James Lind Alliance Healthcare Associated Infections Partnership
(JLA-HCAI) Survey
What should research on the prevention and treatment of healthcare-associated infections investigate?
You can also complete the survey online at
https://docs.google.com/forms/d/1UZDo9_lJIWIThjSFtbcBCYU6GZElFWm8PTzWZX0AVPc/viewform
The closing date for the return of your survey is 31st October 2015.
Please read all the instructions before completing the questionnaire.
Please use a cross rather than a tick (as if you are filling out a ballot paper) when answering questions.
For example in the following question, if your answer to the question is yes, you should place a cross firmly in
the box before yes.
☒ Yes
Example: Do you want to be informed about the results of the research?
☐ No
If you are asked to write in an answer, please print clearly and write inside the boxes.
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PART ONE – ABOUT YOU
It is important for our research to know about you or the person for whom you care. So we would be grateful
if you could answer the questions in this section. However, if you would prefer not to, then just leave this
section blank. Please note that these details will NOT be published in association with your response or linked
in any way to the UK DUETs database.
QUESTION 1 Which of the following best describes you?
(If you fall into more than one category please feel free to ask for and complete multiple surveys).
(Please X the appropriate option)
☐ I am a patient (Go to Question 2)
☐ I care for a patient
(Go to Question 2 and complete questions 2 to 7 with information regarding the person you care for)
☐ I am a healthcare professional (Go to Question 8)
☐ I am a healthcare professional and a patient (or care for a patient)
(Go to Question 2 and complete questions 2 to 7 with information about you as a patient or the person
you care for. Then please complete questions 8 to 11 about your role as healthcare professional)
QUESTION 2 What is your age, or that of the person for whom you care?
(Please Indicate the age in years)
QUESTION 3 What is your gender, or that of the person for whom you care?
(Please X the appropriate option)
☐ Male
☐ Other
☐ Female
☐ Prefer not to say
QUESTION 4 What is your ethnic group, or that of the person for whom you care?
(Please X the appropriate option)
☐ White – British
☐ Asian or Asian British – Indian
☐ White – Irish
☐ Asian or Asian British – Pakistani
☐ White – Any other background
☐ Asian or Asian British – Bangladeshi
☐ Mixed – White and black Caribbean
☐ Asian or Asian British – Any other Asian background
☐ Mixed – White and black African
☐ Black or Black British – Caribbean
☐ Mixed – Any other mixed background
☐ Black or Black British – African
☐ Chinese
☐ Black or Black British – Any other Black background
☐ Any other ethnic group
☐ Prefer not to say
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QUESTION 5 Where do you, or the person for whom you care, normally live?
We are interested in the geographical region in which you live.
(Please X the appropriate option)
☐ East of England
☐ South East
☐ East Midlands
☐ South West
☐ London
☐ Wales
☐ North East
☐ West Midlands
☐ North West
☐ Yorkshire and The Humber
☐ Scotland
☐ Other
QUESTION 6 Where do you, or the person for whom you care, normally live?
We are interested in the level of support you receive in your accommodation.
(Please X the appropriate option)
☐ At home living independently
☐ Nursing home
☐ supported by family or carers
☐ Other – please answer question 7
☐ Sheltered accommodation
☐ Prefer not to say
☐ Residential home
QUESTION 7 Please specify the level of support if you answered 'Other' for Question 6.
Please answer this only if you chose 'Other' for Question 6.
(Please enter the information within the box)
QUESTION 8 Please tell us what kind of health care worker you are.
(This question is for health care workers only)
(Please X the appropriate option)
☐ Microbiologist
☐ Nurse Specialist (Please state specialty in question 9)
☐ Surgeon
☐ General Practitioner Nurse
☐ Other Hospital Doctor
(Please state specialty in question 9)
☐ Community Nurse
☐ General Practitioner
☐ Care Assistant
☐ Other (Please specify in question 9)
☐ Hospital Nurse
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QUESTION 9 Please tell us what kind of health care worker you are.
(This question is for Health Care Workers only)
(Please X the appropriate option)
☐ Microbiologist
☐ Surgeon
☐ Other Hospital Doctor – Please state specialty in question 10
☐ General Practitioner
☐ Hospital Nurse
☐ Nurse Specialist – Please state specialty in question 10
☐ General Practitioner Nurse
☐ Community Nurse
☐ Care Assistant
☐ Other – Please specify in question 10
☐ Prefer not to say
QUESTION 10 Please specify the details if you answered 'Other hospital doctor', 'Nurse specialist' or 'Other'
in Question 9.
Please answer this question only if you answered 'Other hospital doctor', 'Nurse specialist' or 'Other' for
Question 9.
(Please enter the information within the box)
QUESTION 11 Where do you normally work?
We are interested in the region in which you work as a healthcare worker. Please answer this question only if
you are a healthcare worker.
(Please X the appropriate option)
☐ East of England
☐ South East
☐ East Midlands
☐ South West
☐ London
☐ Wales
☐ North East
☐ West Midlands
☐ North West
☐ Yorkshire and The Humber
☐ Scotland
☐ Other
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PART TWO – YOUR QUESTIONS
Please write your questions about prevention, identification, or treatment of HEALTH CARE ASSOCIATED
INFECTIONS where you would like to see further research, or where you feel that there may be uncertainty
about what's the best medical and nursing care. Your questions can be in any order of importance.
To help you, here are some examples of research questions for other health conditions:
"In the general population, do exercises prevent obesity?"
"In people with cough, is CT scan better than X-ray in diagnosing lung cancer?"
"In people with asthma are breathing exercises helpful in reducing symptoms?"
"In people with sore throat, is gargling aspirin effective in relieving the sore throat?"
"In people with angina, is exercise effective in terms of preventing heart attacks?"
It is also important to know how you will consider a particular preventive measure, investigation, or treatment
is useful. For example, you may consider the measure to be useful if increases survival, improves quality of life,
prevents or cures a particular infection, and decreases the length of hospital stay. If you identify more than
one measure by which you will consider a test or treatment to be useful, please list them in order of
importance with the first being the most important.
QUESTION 12 Please complete your answer in the boxes on the next two pages.
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QUESTION 12 Please write any question(s) you have in the box below.
Please continue on next page
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QUESTION 12 Please write any question(s) you have in the box below (continued from previous page).
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ANY OTHER COMMENTS
Please use this space for any additional comments you would like to make or to tell us why you feel your
question or questions are important. Please write your comments in the box below.
PART THREE – GET INVOLVED
This completes the survey. Thank you for taking part. The survey is only one way in which you can become
involved in the research. We also intend to talk directly to patients, carers, and health professionals, for
example by holding focus groups, interviewing a number of patients and carers, and a further questionnaire to
help decide the top ten most important questions. Please let us know if you would be interested in being
further involved. Please send an email to Prof Peter Wilson ([email protected]) with the subject of the
email: 'Patient and public representative in research'. We may contact you again and there is no obligation to
take part.
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