The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform
Simon Clare - One of the best experts on this subject based on the ideXlab platform.
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How widely has ANTT been adopted in NHS hospitals and community care organisations in England and Scotland
British journal of nursing, 2020Co-Authors: Stephen Rowley, Simon ClareAbstract:BACKGROUND To the detriment of patient safety, the important clinical competency of Aseptic Technique has been notoriously variable in practice, and described ambiguously in the literature, internationally. From a UK perspective, attempts have been made to improve patient safety by reducing variability and improving education and practice through standardisation. The Welsh Government mandated Aseptic Non Touch Technique (ANTT®) as a specific national standard in 2015. All healthcare organisations in England are required by the Health and Social Care Act 2008 to have a single standard Aseptic Technique, demonstrable by the clinical governance indicators of education, training, competency assessment and compliance audit. In Scotland, an education-based initiative was launched by NHS Education for Scotland in 2012. To review the impact of these and other initiatives on the current status of Aseptic Technique, all NHS trusts in England and NHS health boards in Scotland were assessed under the Freedom of Information procedure. FINDINGS 93% of NHS trusts in England use a single standard for Aseptic Technique. In 88% of these trusts the single standard was stipulated as being ANTT. In Scotland, 62% of NHS acute and community care hospitals within health boards use a single standard. In 56% of these, the single standard was ANTT. When including those that use ANTT in combination with other Techniques ANTT usage is 73%. CONCLUSION These data demonstrate significant progress in standardising Aseptic Technique education, assessment and governance, and confirms ANTT as the de facto Aseptic Technique used in NHS trusts in England and health boards in Scotland.
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Right Asepsis with ANTT® for Infection Prevention
Vessel Health and Preservation: The Right Approach for Vascular Access, 2019Co-Authors: Stephen Rowley, Simon ClareAbstract:Aseptic Technique, which involves infection prevention actions designed to protect patients from infection when undergoing invasive clinical procedures, is universally prescribed by guideline makers as a critical competency in the prevention of infections. However, no meaningful explanation of what Aseptic Technique is or how it is to be applied to ensure patient safety is provided within any of the guidelines. The Aseptic Non Touch Technique (ANTT®), originated by Rowley in the late 1990s, was designed to help address variable Aseptic Technique standards of practice and provide a rationalized, contemporary, evidence-based framework to standardize this critical competency and help improve standards of practice. The ANTT® Clinical Practice Framework provides a comprehensive framework for Aseptic Technique for all invasive procedures based on an approach termed Key-Part and Key-Site Protection. During the insertion or manipulation of an intravascular device, the ‘ANTT-Approach’ provides a systematic method that supports the practitioner to include all the important elements of Aseptic Technique, with particular focus on the identification and protection of ‘Key-Parts’ and ‘Key-Sites’ throughout the preparation and the procedure. This chapter provides clinical examples of how the ANTT® is implemented in the healthcare setting, as well as, importantly, how to promote compliance of the Technique.
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Implementing the Aseptic Non Touch Technique (ANTT®) clinical practice framework for Aseptic Technique: a pragmatic evaluation using a mixed methods approach in two London hospitals.
Journal of Infection Prevention, 2017Co-Authors: Simon Clare, Stephen RowleyAbstract:Background:Aseptic Technique is an important infection prevention competency for protecting patients from healthcare-associated infection (HAI). Healthcare providers using the Aseptic Non Touch Technique (ANTT®) Aseptic Technique have demonstrated reduced variability and improved compliance with Aseptic Technique.Objectives:The primary aim of this study is to determine whether standardizing Aseptic Technique for invasive IV procedures, using the ANTT® - Clinical Practice Framework (CPF), increases staff compliance with the infection prevention actions designed to achieve a safe and effective Aseptic Technique, and whether this is sustainable over time.Methods:A pragmatic evaluation using a mixed-methods approach consisting of an observational audit of practice, a self-report survey and structured interviews with key stakeholders. Compliance with Aseptic Technique before and after the implementation of ANTT® was measured by observation of 49 registered healthcare professionals.Results:Mean compliance with ...
