An exploratory study of safety culture, biological risk management and hand hygiene of healthcare professionals

Bernard, Laurence; Biron, Alain; Lavigne, Geneviève L.; Fréchette, Julie; Bernard, A.; Mitchell, Jonathan; Lavoie‐Tremblay, Mélanie

doi:10.1111/jan.13500

Cited by 19 publications

(18 citation statements)

References 43 publications

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“…Studies also indicated that some HCWs don't have the correct understanding of the importance of HH and personal beliefs about the efficiency of HH might be a barrier [5,9,13,15,29]. This perception is similar to the environmental/individual safety culture defined by Bernard et al [27,28]. Participants holding this view underestimate their responsibility in the development of infections.…”

Section: Discussionmentioning

confidence: 95%

“…Bernard et al in their work identified three patient safety cultures: Environmental/ individual safety culture, blaming safety culture and collaborative safety culture [27,28]. In the environmental/individual safety culture biological risks are not linked to the HCW, rather they are perceived to be present in the environment.…”

Section: Discussionmentioning

confidence: 99%

“…Still it is important that the directors of the ICU and the attending physicians had indicated their intentions to build a collaborative safety culture. Highest rate of HH can be achieved when HCWs perceive HH as a collective and shared responsibility [17,27,28]. Interventions that address a transformation in the organizational culture in which HH is an administrative expectation show promising results [31].…”

Section: Discussionmentioning

confidence: 99%

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A qualitative study of hand hygiene compliance among health care workers in intensive care units

Teker

Hıdıroğlu

et al. 2019

J Infect Dev Ctries

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Introduction: Studies indicate that adherence to hand hygiene guidelines is at suboptimal levels. We aimed to explore the reasons for poor hand hygiene compliance. Methodology: A qualitative study based on the Theory of Planned Behavior as a framework in explaining compliance, consisting four focus group discussions and six in-depth interviews. Results: Participants mostly practiced hand hygiene depending on the sense of "dirtiness" and "cleanliness". Some of the participants indicated that on-job training delivered by the infection control team changed their perception of "emotionally" based hand hygiene to "indication" based. Direct observations and individual feedback on one-to-one basis were the core of this training. There was low social cohesiveness and a deep polarization between the professional groups that led one group accusing the other for not being compliant. Conclusions: The infection control team should continue delivering one-to-one trainings based on observation and immediate feedback. But there is need to base this training model on a structured behavioral modification program and test its efficacy through a quasi-experimental design. Increasing social cohesiveness and transforming the blaming culture to a collaborative safety culture is also crucial to improve compliance. High workload, problems related to work-flow and turnover should be addressed.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A qualitative study of hand hygiene compliance among health care workers in intensive care units

Teker

Hıdıroğlu

et al. 2019

J Infect Dev Ctries

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“…In healthcare, awareness of the importance of hand hygiene is constantly growing. In particular, hand hygiene, involving washing the hands with soap and water or applying disinfectant to the hands without water, is fundamental to the prevention of healthcare-associated infections when performed properly, as it eliminates contaminants from the hands [42]. Hand disinfection through appropriate methods, using either alcohol gel or soap, is clearly recommended in guidelines published by the CDC [43].…”

Section: Discussionmentioning

confidence: 99%

A Model of Phlebitis Associated with Peripheral Intravenous Catheters in Orthopedic Inpatients

Lee

Kim

2019

IJERPH

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Phlebitis leads to increased discomfort for patients, longer hospital stays, and higher healthcare costs. This study aimed to identify predictive factors of peripheral phlebitis related to intravenous injection among orthopedic inpatients, develop a prediction model, and evaluate the goodness-of-fit of the prediction model. This study included 270 orthopedic patients who were hospitalized in the orthopedic ward of a general hospital. A peripheral intravenous injection-related questionnaire based on previous studies and the modified Infusion Nurses Society scale were used to collect data. Phlebitis risk factors were identified, and a prediction model was developed using the Bayesian regression model. Vein quality, contrast medium use, hygiene duration, and period of nursing clinical experience were significant based on their 95% confidence intervals. The prediction model exhibited good discrimination. The prediction model developed in this study can be used for screening high-risk patients for peripheral intravenous catheter-related phlebitis and for providing basic data for developing interventions for the prevention and management of peripheral intravenous catheter-related phlebitis.

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“…-Nurse manager "blaming safety culture" and 77% in the hospital with the "collaborative safety culture." 21 These studies and our research emphasize the importance of promoting a culture that encourages HCW participation and involvement in decision making with regard to IPC. However, a key difference is that, in our study, these characteristics were not homogenous within each hospital.…”

Section: Discussionmentioning

confidence: 61%

Adoption of infection prevention and control practices by healthcare workers in Québec: A qualitative study

Dubé

Lorcy

Audy

et al. 2019

Infect. Control Hosp. Epidemiol.

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Objective:To describe barriers and facilitators to the adoption of recommended infection prevention and control (IPC) practices among healthcare workers (HCWs).Methods:A qualitative research design was used. Individual semistructured interviews with HCWs and observations of clinical practices were conducted from February to May 2018 in 8 care units of 2 large tertiary-care hospitals in Montreal (Québec, Canada).Results:We interviewed 13 managers, 4 nurses, 2 physicians, 3 housekeepers, and 2 medical laboratory technologists. We conducted 7 observations by following IPC nurses (n = 3), nurses (n = 2), or patient attendants (n = 2) in their work routines. Barriers to IPC adoption were related to the context of care, workplace environment issues, and communication issues. The main facilitator of the IPC adoption by HCWs was the “development of an IPC culture or safety culture.” The “IPC culture” relied upon leadership support by managers committed to IPC, shared belief in the importance of IPC measures to limit healthcare-associated infections (HAIs), collaboration and good communication among staff, as well as proactivity and ownership of IPC measures (ie, development of local solutions to reduce HAIs and “working together” toward common goals).Conclusions:Adoption of recommended IPC measures by HCWs is strongly influenced by the “IPC culture.” The IPC culture was not uniform within hospital and differences in IPC culture were identified between care units.

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An exploratory study of safety culture, biological risk management and hand hygiene of healthcare professionals

Cited by 19 publications

References 43 publications

A qualitative study of hand hygiene compliance among health care workers in intensive care units

A qualitative study of hand hygiene compliance among health care workers in intensive care units

A Model of Phlebitis Associated with Peripheral Intravenous Catheters in Orthopedic Inpatients

Adoption of infection prevention and control practices by healthcare workers in Québec: A qualitative study

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