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A Randomised Controlled Trial Investigating the Effect of Improving the Cleaning and Disinfection of Shared Medical Equipment on Healthcare-associated Infections: The CLEaning and Enhanced disiNfection (CLEEN) Study
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Healthcare-associated infections (HAIs) are a common, costly, yet largely preventable complication impacting patients in healthcare settings globally. Improving routine cleaning and disinfection of the hospital environment has been shown to reduce the risk of HAI. Contaminated shared medical equipment presents a primary transmission route for infectious pathogens, yet is rarely studied. The CLEEN study will assess how enhanced cleaning and disinfection of shared medical equipment affects the rate of HAIs in a tertiary hospital setting. The initiative is an evidence-based approach combining staff training, auditing and feedback to environmental services staff to enhance cleaning and disinfection practices. Methods
The CLEEN study will use a stepped wedge randomised controlled design in 10 wards of one large Australian hospital over 36 weeks. The intervention will consist of 3 additional hours per weekday for the dedicated cleaning and disinfection of shared medical equipment on each ward. The primary outcome is to demonstrate the effectiveness of improving the quality and frequency of cleaning shared medical equipment in reducing HAIs, as measured by a HAI point prevalence study (PPS). The secondary outcomes include the thoroughness of equipment cleaning assessed using fluorescent marker technology and the cost-effectiveness of the intervention. Discussion
Evidence from the CLEEN study will contribute to future policy and practice guidelines about the cleaning and disinfection of shared medical equipment. It will be used by healthcare leaders and clinicians to inform decision-making and implementation of best-practice infection prevention strategies to reduce HAIs in healthcare facilities. Trial registration
Australia New Zealand Clinical Trial Registry ACTRN12622001143718
A Randomised Controlled Trial Investigating the Effect of Improving the Cleaning and Disinfection of Shared Medical Equipment on Healthcare-associated Infections: The CLEaning and Enhanced disiNfection (CLEEN) Study
No full textBackground
Healthcare-associated infections (HAIs) are a common, costly, yet largely preventable complication impacting patients in healthcare settings globally. Improving routine cleaning and disinfection of the hospital environment has been shown to reduce the risk of HAI. Contaminated shared medical equipment presents a primary transmission route for infectious pathogens, yet is rarely studied. The CLEEN study will assess how enhanced cleaning and disinfection of shared medical equipment affects the rate of HAIs in a tertiary hospital setting. The initiative is an evidence-based approach combining staff training, auditing and feedback to environmental services staff to enhance cleaning and disinfection practices. Methods
The CLEEN study will use a stepped wedge randomised controlled design in 10 wards of one large Australian hospital over 36 weeks. The intervention will consist of 3 additional hours per weekday for the dedicated cleaning and disinfection of shared medical equipment on each ward. The primary outcome is to demonstrate the effectiveness of improving the quality and frequency of cleaning shared medical equipment in reducing HAIs, as measured by a HAI point prevalence study (PPS). The secondary outcomes include the thoroughness of equipment cleaning assessed using fluorescent marker technology and the cost-effectiveness of the intervention. Discussion
Evidence from the CLEEN study will contribute to future policy and practice guidelines about the cleaning and disinfection of shared medical equipment. It will be used by healthcare leaders and clinicians to inform decision-making and implementation of best-practice infection prevention strategies to reduce HAIs in healthcare facilities. Trial registration
Australia New Zealand Clinical Trial Registry ACTRN12622001143718
The American College of Lifestyle Medicine’s Offering of a Mental Health and Wellbeing Program (The Lift Project) to its Members – Caring for the Carers
No full textIn the wake of COVID-19, the American College of Lifestyle Medicine offered its members an online 10-week multicomponent mental health and wellbeing program (The Lift Project), and extended the invitation to members from sister organizations associated with the Lifestyle Medicine Global Alliance. A total of 1785 members registered for the program, representing 39 countries. The website hosting the program recorded 9815 total visits over the 10 weeks. In a post-program questionnaire completed by 145 participants, 91% agreed or strongly agreed that the program supported their mental wellbeing, and participants reported their wellbeing as higher after the program as compared to its commencement (X2 = 80.8, P \u3c .01). Ninety-four percent of respondents indicated they would recommend the program to a friend. Thematic analysis of open-ended responses included in the post-program evaluation indicated that the participants liked: the structure of the program and content covered; the style of the video presentations; and the practical application of the program. Some participants indicated they would have liked more time to engage with the program and would have enjoyed the provision of group meetings. In conclusion, healthcare organizations can support their members’ mental health and wellbeing by offering large-scale, evidence-based interventions
Elliott, Henry Thomas (1888-1967)
No full textHenry T. Elliott served the Seventh-day Adventist church as an educator, academy principal, youth leader and an administrator at General Conference headquarters
Jones, John Kelty (1882-1943)