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ANTT: a standard approach to Aseptic Technique.
Nursing times, 2011Co-Authors: Stephen Rowley, Simon ClareAbstract:Aseptic Technique is the most commonly performed infection prevention procedure in healthcare; it is also probably the most critical. This article looks at the Aseptic non touch Technique (ANTT) model for reducing healthcare-associated infections (HCAI). It outlines the principles of ANTT and the approach to practice, and discusses the challenges health professionals still face in reducing HCAIs.
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Aseptic Non Touch Technique (antt): Reducing Healthcare Associated Infections (hcai) by Standardising Aseptic Technique with Antt across Large Clinical Workforces
American Journal of Infection Control, 2011Co-Authors: Stephen Rowley, Simon ClareAbstract:Results: ANTT is now established as the de-facto standard Aseptic Technique in the United Kingdom’s National Health Service (NHS) and is increasingly being recognised globally. The framework has been endorsed and adopted by Epic2: The National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England (2007) and The Australian Guidelines for the Prevention and Control of Infection in Healthcare (2010). Lessons Learned: Based upon a sample evaluation of practice in medical centres, a review of current literature and canvassed expert opinion in the United States (US), it is evident that North American health care providers face similar challenges addressed in the ANTT project. With US partners, ANTT has commenced an implementation programme tailored to the challenges in US health care. This presentation will provide an update to the latest developments in Aseptic Technique in the UK and the pilot projects beginning in the United States. The programme will be opened up to other US centres at the APIC conference.
Stephen Rowley - One of the best experts on this subject based on the ideXlab platform.
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How widely has ANTT been adopted in NHS hospitals and community care organisations in England and Scotland
British journal of nursing, 2020Co-Authors: Stephen Rowley, Simon ClareAbstract:BACKGROUND To the detriment of patient safety, the important clinical competency of Aseptic Technique has been notoriously variable in practice, and described ambiguously in the literature, internationally. From a UK perspective, attempts have been made to improve patient safety by reducing variability and improving education and practice through standardisation. The Welsh Government mandated Aseptic Non Touch Technique (ANTT®) as a specific national standard in 2015. All healthcare organisations in England are required by the Health and Social Care Act 2008 to have a single standard Aseptic Technique, demonstrable by the clinical governance indicators of education, training, competency assessment and compliance audit. In Scotland, an education-based initiative was launched by NHS Education for Scotland in 2012. To review the impact of these and other initiatives on the current status of Aseptic Technique, all NHS trusts in England and NHS health boards in Scotland were assessed under the Freedom of Information procedure. FINDINGS 93% of NHS trusts in England use a single standard for Aseptic Technique. In 88% of these trusts the single standard was stipulated as being ANTT. In Scotland, 62% of NHS acute and community care hospitals within health boards use a single standard. In 56% of these, the single standard was ANTT. When including those that use ANTT in combination with other Techniques ANTT usage is 73%. CONCLUSION These data demonstrate significant progress in standardising Aseptic Technique education, assessment and governance, and confirms ANTT as the de facto Aseptic Technique used in NHS trusts in England and health boards in Scotland.
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Right Asepsis with ANTT® for Infection Prevention
Vessel Health and Preservation: The Right Approach for Vascular Access, 2019Co-Authors: Stephen Rowley, Simon ClareAbstract:Aseptic Technique, which involves infection prevention actions designed to protect patients from infection when undergoing invasive clinical procedures, is universally prescribed by guideline makers as a critical competency in the prevention of infections. However, no meaningful explanation of what Aseptic Technique is or how it is to be applied to ensure patient safety is provided within any of the guidelines. The Aseptic Non Touch Technique (ANTT®), originated by Rowley in the late 1990s, was designed to help address variable Aseptic Technique standards of practice and provide a rationalized, contemporary, evidence-based framework to standardize this critical competency and help improve standards of practice. The ANTT® Clinical Practice Framework provides a comprehensive framework for Aseptic Technique for all invasive procedures based on an approach termed Key-Part and Key-Site Protection. During the insertion or manipulation of an intravascular device, the ‘ANTT-Approach’ provides a systematic method that supports the practitioner to include all the important elements of Aseptic Technique, with particular focus on the identification and protection of ‘Key-Parts’ and ‘Key-Sites’ throughout the preparation and the procedure. This chapter provides clinical examples of how the ANTT® is implemented in the healthcare setting, as well as, importantly, how to promote compliance of the Technique.
