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Evaluation of the Infection Prevention and Control Nurse Lead role in Residential Aged Care Homes
The role of the Infection Prevention and Control (IPC) Lead in residential aged care has shown positive impacts on meeting the Aged Care Quality Standards (ACQS), though implementation varies widely across facilities. Key findings indicate that while IPC Leads contribute to ACQS compliance and act as contacts during audits, support for the role varies by facility size, location, and workforce turnover. A whole-organisation approach is needed, engaging families, carers, and friends in infection control measures.
Training and resources remain critical for IPC Leads. Around 40% of facilities applied for IPC Training Grants in 2023, but further support is needed from organisational leadership and management to strengthen outbreak management and sustain improvement. Tailored training focused on aged care, especially for residents with dementia and those at end-of-life, is recommended. Stakeholders also suggested establishing a community of practice to provide IPC Leads with access to expertise and peer support.
The IPC Lead role has had a positive impact on aged care nurses, providing career advancement and upskilling opportunities. However, staff retention challenges continue to affect IPC knowledge continuity. To support retention, it is recommended to formalise IPC Lead guidance, set clear expectations, and consider financial incentives. Furthermore, ongoing data collection on the IPC Lead’s effectiveness will provide an evidence base to guide future IPC initiatives in aged care. Emphasising IPC through broader family engagement and improving community support should also be prioritised to enhance the sector’s infection prevention efforts.
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