No full textJohn K. Jones was a pastor-evangelist who served as president of three local conferences in the Atlantic Union Conference, then as president of that union, and finally as president of the Southern Union Conference
Kweichow Mission (1945-1951)
No full textFollowing the Second World War some reorganization took place in the West China Union Mission territory. Previously the West Kweichow Mission and East Kweichow Mission had been administered as two separate entities. However, with improvements made to the road and communication systems, the combination of the two missions became a practical option in 1945. It meant that the new Kweichow Mission 贵州区会 territory included the entire Kweichow 贵州 (Guizhou) Province with the additions of the northeast portion of Yunnan Province and the section in Sichuan Province south of the Yangtze River
Liao Ho Mission (1919-1951)
No full textAfter the establishment of the People’s Republic of China in 1949, the Seventh-day Adventist Church made changes to the administration of some mission territories. For example, Manchuria was divided into two along a line between Tongliao in Mongolia, through Changchun and on to Tumen to the east on the border with Korea. A main railway approximated the line. To the north the Sung Kiang Mission was created. South of the line became the Liao Ho Mission. It extended further south into Jehol (later Rehe) Province or northern Hebei Province. The demarcation line followed a cultural boundary. The territory within the Liao Ho Mission was the seat of the twelfth century\u27s Liao (Khitan) Empire
Listen (1948-2011)
No full textListen magazine was dedicated to a war against the scourges of alcohol drinking, tobacco smoking and other forms of substance abuse. The magazine’s subtitle for nearly 40 years, “A Journal of Better Living,” was changed to “Celebrating Positive Choices” beginning with the September 1987 issue
The ACLM Lift Project—Caring for the Carers
No full textThe mental health and wellbeing of health care workers has been uniquely challenged by the COVID-19 pandemic. Health care organizations may support the mental health of their members by offering tailored, evidence-based interventions and initiatives. METHODS: The American College of Lifestyle Medicine offered its members an online, 10-week, multicomponent mental health and well-being program (The Lift Project) for free, and extended the invitation to members from sister organizations associated with the Lifestyle Medicine Global Alliance. Individuals (n=1785) representing 39 countries registered for the program. Website meta-data was used to explore participant’ engagement with the program. One hundred forty-five participants responded to a post-program questionnaire that included Likert items and open-ended questions. RESULTS: The website hosting the program recorded 9,815 total visits over 10 weeks. Ninety-one percent of the respondents agreed or strongly agreed that the program supported their mental wellbeing, and there was a significant increase (X2=80.8, p\u3c 0.01) in the proportion of respondents who rated their wellbeing higher after the program compared to at the start of the program. Ninety percent of respondents indicated that the program would have a long-term positive influence on their mental wellbeing, and 94% indicated they would recommend the program to a friend. Dominant themes from the open-ended questions in the post-program evaluation included: the participants liked the style of the video presentations, the structure of the program, content covered and the practical application of the content; the participants would have liked more time to engage with the program and would have enjoyed the provision of group meetings. CONCLUSION: Health care organizations may play an important role in supporting their members’ mental health and wellbeing by offering large-scale, evidence-based interventions. To optimize efficacy, the interventions should be well-designed, engaging, and potentially provide the opportunity for group connection and interaction
Bureaucracy and Burden: An Intersectionality-Based Policy Analysis of Social Welfare Policy with Consequences for Carers of People with Life-Limiting Illness
No full textBackground:
For informal carers of people with life-limiting illness, social welfare policy related to income support and housing has been associated with varied psychosocial issues, yet remains relatively under-explored. An intersectional approach offers potential to illuminate diverse experiences and implications. Aim:
To explore the way in which caring in the context of life-limiting illness is framed within welfare policy, to articulate inequities encountered by carers, and to identify policy and practice recommendations. Design:
The Intersectionality-Based Policy Analysis (IBPA) Framework was used to situate findings of a broader qualitative study. Setting/participants:
Data were collected via semi-structured interviews with participants who were bereaved carers (n = 12), welfare workers (n = 14) and palliative care workers (n = 7), between November 2018 and April 2020, in an Australian region associated with socioeconomic disadvantage. Five elements of IBPA were applied to the products of analysis of this data. Results:
Use of the IBPA Framework revealed that representations of carers and causes of their welfare needs in policy were underpinned by several assumptions; including that caring and grieving periods are temporary or brief, and that carers have adequate capacity to navigate complex systems. Policy and processes had differentiated consequences for carers, with those occupying certain social locations prone to accumulating disadvantage. Conclusions:
This intersectional analysis establishes critical exploration of the framing and consequences of welfare policy for carers of people with life-limiting illness, presented in a novel conceptual model. Implications relate to intersectoral development of structural competency, responsiveness to structurally vulnerable carers in clinical practice, and needed policy changes