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Implementing the Aseptic Non Touch Technique (ANTT®) clinical practice framework for Aseptic Technique: a pragmatic evaluation using a mixed methods approach in two London hospitals.
Journal of Infection Prevention, 2017Co-Authors: Simon Clare, Stephen RowleyAbstract:Background:Aseptic Technique is an important infection prevention competency for protecting patients from healthcare-associated infection (HAI). Healthcare providers using the Aseptic Non Touch Technique (ANTT®) Aseptic Technique have demonstrated reduced variability and improved compliance with Aseptic Technique.Objectives:The primary aim of this study is to determine whether standardizing Aseptic Technique for invasive IV procedures, using the ANTT® - Clinical Practice Framework (CPF), increases staff compliance with the infection prevention actions designed to achieve a safe and effective Aseptic Technique, and whether this is sustainable over time.Methods:A pragmatic evaluation using a mixed-methods approach consisting of an observational audit of practice, a self-report survey and structured interviews with key stakeholders. Compliance with Aseptic Technique before and after the implementation of ANTT® was measured by observation of 49 registered healthcare professionals.Results:Mean compliance with ...
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ANTT: a standard approach to Aseptic Technique.
Nursing times, 2011Co-Authors: Stephen Rowley, Simon ClareAbstract:Aseptic Technique is the most commonly performed infection prevention procedure in healthcare; it is also probably the most critical. This article looks at the Aseptic non touch Technique (ANTT) model for reducing healthcare-associated infections (HCAI). It outlines the principles of ANTT and the approach to practice, and discusses the challenges health professionals still face in reducing HCAIs.
-
Aseptic Non Touch Technique (antt): Reducing Healthcare Associated Infections (hcai) by Standardising Aseptic Technique with Antt across Large Clinical Workforces
American Journal of Infection Control, 2011Co-Authors: Stephen Rowley, Simon ClareAbstract:Results: ANTT is now established as the de-facto standard Aseptic Technique in the United Kingdom’s National Health Service (NHS) and is increasingly being recognised globally. The framework has been endorsed and adopted by Epic2: The National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England (2007) and The Australian Guidelines for the Prevention and Control of Infection in Healthcare (2010). Lessons Learned: Based upon a sample evaluation of practice in medical centres, a review of current literature and canvassed expert opinion in the United States (US), it is evident that North American health care providers face similar challenges addressed in the ANTT project. With US partners, ANTT has commenced an implementation programme tailored to the challenges in US health care. This presentation will provide an update to the latest developments in Aseptic Technique in the UK and the pilot projects beginning in the United States. The programme will be opened up to other US centres at the APIC conference.
Clare Hawker - One of the best experts on this subject based on the ideXlab platform.
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National cross-sectional survey to explore preparation to undertake Aseptic Technique in pre-registration nursing curricula in the United Kingdom.
