foshan University of Science and Technology, Foshan 528011,China;
    3a. Dept. of Nursing Administration; 3b. Dept. of Infection Control, Hebei Provincial Chest Hospital,Shijiazhuang 050000, China;
    4. Dept. of Infection Control, the Third Hospital of Hebei Medical University, Shijiazhuang 050000, China;
    5. Dept. of Infection Management, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050000,China;
    6. Infection Control Department, Handan Central Hospital, Handan 056000, China;
    7. Dept. of Emergency, the First Hospital of Hebei Medical University, Shijiazhuang 050099,China;
    8. Infection Control Department, Tangshan Workers’ Hospital, Tangshan 063000,China;
    9. Dept. of General Surgery, Union Hospital of Tangshan City, Tangshan 063009, China
  • Received:2021-06-05 Online:2021-08-25 Published:2021-09-10

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Abstract: Objective To construct a cleaning and disinfection process in isolated units for COVID-19 patients, and to provide reference for nursing staff in isolated units to ensure the quality of cleaning and disinfection. Methods Evidence-based practice guidelines of global COVID-19 prevention and control were retrieved and the AGREEII (Appraisal of Guidelines for Research and Evaluation II) evaluation tool was used to evaluate and screen the guidelines. Through Delphi expert consultation and survey on the attitude toward and reaction of the implementation of the process among sterilization nurses, the cleaning and disinfection process in the isolated wards was finally formed through group meeting. Results Twelve guidelines were included in the study. Through two rounds of Delphi expert consultation, combined with the survey of sterilization nurses, the final process consisted of 6 steps in general and 40 specific items and remarks of the cleaning and disinfection process (evaluation plan and organization, personnel preparation and training, material preparation and delivery, cleaning and detoxification, management and arrangement of medical waste, and monitoring feedback and improvement.) Conclusion Evidence-based cleaning and disinfection process in isolated units for COVID-19 patients would provide nursing management strategies for preventing cross infection between medical staff and patients and reducing the risk of no socomial infections during the epidemic period, and it would provide basis for homogenizing the implementation of cleaning and disinfection measures and ensuring the cleaning and disinfection qualities in the isolated wards.

Key words: COVID-19, Isolation ward, cleaning and disinfection process, evidence based practice

CLC Number: 

  • R472.1
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