Exploring Infection Prevention

Uchida, Mayuko; Stone, Patricia W.; Conway, Laurie J.; Pogorzelska, Monika; Larson, Elaine; Raveis, Victoria H.

doi:10.1177/1527154411417721

Cited by 22 publications

(6 citation statements)

References 6 publications

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“…These findings from IPs practicing in acute care hospitals across the United States reinforce those of an earlier statewide study conducted by our team, in which 25 health care professionals in California described how mandatory reporting of HAI data drew needed attention to IPs but created frustration because of unfair comparisons among hospitals and an increased workload for which electronic surveillance systems did not fully compensate. 21 The findings also confirm that, nationally, as was first noted in reports from that earlier California study, infection prevention has become an organizational goal toward which IPs lead interdisciplinary teams and that additional layers present in the new reporting structures can act as barriers to success. As in the present study, the California informants influenced practice through data feedback and education.…”

Section: Discussionsupporting

confidence: 76%

Tensions inherent in the evolving role of the infection preventionist

Conway

Raveis

Pogorzelska-Maziarz

et al. 2013

American Journal of Infection Control

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Background The role of infection preventionists (IPs) is expanding in response to demands for quality and transparency in health care. Practice analyses and survey research have demonstrated that IPs spend a majority of their time on surveillance and are increasingly responsible for prevention activities and management; however, deeper qualitative aspects of the IP role have rarely been explored. Methods We conducted a qualitative content analysis of in-depth interviews with 19 IPs at hospitals throughout the United States to describe the current IP role, specifically the ways that IPs effect improvements and the facilitators and barriers they face. Results The narratives document that the IP role is evolving in response to recent changes in the health care landscape and reveal that this progression is associated with friction and uncertainty. Tensions inherent in the evolving role of the IP emerged from the interviews as 4 broad themes: (1) expanding responsibilities outstrip resources, (2) shifting role boundaries create uncertainty, (3) evolving mechanisms of influence involve trade-offs, and (4) the stress of constant change is compounded by chronic recurring challenges. Conclusion Advances in implementation science, data standardization, and training in leadership skills are needed to support IPs in their evolving role.

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Section: Discussionsupporting

confidence: 76%

Tensions inherent in the evolving role of the infection preventionist

Conway

Raveis

Pogorzelska-Maziarz

et al. 2013

American Journal of Infection Control

Self Cite

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“…Uchida et al used 23 semi-structured interviews in six acute care hospitals to gain insight in current practice in infection control under mandatory surveillance and reporting [55]. They found themes on mandatory reporting, technology on HAI surveillance, role expansion, and impact of organizational climate.…”

Section: Discussionmentioning

confidence: 99%

Implementation of infection control best practice in intensive care units throughout Europe: a mixed-method evaluation study

et al. 2013

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BackgroundThe implementation of evidence-based infection control practices is essential, yet challenging for healthcare institutions worldwide. Although acknowledged that implementation success varies with contextual factors, little is known regarding the most critical specific conditions within the complex cultural milieu of varying economic, political, and healthcare systems. Given the increasing reliance on unified global schemes to improve patient safety and healthcare effectiveness, research on this topic is needed and timely. The ‘InDepth’ work package of the European FP7 Prevention of Hospital Infections by Intervention and Training (PROHIBIT) consortium aims to assess barriers and facilitators to the successful implementation of catheter-related bloodstream infection (CRBSI) prevention in intensive care units (ICU) across several European countries.MethodsWe use a qualitative case study approach in the ICUs of six purposefully selected acute care hospitals among the 15 participants in the PROHIBIT CRBSI intervention study. For sensitizing schemes we apply the theory of diffusion of innovation, published implementation frameworks, sensemaking, and new institutionalism. We conduct interviews with hospital health providers/agents at different organizational levels and ethnographic observations, and conduct rich artifact collection, and photography during two rounds of on-site visits, once before and once one year into the intervention. Data analysis is based on grounded theory. Given the challenge of different languages and cultures, we enlist the help of local interpreters, allot two days for site visits, and perform triangulation across multiple data sources.Qualitative measures of implementation success will consider the longitudinal interaction between the initiative and the institutional context. Quantitative outcomes on catheter-related bloodstream infections and performance indicators from another work package of the consortium will produce a final mixed-methods report.ConclusionA mixed-methods study of this scale with longitudinal follow-up is unique in the field of infection control. It highlights the ‘Why’ and ‘How’ of best practice implementation, revealing key factors that determine success of a uniform intervention in the context of several varying cultural, economic, political, and medical systems across Europe. These new insights will guide future implementation of more tailored and hence more successful infection control programs.Trial registrationTrial number: PROHIBIT-241928 (FP7 reference number)

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“…Time is successfully freed up for other HAIs prevention program activities, such as staff training, when HAIs are identified, tracked, and reported using an electronic system. However, we should not forget that not all problems can be solved with the electronic system, which is not a comprehensive solution to the HAIs problem ( 36 ). In addition to the lack of access to an effective electronic system, the low quality of materials, which was also mentioned in another study in Iran, also leads to the inability of some healthcare workers to comply with hygiene principles ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

Barriers and Problems in Implementing Health-Associated Infections Surveillance Systems in Iran: A Qualitative Study

Nasiri

Shahrbabaki

Sharifi

et al. 2023

MJIRI

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Background Healthcare-associated infections (HAIs) are among the most critical challenges for patients and healthcare providers. To achieve the goals of the surveillance system, it is necessary to identify its barriers and problems. This study aimed to identify the barriers and problems of the surveillance system for HAIs. Methods This qualitative study was conducted using the content analysis method to investigate the challenges of this surveillance system from the perspective of 18 infection control nurses from hospitals in different cities of Iran with work experience of 1 to 15 years. Data were collected through semi-structured interviews and analyzed using the Lundman and Graneheim qualitative content analysis method. Results In this study, we found 2 categories and 7 subcategories. Two categories were barriers related to human resources and organizational barriers to infection control. The 7 subcategories included weakness of medical staff in adherence to health principles, obstacles related to patients, high workload and insufficient motivation, lack of staff knowledge, lack of human resources, functional and logistical weaknesses, and weaknesses in the surveillance system. Conclusion To reduce problems and improve HAIs reporting, the HAIs surveillance system needs the support of health system officials and managers. This administrative and support focus can establish the framework for removing and lowering other barriers, such as the number of reported cases, physician and staff noncooperation, and the prevalence of HAIs. It can also bring HAIs cases closer to reality.

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Exploring Infection Prevention

Cited by 22 publications

References 6 publications

Tensions inherent in the evolving role of the infection preventionist

Tensions inherent in the evolving role of the infection preventionist

Implementation of infection control best practice in intensive care units throughout Europe: a mixed-method evaluation study

Barriers and Problems in Implementing Health-Associated Infections Surveillance Systems in Iran: A Qualitative Study

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