Nurse Education Today, 2020Co-Authors: Clare Hawker, Molly Courtenay, Neil Wigglesworth, Dinah GouldAbstract:Abstract Background Aseptic Technique is a core nursing skill. Sound preparation is required during pre-registration nursing education to enable student nurses to acquire the knowledge and skills necessary to prevent and control healthcare-associated infection and promote patient safety. Few studies have explored nursing students' education and training in Aseptic Technique. Objectives To investigate what, when and how pre-registration nursing students are taught Aseptic Technique and how they are assessed in undergraduate, pre-registration nursing programmes in the United Kingdom. Design National cross-sectional survey exploring preparation to undertake Aseptic Technique in pre-registration nursing curricula in the United Kingdom. Setting Universities providing undergraduate, pre-registration adult nursing programmes in the United Kingdom. Participants Nurse educators. Methods Structured telephone interviews were conducted with nurse educators. Descriptive and inferential statistical data analyses were undertaken. Results Response rate was 70% (n = 49/70). A variety of different learning and teaching methods were reported to be in use. Teaching in relation to Aseptic Technique took place in conjunction with teaching in relation to different clinical procedures rather than placing emphasis on the principles of asepsis per se and how to transfer them to different procedures and situations. Wide variation in teaching time; use of multiple guidelines; inaccuracy in the principles identified by educators as taught to students; and limited opportunity for regular, criteria based competency assessment were apparent across programmes. Conclusions Pre-registration preparation in relation to Aseptic Technique requires improvement. There is a need to develop a working definition of Aseptic Technique. The generalisability of these findings in other healthcare students needs to be explored.
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Understanding Aseptic Technique: an RCN investigation into clinician views to guide the practice of Aseptic Technique
2020Co-Authors: Dinah Gould, Rose Gallagher, Jane Chudleigh, Edward Purssell, Clare HawkerAbstract:Aseptic Technique is recognised as an essential component of all infection prevention programmes but terminology used to define it varies. This publication is an RCN investigation into clinical views to guide the practice of Aseptic Technique. BD have funded this report. BD has had no influence on, or involvement in its content.
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Aseptic Technique : a mixed methods study exploring undergraduate nursing students' education and training in the United Kingdom
2019Co-Authors: Clare HawkerAbstract:This sequential mixed-methods study explores learning and teaching approaches to Aseptic Technique in the pre-registration nursing curriculum. In Phase 1 of the study a national survey was undertaken to establish the different approaches used to teach Aseptic Technique in universities in England and Wales. Phase 2 took a case study approach to explore the learning and teaching of Aseptic Technique in two contrasting case study sites selected from the survey results. Although Aseptic Technique is undertaken by most practising clinical nurses on the general part of the nursing register nearly every day of their of working lives, it has attracted remarkably little research. This PhD makes a highly original contribution to the literature and does much to explain the existing suboptimal practice and misconceptions that have been described in the few studies that have explored how Aseptic Technique is undertaken by qualified practitioners.
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survey to explore understanding of the principles of Aseptic Technique qualitative content analysis with descriptive analysis of confidence and training
American Journal of Infection Control, 2017Co-Authors: Dinah Gould, Jane Chudleigh, Edward Purssell, Clare Hawker, Sarah Gaze, Deborah James, Mary Lynch, Nicola Pope, Nicholas DreyAbstract:Background: In many countries Aseptic procedures are undertaken by nurses in the general ward setting but variation in practice has been reported and there is evidence that the principles underpinning Aseptic Technique are not well comprehended. Methods: Survey employing a brief, purpose-designed, self-reported questionnaire Findings: Response rate was 72%. Of these 65% nurses described Aseptic Technique in terms of the procedure used to undertake it and 46% understood the principles of asepsis. The related concepts of cleanliness and sterilisation were frequently confused. Additionally 72% reported that they not had received training for at least five years, 92% were confident of their ability to undertake Aseptic Technique and 90% reported that they had not been re-assessed since initial training. Qualitative analysis confirmed a lack of clarity about the meaning of Aseptic Technique. Discussion: Nurses’ understanding of Aseptic Technique and the concepts of sterility and cleanliness is inadequate in line with previous studies, potentially placing patients at risk. Conclusion: Nurses’ understanding of the principles of asepsis could be improved. Further studies should establish the generalisability of the study findings. Possible improvements include renewed emphasis during initial nurse education, greater opportunity for updating knowledge and skills post-qualification and audit of practice.
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Aseptic Technique: what are undergraduate nursing students learning?
