John Gammon1, Julian Hunt2, Charles Musselwhite3. 1. Deputy Head of College, Innovation, Engagement and Organisational Development, Swansea University, UK. 2. Research Officer, College of Human and Health Sciences, Swansea University, UK. 3. Associate Professor, Centre for Innovative Ageing, Swansea University, UK.
Abstract
BACKGROUND: Isolation precautions in patients with multi-drug-resistant bacteria and other communicable infectious agents can be associated with adverse effects. Patients' perspectives of isolation suggest that the imposed environment and procedures create barriers to their physical, social and emotional needs. AIMS: The purpose of this paper is to review the literature to uncover any reliable evidence supporting the assertion that stigma is a significant characteristic of the experience of source isolation in healthcare settings. METHODS: The methodological framework of Arksey and O'Malley was applied to this review. A total of 14 papers identified from 189 abstracts screened were included in the review. RESULTS: The research reviewed suggests a clear association between stigmatisation and isolation in which stigma does have a direct negative effect on patients placed in hospital isolation. None of the studies found evidence to the contrary. CONCLUSIONS: The implications of this literature review for policy-makers and healthcare professionals suggest that when isolation or other forms of constraint are implemented and in use, patients must be provided with strengthened forms of support, including social and emotional support, and given access to healthcare of optimal quality to prevent the associated adverse effects of isolation as much as possible.
BACKGROUND: Isolation precautions in patients with multi-drug-resistant bacteria and other communicable infectious agents can be associated with adverse effects. Patients' perspectives of isolation suggest that the imposed environment and procedures create barriers to their physical, social and emotional needs. AIMS: The purpose of this paper is to review the literature to uncover any reliable evidence supporting the assertion that stigma is a significant characteristic of the experience of source isolation in healthcare settings. METHODS: The methodological framework of Arksey and O'Malley was applied to this review. A total of 14 papers identified from 189 abstracts screened were included in the review. RESULTS: The research reviewed suggests a clear association between stigmatisation and isolation in which stigma does have a direct negative effect on patients placed in hospital isolation. None of the studies found evidence to the contrary. CONCLUSIONS: The implications of this literature review for policy-makers and healthcare professionals suggest that when isolation or other forms of constraint are implemented and in use, patients must be provided with strengthened forms of support, including social and emotional support, and given access to healthcare of optimal quality to prevent the associated adverse effects of isolation as much as possible.
Authors: Preeti Mehrotra; Lindsay Croft; Hannah R Day; Eli N Perencevich; Lisa Pineles; Anthony D Harris; Saul N Weingart; Daniel J Morgan Journal: Infect Control Hosp Epidemiol Date: 2013-08-23 Impact factor: 3.254
Authors: Ramon Z Shaban; Shizar Nahidi; Cristina Sotomayor-Castillo; Cecilia Li; Nicole Gilroy; Matthew V N O'Sullivan; Tania C Sorrell; Elizabeth White; Kate Hackett; Shopna Bag Journal: Am J Infect Control Date: 2020-09-02 Impact factor: 2.918