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  1. Article ; Online: Aged care residents - and everybody else - would benefit from better control of COVID-19 transmission.

    Gilbert, Gwendolyn L

    The Medical journal of Australia

    2023  Volume 218, Issue 4, Page(s) 166–167

    MeSH term(s) Humans ; Aged ; COVID-19 ; SARS-CoV-2
    Language English
    Publishing date 2023-02-04
    Publishing country Australia
    Document type Editorial
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja2.51843
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.398: Show issues Location:
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  2. Article ; Online: Commentary: SARS, MERS and COVID-19-new threats; old lessons.

    Gilbert, Gwendolyn L

    International journal of epidemiology

    2020  Volume 49, Issue 3, Page(s) 726–728

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections ; Global Health ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Severe Acute Respiratory Syndrome
    Keywords covid19
    Language English
    Publishing date 2020-04-24
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 187909-1
    ISSN 1464-3685 ; 0300-5771
    ISSN (online) 1464-3685
    ISSN 0300-5771
    DOI 10.1093/ije/dyaa061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 893: Show issues Location:
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  3. Article ; Online: Hospital health care workers' use of facial protective equipment before the COVID-19 pandemic, implications for future policy.

    Barratt, Ruth / Gilbert, Gwendolyn L

    American journal of infection control

    2023  Volume 52, Issue 5, Page(s) 502–508

    Abstract: Background: Prepandemic routine use of facial (respiratory and eye) protective equipment (FPE) by health care workers was suboptimal. Understanding factors affecting routine use would facilitate escalation to high level use during infectious disease ... ...

    Abstract Background: Prepandemic routine use of facial (respiratory and eye) protective equipment (FPE) by health care workers was suboptimal. Understanding factors affecting routine use would facilitate escalation to high level use during infectious disease emergencies. This study explored health care workers FPE-related knowledge, attitudes and behaviors.
    Methods: Mixed methods were used in a respiratory ward and adult and pediatric emergency departments (EDs), prior to the COVID-19 pandemic. Study design and thematic analysis were based on the theoretical domains framework. Emergent themes were categorized, using the COM-B behavior model, into capability(C), opportunity(O) and motivation(M), which influence behavior(B).
    Results: 22 emergent themes, representing factors influencing FPE use, were mapped to theoretical domains framework domains. Personal experience and departmental cultures influenced motivation. Compared with respiratory ward staff, ED clinicians were less knowledgeable about FPE; the unique ED environment and culture inhibited opportunities and motivation for FPE use. Eye protection was infrequently used.
    Discussion: Optimal FPE use is challenged by ED care models and settings. Changes are needed to translate pandemic-related improvements into routine care of other respiratory infections.
    Conclusions: This study identified key determinants of FPE behavior. A review of context-specific FPE guidance for ED by infection prevention and control professionals would help to promote practicable, sustainable compliance.
    Language English
    Publishing date 2023-12-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392362-9
    ISSN 1527-3296 ; 0196-6553
    ISSN (online) 1527-3296
    ISSN 0196-6553
    DOI 10.1016/j.ajic.2023.12.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1773: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: COVID-19 in a Sydney nursing home: a case study and lessons learnt.

    Gilbert, Gwendolyn L

    The Medical journal of Australia

    2020  Volume 213, Issue 9, Page(s) 393–396.e1

    MeSH term(s) Asymptomatic Infections/epidemiology ; Betacoronavirus ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/mortality ; Coronavirus Infections/transmission ; Disease Outbreaks ; Food Services/organization & administration ; Health Personnel ; Homes for the Aged ; Housekeeping/organization & administration ; Humans ; Infection Control/organization & administration ; Infection Control Practitioners ; Mortality ; New South Wales/epidemiology ; Nursing Homes ; Pandemics ; Patient Isolation ; Personnel Staffing and Scheduling/organization & administration ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/mortality ; Pneumonia, Viral/transmission ; Quarantine/organization & administration ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-10-10
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja2.50817
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.398: Show issues Location:
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  5. Article ; Online: What is needed to sustain improvements in hospital practices post-COVID-19? a qualitative study of interprofessional dissonance in hospital infection prevention and control

    Gwendolyn L. Gilbert / Ian Kerridge

    BMC Health Services Research, Vol 22, Iss 1, Pp 1-

    2022  Volume 11

    Abstract: Abstract Background Hospital infection prevention and control (IPC) depends on consistent practice to achieve its purpose. Standard precautions are embedded in modern healthcare policies, but not uniformly observed by all clinicians. Well-documented ... ...