2013Co-Authors: Clare HawkerAbstract:This presentation describes the findings of a PhD study exploring nursing students’ learning of Aseptic Technique in pre-registration programmes in the UK. A mixed-methods study, sequential explanatory design was used. In Phase One (quantitative), all UK universities providing pre-registration programmes were invited to take part in a structured telephone survey to establish what is learnt about Aseptic Technique, and how it is taught and assessed. In Phase Two (qualitative), an embedded multiple case-study design was used to explore students’ learning and understanding of Aseptic Technique in two selected contrasting cases (universities & NHS Trusts). In-depth telephone interviews were conducted with a purposive sample of third year nursing students, mentors, nurse tutors and infection prevention nurses. Observation of university teaching occurred at each site and documentary evidence was collected. Thematic analysis of interview data and content analysis of observational and documentary evidence was undertaken. The phase one survey found Aseptic Technique to be a core skill taught in all programmes. Aseptic Technique was reported to be taught using a blended learning approach with application to clinical procedures. Wide variation in teaching time, use of multiple guidelines and lack of accuracy in the principles taught to students was apparent across programmes. Students were found to have limited opportunity for regular competency assessment in university or clinical practice. Three main themes and eight sub-themes emerged from the phase two case-study findings; Different knowledge, understanding and practices (confusion, confidence in competency, lack of standardised practice); Influences upon learning and practice; and relationships (learning the steps of the procedure versus the principles, role models for Aseptic Technique, limited to learn and transfer skills); Roles and responsibilities to support safe and effective practice (roles and responsibilities for monitoring and maintaining standards and Relationships, roles and responsibilities for Aseptic Technique education and training).
Dinah Gould - One of the best experts on this subject based on the ideXlab platform.
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National cross-sectional survey to explore preparation to undertake Aseptic Technique in pre-registration nursing curricula in the United Kingdom.
Nurse Education Today, 2020Co-Authors: Clare Hawker, Molly Courtenay, Neil Wigglesworth, Dinah GouldAbstract:Abstract Background Aseptic Technique is a core nursing skill. Sound preparation is required during pre-registration nursing education to enable student nurses to acquire the knowledge and skills necessary to prevent and control healthcare-associated infection and promote patient safety. Few studies have explored nursing students' education and training in Aseptic Technique. Objectives To investigate what, when and how pre-registration nursing students are taught Aseptic Technique and how they are assessed in undergraduate, pre-registration nursing programmes in the United Kingdom. Design National cross-sectional survey exploring preparation to undertake Aseptic Technique in pre-registration nursing curricula in the United Kingdom. Setting Universities providing undergraduate, pre-registration adult nursing programmes in the United Kingdom. Participants Nurse educators. Methods Structured telephone interviews were conducted with nurse educators. Descriptive and inferential statistical data analyses were undertaken. Results Response rate was 70% (n = 49/70). A variety of different learning and teaching methods were reported to be in use. Teaching in relation to Aseptic Technique took place in conjunction with teaching in relation to different clinical procedures rather than placing emphasis on the principles of asepsis per se and how to transfer them to different procedures and situations. Wide variation in teaching time; use of multiple guidelines; inaccuracy in the principles identified by educators as taught to students; and limited opportunity for regular, criteria based competency assessment were apparent across programmes. Conclusions Pre-registration preparation in relation to Aseptic Technique requires improvement. There is a need to develop a working definition of Aseptic Technique. The generalisability of these findings in other healthcare students needs to be explored.
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Understanding Aseptic Technique: an RCN investigation into clinician views to guide the practice of Aseptic Technique
2020Co-Authors: Dinah Gould, Rose Gallagher, Jane Chudleigh, Edward Purssell, Clare HawkerAbstract:Aseptic Technique is recognised as an essential component of all infection prevention programmes but terminology used to define it varies. This publication is an RCN investigation into clinical views to guide the practice of Aseptic Technique. BD have funded this report. BD has had no influence on, or involvement in its content.
