Background: In 2015, NHS Wales introduced a national standardised approach to aseptic non-touch technique protected by copyright as ANTT. This approach aims to standardise practice and promote better clinical outcomes. Aim of the study:To provide insight into the challenges faced by clinical staff adopting aseptic non-touch technique during intravenous therapy. Methods: Focused ethnography across two paediatric NHS Wales wards. Data collection included participant observation, audit questionnaires and semi-structured interviews. Data was analysed according to Wolcott (1994) process and emerging themes were reflected upon against theoretical framework of Kirkpatrick's (1967) model of training evaluation. Findings: Absence of feedback following training, individual preference, lack of opportunity to practice ANTT technique, lack of clarity and standardisation and expectations of parents/ medical staff are all challenges faced by registered nurses. Implications of the study:Study findings may be used by NHS managers to support national initiatives within staff training and development programmes and to improve infection prevention initiatives.Organisational culture is a modifier of healthcare worker behaviour and requires further 3 attention locally and nationally. Quality assurance in the adoption of standardised best practice must take into account staff training and development needs and workplace culture.
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