    Abstract Abstract Background Hospital infection prevention and control (IPC) depends on consistent practice to achieve its purpose. Standard precautions are embedded in modern healthcare policies, but not uniformly observed by all clinicians. Well-documented differences in attitudes to IPC, between doctors and nurses, contribute to suboptimal IPC practices and persistence of preventable healthcare-associated infections. The COVID-19 pandemic has seriously affected healthcare professionals’ work-practices, lives and health and increased awareness and observance of IPC. Successful transition of health services to a ‘post-COVID-19’ future, will depend on sustainable integration of lessons learnt into routine practice. Methods The aim of this pre-COVID-19 qualitative study was to investigate factors influencing doctors’ IPC attitudes and practices, whether they differ from those of nurses and, if so, how this affects interprofessional relationships. We hypothesised that better understanding would guide new strategies to achieve more effective IPC. We interviewed 26 senior clinicians (16 doctors and 10 nurses) from a range of specialties, at a large Australian tertiary hospital. Interview transcripts were reviewed iteratively, and themes identified inductively, using reflexive thematic analysis. Results Participants from both professions painted clichéd portraits of ‘typical’ doctors and nurses and recounted unflattering anecdotes of their IPC behaviours. Doctors were described as self-directed and often unaware or disdainful of IPC rules; while nurses were portrayed as slavishly following rules, ostensibly to protect patients, irrespective of risk or evidence. Many participants believed that doctors object to being reminded of IPC requirements by nurses, despite many senior doctors having limited knowledge of correct IPC practice. Overall, participants’ comments suggested that the ‘doctor-nurse game’—described in the 1960s, to exemplify the complex power disparity between professions—is still in play, despite changes in both ...
    Keywords Infection prevention and control ; Doctor-nurse game ; Healthcare-worker infections ; COVID-19 ; Bio preparedness ; Professional ethics ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: What is needed to sustain improvements in hospital practices post-COVID-19? a qualitative study of interprofessional dissonance in hospital infection prevention and control.

    Gilbert, Gwendolyn L / Kerridge, Ian

    BMC health services research

    2022  Volume 22, Issue 1, Page(s) 504

    Abstract: Background: Hospital infection prevention and control (IPC) depends on consistent practice to achieve its purpose. Standard precautions are embedded in modern healthcare policies, but not uniformly observed by all clinicians. Well-documented differences ...

    Abstract Background: Hospital infection prevention and control (IPC) depends on consistent practice to achieve its purpose. Standard precautions are embedded in modern healthcare policies, but not uniformly observed by all clinicians. Well-documented differences in attitudes to IPC, between doctors and nurses, contribute to suboptimal IPC practices and persistence of preventable healthcare-associated infections. The COVID-19 pandemic has seriously affected healthcare professionals' work-practices, lives and health and increased awareness and observance of IPC. Successful transition of health services to a 'post-COVID-19' future, will depend on sustainable integration of lessons learnt into routine practice.
    Methods: The aim of this pre-COVID-19 qualitative study was to investigate factors influencing doctors' IPC attitudes and practices, whether they differ from those of nurses and, if so, how this affects interprofessional relationships. We hypothesised that better understanding would guide new strategies to achieve more effective IPC. We interviewed 26 senior clinicians (16 doctors and 10 nurses) from a range of specialties, at a large Australian tertiary hospital. Interview transcripts were reviewed iteratively, and themes identified inductively, using reflexive thematic analysis.
    Results: Participants from both professions painted clichéd portraits of 'typical' doctors and nurses and recounted unflattering anecdotes of their IPC behaviours. Doctors were described as self-directed and often unaware or disdainful of IPC rules; while nurses were portrayed as slavishly following rules, ostensibly to protect patients, irrespective of risk or evidence. Many participants believed that doctors object to being reminded of IPC requirements by nurses, despite many senior doctors having limited knowledge of correct IPC practice. Overall, participants' comments suggested that the 'doctor-nurse game'-described in the 1960s, to exemplify the complex power disparity between professions-is still in play, despite changes in both professions, in the interim.
    Conclusions: The results suggest that interprofessional differences and inconsistencies constrain IPC practice improvement. IPC inconsistencies and failures can be catastrophic, but the common threat of COVID-19 has promoted focus and unity. Appropriate implementation of IPC policies should be context-specific and respect the needs and expertise of all stakeholders. We propose an ethical framework to guide interprofessional collaboration in establishing a path towards sustained improvements in IPC and bio-preparedness.
    MeSH term(s) Australia/epidemiology ; COVID-19/epidemiology ; COVID-19/prevention & control ; Cross Infection/prevention & control ; Hospitals ; Humans ; Infection Control ; Interprofessional Relations ; Pandemics/prevention & control
    Language English
    Publishing date 2022-04-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-022-07801-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: COVID-19 in a Sydney nursing home

    Gilbert, Gwendolyn L

    a case study and lessons learnt

    2020  

    Keywords COVID-19 ; Coronavirus ; covid19
    Language English
    Publishing country au
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: COVID ‐19 in a Sydney nursing home

    Gilbert, Gwendolyn L

    Medical Journal of Australia

    a case study and lessons learnt

    2020  Volume 213, Issue 9, Page(s) 393

    Keywords General Medicine ; covid19
    Language English
    Publisher AMPCo
    Publishing country au
    Document type Article ; Online
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja2.50817
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.398: Show issues Location:
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  10. Article ; Online: Commentary

    Gilbert, Gwendolyn L

    International Journal of Epidemiology

    SARS, MERS and COVID-19—new threats; old lessons

    2020  Volume 49, Issue 3, Page(s) 726–728

    Keywords Epidemiology ; General Medicine ; covid19
    Language English
    Publisher Oxford University Press (OUP)
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 187909-1
    ISSN 1464-3685 ; 0300-5771
    ISSN (online) 1464-3685
    ISSN 0300-5771
    DOI 10.1093/ije/dyaa061
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    In stock of ZB MED Cologne/Königswinter

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