{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:50:25Z","timestamp":1791946225096,"version":"4.3.4"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T00:00:00Z","timestamp":1628726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The physical isolation of patients colonised or infected with multi\u2010drug resistant organisms is a requirement in hospitals considering the risk of infecting other patients, healthcare workers and visitors. However, how these patients experience isolation in the current environment is not fully understood from the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore and interpret the lived experience of the source isolation in patients infected with MDROs within an Australian setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Hermeneutic phenomenology was utilised as the philosophical framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Unstructured in\u2010depth face to face interviews were conducted with 20 patients infected with multi\u2010drug resistant organisms who were physically isolated. Data was collected from February\u20102018 to January\u20102019 at two large teaching hospitals in the Sydney metropolitan area. The interviews were recorded, transcribed verbatim, analysed using thematic analysis by three researchers, and then subsequently interpreted, drawing insights from the relevant phenomenological notions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three key findings emerged from the study as:\n                      <jats:italic>Living in a changed space<\/jats:italic>\n                      \u2010 developed from the participants\u2019 struggle to cope with being physically confined to a room that made them feel imprisoned.\n                      <jats:italic>Living in a changed body<\/jats:italic>\n                      \u2010 emerged from the participants who described their bodies as \u2018different\u2019 because of bacteria that conventional medicine could not destroy permanently but kept relapsing.\n                      <jats:italic>Striving to survive<\/jats:italic>\n                      \u2010 developed from participants who spoke about means of enduring some unfavourable experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The essence of the lived experience of the phenomenon of source isolation from the perspectives of patients who become infected with MDROs emerged as\n                      <jats:italic>Being<\/jats:italic>\n                      \u2010\n                      <jats:italic>in<\/jats:italic>\n                      \u2010\n                      <jats:italic>a<\/jats:italic>\n                      \u2010\n                      <jats:italic>changed<\/jats:italic>\n                      \u2010\n                      <jats:italic>world<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>While source isolation is an important procedure for preventing and controlling transmissible infection; it often results in adverse psychological experiences. An understanding of this finding from the patients\u2019 perspectives is essential for nurses and other healthcare workers involved in their care to maintain a balance between infection control isolation and psychological needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.15014","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T08:34:01Z","timestamp":1628757241000},"page":"211-223","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A phenomenological exploration of source isolation in patients infected with multi\u2010drug resistant organisms"],"prefix":"10.1111","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6919-6652","authenticated-orcid":false,"given":"Gift A.","family":"Mutsonziwa","sequence":"first","affiliation":[{"name":"Faculty of Nursing &amp; Midwifery University of Western Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Green","sequence":"additional","affiliation":[{"name":"Faculty of Nursing &amp; Midwifery The University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Blundell","sequence":"additional","affiliation":[{"name":"Faculty of Nursing &amp; Midwifery The University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,12]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2010.04.027"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511524097"},{"issue":"2","key":"e_1_2_14_4_1","first-page":"53","article-title":"Behind Barriers: Patients\u2019 Perceptions of Source Isolation for Methicillin\u2010resistant Staphylococcus aureus (MRSA)","volume":"28","author":"Barratt R.","year":"2010","journal-title":"The Australian Journal of Advanced Nursing"},{"key":"e_1_2_14_5_1","unstructured":"Centers for Disease Control and Prevention. 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