Article Text

Exploring views and experiences of how infections are detected and managed in practice by nurses, care workers and manager’s in nursing homes in England and Sweden: a survey protocol
  1. N Carey1,
  2. Nouf Alkhamees2,
  3. Anna Cox1,
  4. Marta Sund-Levander3,
  5. Pia Tingström3,
  6. Freda Mold1
  1. 1School of Health Sciences, University of Surrey, Guildford, Surrey, UK
  2. 2College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
  3. 3Division of Nursing, Department of Medical and Health Sciences, Linkoping University, Linkoping, Sweden
  1. Correspondence to Dr N Carey; n.carey{at}


Introduction In order to avoid unnecessary hospital admission and associated complications, there is an urgent need to improve the early detection of infection in nursing home residents. Monitoring signs and symptoms with checklists or aids called decision support tools may help nursing home staff to detect infection in residents, particularly during the current COVID-19 pandemic.

We plan to conduct a survey exploring views and experiences of how infections are detected and managed in practice by nurses, care workers and managers in nursing homes in England and Sweden.

Methods and analysis An international cross-sectional descriptive survey, using a pretested questionnaire, will be used to explore nurses, care workers and managers views and experiences of how infections are detected and managed in practice in nursing homes. Data will be analysed descriptively and univariate associations between personal and organisational factors explored. This will help identify important factors related to awareness, knowledge, attitudes, belief and skills likely to affect future implementation of a decision support tool for the early detection of infection in nursing home residents.

Ethics and dissemination This study was approved using the self-certification process at the University of Surrey and Linköping University ethics committee (Approval 2018/514-32) in 2018. Study findings will be disseminated through community/stakeholder/service user engagement events in each country, publication in academic peer-reviewed journals and conference presentations. A LAY summary will be provided to participants who indicate they would like to receive this information.

This is the first stage of a plan of work to revise and evaluate the Early Detection of Infection Scale (EDIS) tool and its effect on managing infections and reducing unplanned hospital admissions in nursing home residents. Implementation of the EDIS tool may have important implications for the healthcare economy; this will be explored in cost–benefit analyses as the work progresses.

  • international health services
  • quality in health care
  • general medicine (see internal medicine)

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:

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  • Twitter @nmp_nicolacarey

  • Correction notice This article has been corrected since it was published. Affiliation updated for Dr Nouf Alkhamees.

  • Collaborators N/A.

  • Contributors NC, FM, MS-L and PT conceptualised the study. NC, FM and NA drafted the manuscript. AC, MS-L and PT reviewed and edited the manuscript. All authors read and approved the final manuscript.

  • Funding The project will be supported by awards from (1) School of Health Sciences and (2) Faculty of Health and Medical Sciences, University of Surrey.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.