A landmark study conducted by the Centers for Disease Control and Prevention (CDC) found that hospit

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A landmark study conducted by the Centers for Disease Control and Prevention (CDC) found that hospital-associated infections could be reduced by one-third with an effective infection control program. Studies have found that the risk of acquiring an infection in long-term care facilities (LTCFs) appears to be comparable with hospital-associated infections. However, the CDC study did not include long-term care facilities LTCFs.

To determine the status of infection control practices in skilled nursing LTCFs, a nurse epidemiologist conducted a study using a stratified random sample of 500 New England skilled nursing LTCFs. A skilled nursing LTCF was defined as a facility certified by Medicare/Medicaid that admits residents who have a chronic disease or disability or who have reached advanced age and require medical and nursing services rendered by or under the supervision of a registered nurse.

A self-report Infection Surveillance and Control Questionnaire, which was adapted from the CDC study, and had been previously piloted and field-tested for reliability and validity, was used for data collection. A total of 136 LTCFs (27%) responded; however, an analysis indicated that there were no significant differences between responders and nonresponders with respect to demographic variables, and the respondents also were representative of the total population. For more on the CDC landmark study, see Haley R, Culver D, White J, Morgan WM, Emori TG, Munn V, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985;121:182-205. 


a.​What type of study was undertaken?


b.​What are the strengths and weaknesses of this type of study?


c.​Provide 3 additional research questions that could be generated from this study?

NURS 4200


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