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survey to explore understanding of the principles of Aseptic Technique qualitative content analysis with descriptive analysis of confidence and training
American Journal of Infection Control, 2017Co-Authors: Dinah Gould, Jane Chudleigh, Edward Purssell, Clare Hawker, Sarah Gaze, Deborah James, Mary Lynch, Nicola Pope, Nicholas DreyAbstract:Background: In many countries Aseptic procedures are undertaken by nurses in the general ward setting but variation in practice has been reported and there is evidence that the principles underpinning Aseptic Technique are not well comprehended. Methods: Survey employing a brief, purpose-designed, self-reported questionnaire Findings: Response rate was 72%. Of these 65% nurses described Aseptic Technique in terms of the procedure used to undertake it and 46% understood the principles of asepsis. The related concepts of cleanliness and sterilisation were frequently confused. Additionally 72% reported that they not had received training for at least five years, 92% were confident of their ability to undertake Aseptic Technique and 90% reported that they had not been re-assessed since initial training. Qualitative analysis confirmed a lack of clarity about the meaning of Aseptic Technique. Discussion: Nurses’ understanding of Aseptic Technique and the concepts of sterility and cleanliness is inadequate in line with previous studies, potentially placing patients at risk. Conclusion: Nurses’ understanding of the principles of asepsis could be improved. Further studies should establish the generalisability of the study findings. Possible improvements include renewed emphasis during initial nurse education, greater opportunity for updating knowledge and skills post-qualification and audit of practice.
Andrew G James - One of the best experts on this subject based on the ideXlab platform.
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use of bundled interventions including a checklist to promote compliance with Aseptic Technique to reduce catheter related bloodstream infections in the intensive care unit
Paediatrics and Child Health, 2014Co-Authors: C David Simpson, Judith Hawes, Andrew G JamesAbstract:Central venous catheters are essential for providing preterm and critically ill neonates long-term intravenous access for nutritional support and medication administration; however, they also place neonates at risk for catheter-related bloodstream infections (CRBSI). Recent estimates of CRBSI rates in neonatal intensive care units (NICUs) range from 3.5 per 1000 central-line days in infants weighing >2500 g to 9.1 per 1000 central-line days in infants weighing ≤1000 g (1). Campaigns to reduce CRBSI (2–3) have included evidence-based practice ‘bundles’ composed of several interventions including hand hygiene, maximal barrier precautions, chlorhexidine skin antisepsis, optimal site selection and prompt removal of unnecessary central lines. Bundles have been shown to effectively decrease the incidence of CRBSI (4–5); however, it is not clear which component of the bundle is the most effective. The use of a checklist promotes compliance with best practices during central-line insertion and, thus, may be one of the more important components of the bundle. As part of a series of quality improvement initiatives being undertaken by the Canadian Neonatal Network, we performed a systematic review to determine whether the use of bundled interventions that specifically include a checklist to promote compliance with Aseptic Technique during central-line insertion reduced the incidence of CRBSI in intensive care unit patients.
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Use of bundled interventions, including a checklist to promote compliance with Aseptic Technique, to reduce catheter-related bloodstream infections in the intensive care unit.
Paediatrics & child health, 2014Co-Authors: C David Simpson, Judith Hawes, Andrew G James, Kyong-soon LeeAbstract:A checklist that promotes compliance with Aseptic Technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. To determine whether the use of bundled interventions that include a checklist during central-line insertions reduces catheter-related bloodstream infections in intensive care unit patients. A literature review was performed using methodology adapted from the American Heart Association's International Liaison Committee on Resuscitation. Seventeen cohort studies were included. Thirteen studies were supportive of the intervention, while four were neutral. Infection rates ranged from 1.6 to 10.8 per 1000 central-line days in control groups, and from 0.0 to 3.8 per 1000 central-line days in the intervention groups. There is fair evidence to recommend the use of care bundles that include a checklist during central-line insertion in intensive care unit patients to reduce the incidence of catheter-related bloodstream infections.
