Towards changing healthcare workers' behaviour: a qualitative study exploring non-compliance through appraisals of infection prevention and control practices.
J Hosp Infect
; 90(2): 126-34, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-25820128
ABSTRACT
BACKGROUND:
Improving behaviour in infection prevention and control (IPC) practice remains a challenge, and understanding the determinants of healthcare workers' (HCWs) behaviour is fundamental to develop effective and sustained behaviour change interventions.AIM:
To identify behaviours of HCWs that facilitated non-compliance with IPC practices, focusing on how appraisals of IPC duties and social and environmental circumstances shaped and influenced non-compliant behaviour. This study aimed to (1) identify how HCWs rationalized their own behaviour and the behaviour of others; (2) highlight challenging areas of IPC compliance; and (3) describe the context of the working environment that may explain inconsistencies in IPC practices.METHODS:
Clinical staff at a National Health Service hospital group in London, UK were interviewed between December 2010 and July 2011 using qualitative methods. Responses were analysed using a thematic framework.FINDINGS:
Three ways in which HCWs appraised their behaviour were identified through accounts of IPC policies and practices (1) attribution of responsibilities, with ambiguity about responsibility for certain IPC practices; (2) prioritization and risk appraisal, which demonstrated a divergence in values attached to some IPC policies and practices; and (3) hierarchy of influence highlighted that traditional clinical roles challenged work relationships.CONCLUSIONS:
Overall, behaviours are not entirely independent of policy rules, but often an amalgamation of local normative practices, individual preferences and a degree of professional isolation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Farmacêuticos
/
Médicos
/
Infecção Hospitalar
/
Controle de Infecções
/
Fidelidade a Diretrizes
/
Enfermeiros Obstétricos
/
Enfermeiras e Enfermeiros
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Aspecto:
Implementation_research
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Hosp Infect
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Reino Unido