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Health Care Science 2024, 3(1): 53-66 https://doi.org/10.1002/hcs2.81
Review | Open Access | Issue | Published: 04 February 2024

Identifying a competency improvement strategy for infection prevention and control professionals: A rapid systematic review and cluster analysis

Show Author's Information Nuo Chen1,,  Shunning Li2,,  Zhengling Kuang3,,  Ting Gong4,,  Weilong Zhou5,  Ying Wang6,7( )
School of Public Health and Management, Hubei University of Medicine, Shiyan, China
Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China
State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin Institutes of Health Science, Tianjin, China
Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital and Institutes of Biomedical Sciences, Fudan University, Shanghai, China
Department of Infection Control and Prevention, West China Second University Hospital, Sichuan University, Chengdu, China
Department of Infection Prevention and Control Management, Zhongnan Hospital of Wuhan University, Wuhan, China
Hubei Engineering Center for Infectious Disease Prevention, Control and Treatment, Wuhan, China

Nuo Chen, Shunning Li, Zhengling Kuang, and Ting Gong contributed equally to this study.

Keywords:
review, cluster analysis, COVID‐19, infection prevention and control professionals, competency improvement
Cite this article:
Chen N, Li S, Kuang Z, et al. Identifying a competency improvement strategy for infection prevention and control professionals: A rapid systematic review and cluster analysis. Health Care Science, 2024, 3(1): 53-66. https://doi.org/10.1002/hcs2.81
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Abstract Full text About this article

Remarkable progress has been made in infection prevention and control (IPC) in many countries, but some gaps emerged in the context of the coronavirus disease 2019 (COVID‐19) pandemic. Core capabilities such as standard clinical precautions and tracing the source of infection were the focus of IPC in medical institutions during the pandemic. Therefore, the core competences of IPC professionals during the pandemic, and how these contributed to successful prevention and control of the epidemic, should be studied. To investigate, using a systematic review and cluster analysis, fundamental improvements in the competences of infection control and prevention professionals that may be emphasized in light of the COVID‐19 pandemic. We searched the PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang Data, and CBM databases for original articles exploring core competencies of IPC professionals during the COVID‐19 pandemic (from January 1, 2020 to February 7, 2023). Weiciyun software was used for data extraction and the Donohue formula was followed to distinguish high‐frequency technical terms. Cluster analysis was performed using the within‐group linkage method and squared Euclidean distance as the metric to determine the priority competencies for development. We identified 46 studies with 29 high‐frequency technical terms. The most common term was “infection prevention and control training” (184 times, 17.3%), followed by “hand hygiene” (172 times, 16.2%). “Infection prevention and control in clinical practice” was the most‐reported core competency (367 times, 34.5%), followed by “microbiology and surveillance” (292 times, 27.5%). Cluster analysis showed two key areas of competence: Category 1 (program management and leadership, patient safety and occupational health, education and microbiology and surveillance) and Category 2 (IPC in clinical practice). During the COVID‐19 pandemic, IPC program management and leadership, microbiology and surveillance, education, patient safety, and occupational health were the most important focus of development and should be given due consideration by IPC professionals.


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About this article

Identifying a competency improvement strategy for infection prevention and control professionals: A rapid systematic review and cluster analysis

Show Author's information Nuo Chen1,, Shunning Li2,, Zhengling Kuang3,, Ting Gong4,, Weilong Zhou5, Ying Wang6,7( )
School of Public Health and Management, Hubei University of Medicine, Shiyan, China
Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China
State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin Institutes of Health Science, Tianjin, China
Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital and Institutes of Biomedical Sciences, Fudan University, Shanghai, China
Department of Infection Control and Prevention, West China Second University Hospital, Sichuan University, Chengdu, China
Department of Infection Prevention and Control Management, Zhongnan Hospital of Wuhan University, Wuhan, China
Hubei Engineering Center for Infectious Disease Prevention, Control and Treatment, Wuhan, China

Nuo Chen, Shunning Li, Zhengling Kuang, and Ting Gong contributed equally to this study.

Abstract

Remarkable progress has been made in infection prevention and control (IPC) in many countries, but some gaps emerged in the context of the coronavirus disease 2019 (COVID‐19) pandemic. Core capabilities such as standard clinical precautions and tracing the source of infection were the focus of IPC in medical institutions during the pandemic. Therefore, the core competences of IPC professionals during the pandemic, and how these contributed to successful prevention and control of the epidemic, should be studied. To investigate, using a systematic review and cluster analysis, fundamental improvements in the competences of infection control and prevention professionals that may be emphasized in light of the COVID‐19 pandemic. We searched the PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang Data, and CBM databases for original articles exploring core competencies of IPC professionals during the COVID‐19 pandemic (from January 1, 2020 to February 7, 2023). Weiciyun software was used for data extraction and the Donohue formula was followed to distinguish high‐frequency technical terms. Cluster analysis was performed using the within‐group linkage method and squared Euclidean distance as the metric to determine the priority competencies for development. We identified 46 studies with 29 high‐frequency technical terms. The most common term was “infection prevention and control training” (184 times, 17.3%), followed by “hand hygiene” (172 times, 16.2%). “Infection prevention and control in clinical practice” was the most‐reported core competency (367 times, 34.5%), followed by “microbiology and surveillance” (292 times, 27.5%). Cluster analysis showed two key areas of competence: Category 1 (program management and leadership, patient safety and occupational health, education and microbiology and surveillance) and Category 2 (IPC in clinical practice). During the COVID‐19 pandemic, IPC program management and leadership, microbiology and surveillance, education, patient safety, and occupational health were the most important focus of development and should be given due consideration by IPC professionals.

Keywords: review, cluster analysis, COVID‐19, infection prevention and control professionals, competency improvement

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Received: 12 September 2023
Accepted: 25 November 2023
Published: 04 February 2024
Issue date: February 2024

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© 2024 The Authors. Tsinghua University Press.

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ACKNOWLEDGMENTS

The authors are very grateful for the funding support we have received. This study was supported by the National Natural Science Foundation of China (Grant no. 52178080), the Major Research Project of the Hospital Management Research Institute of the National Health Commission (GY2023011) and the National Institute of Hospital Administration Management of China (GY2023049).

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