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      Factors Affecting the Decontamination Process in Hospitals in Saudi Arabia

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          Abstract

          Introduction

          Hospitals face various types of disasters that require either decontamination or disinfection interventions. These contaminants can be chemical, biological, radioactive, or infectious, such as COVID-19. Further, there are few studies in the literature on factors affecting decontamination in hospitals in Saudi Arabia.

          Methods

          Approximately 157 healthcare providers (doctors, nurses, and other specialists) participated in this study. Principle component analysis was used to explore three factors in Saudi Arabia that affect the ability of healthcare providers to decontaminate appropriately.

          Results

          Three factors were extracted: (1) having adequate skills to perform decontamination, (2) being adequately prepared for decontamination before a disaster occurs, and (3) organizational barriers to decontamination. There was a positive correlation between the skills and preparedness and a negative correlation between barriers and both skills and preparedness.

          Discussion

          It is essential to prepare for decontamination during disasters more effectively and to ensure that all healthcare providers have the requisite skills. Moreover, barriers to decontamination must be investigated thoroughly to improve implementation.

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          Efficacy of disinfectant-impregnated wipes used for surface disinfection in hospitals: a review

          Xinyu Song, Lutz Vossebein, Andrea Zille … (2019)
          Background “Ready-to-use” disinfecting wipes (also known as pre-impregnated disinfecting wipe) are broadly used in food industry and domestic situations. Their application in hospitals and healthcare centres for decontamination of medical devices and surfaces is steadily increasing because of their convenient implementation in practice and reliable performance. Beside their acceptable compliance and easy application, literature reported the disinfection failure due to the interaction between textile substrate and active ingredients, which can highly increase the risk of an infection outbreak. This review aims to call attention to the wide range of variables affecting the disinfectant-impregnated wipes’ (DIWs) disinfection performances in hospitals. Methods A systematic literature search based on the five categories i. wipes, ii. disinfectants, iii. Application methods, iv. interaction between wipes and active ingredients and v. wiping strategy which can possibly influence the disinfection effectiveness of DIWs was conducted by Google scholar. Studies regarding the efficacy evaluation of DIWs in clinical applications were also reviewed from the National Centre for Biotechnology Information database. Results Variables that impact on the disinfection performance of disinfectant-impregnated wipes in surface disinfection in hospitals were summarised and critically discussed. In addition to the information, current disinfectant-impregnated wipes’ decontamination efficacy test standards were reviewed, and different standards exposed some disadvantage in their testing design. Conclusion Various parameters contribute to the impact of DIWs disinfection performance in practice. The interaction between disinfectant active ingredients and the wiping materials barricades their broad application in hospitals. More studies of the DIWs’ disinfection efficacy in clinical practice are in need. Current standards evaluating the DIWs’ efficacy are required to improve for more realistic condition simulation and differentiating between mechanical removal of inoculum from a surface and chemical inactivation of the test microbe.
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            What are the most common domains of the core competencies of disaster nursing? A scoping review

            Abdullelah Al Thobaity, Virginia Plummer, Brett Williams (2016)
            Highlights • A total of 12 articles were included. • The number of domains varied across all of the selected studies. • This scoping review indicates that communication and ICS are essential domains. • Disaster planning is one of the most important core competencies for nurses. • Another of the important domains are decontamination and ethics.
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              Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals.

              Carl H Schultz, Kristi Koenig, Mary Whiteside … (2012)
              The training of medical personnel to provide care for disaster victims is a priority for the physician community, the federal government, and society as a whole. Course development for such training guided by well-accepted standardized core competencies is lacking, however. This project identified a set of core competencies and performance objectives based on the knowledge, skills, and attitudes required by the specific target audience (emergency department nurses, emergency physicians, and out-of-hospital emergency medical services personnel) to ensure they can treat the injuries and illnesses experienced by victims of disasters regardless of cause. The core competencies provide a blueprint for the development or refinement of disaster training courses. This expert consensus project, supported by a grant from the Robert Wood Johnson Foundation, incorporated an all-hazard, comprehensive emergency management approach addressing every type of disaster to minimize the effect on the public's health. An instructional systems design process was used to guide the development of audience-appropriate competencies and performance objectives. Participants, representing multiple academic and provider organizations, used a modified Delphi approach to achieve consensus on recommendations. A framework of 19 content categories (domains), 19 core competencies, and more than 90 performance objectives was developed for acute medical care personnel to address the requirements of effective all-hazards disaster response. Creating disaster curricula and training based on the core competencies and performance objectives identified in this article will ensure that acute medical care personnel are prepared to treat patients and address associated ramifications/consequences during any catastrophic event.
              Article 0 comments Cited 33 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Risk Manag Healthc Policy
                Journal ID (iso-abbrev): Risk Manag Healthc Policy
                Journal ID (publisher-id): rmhp
                Journal ID (pmc): rmhp
                Title: Risk Management and Healthcare Policy
                Publisher: Dove
                ISSN (Electronic): 1179-1594
                Publication date (Electronic): 28 January 2021
                Publication date Collection: 2021
                Volume: 14
                Pages: 357-363
                Affiliations
                [1 ]Nursing Department, Applied Medical Sciences, Taif University , Taif, Saudi Arabia
                Author notes
                Correspondence: Abdulellah Al Thobaity Nursing Department, Applied Medical Sciences, Taif University , Taif, Saudi Arabia Email a.thobaity@tu.edu.sa
                Author information
                http://orcid.org/0000-0002-2313-7355
                Article
                Publisher ID: 295262
                DOI: 10.2147/RMHP.S295262
                PMC ID: 7850977
                PubMed ID: 33542666
                SO-VID: adce5451-eb29-47e6-9f62-0041630c1f5d
                Copyright © © 2021 Felemban et al.
                License:

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                Date received : 04 December 2020
                Date accepted : 18 January 2021
                Page count
                Figures: 0, Tables: 5, References: 39, Pages: 7
                Categories
                Subject: Original Research

                ScienceOpen disciplines: Social policy & Welfare
                Keywords: risk,disaster,covid-19,healthcare providers
                Data availability:
                ScienceOpen disciplines: Social policy & Welfare
                Keywords: risk, disaster, covid-19, healthcare providers

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