Behavioural determinants of healthcare provider compliance with infection prevention guidelines: systematic review of qualitative literature
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Autor:innen
Clack, Lauren
Lorencatto, Fabiana
Wolfensberger, Aline
Passerini, Siomone
Sax, Hugo
Autor:in (Körperschaft)
Publikationsdatum
23.08.2018
Typ der Arbeit
Studiengang
Sammlung
Typ
06 - Präsentation
Herausgeber:innen
Herausgeber:in (Körperschaft)
Betreuer:in
Übergeordnetes Werk
Themenheft
DOI der Originalpublikation
Reihe / Serie
Reihennummer
Jahrgang / Band
Ausgabe / Nummer
Seiten / Dauer
Patentnummer
Verlag / Herausgebende Institution
Verlagsort / Veranstaltungsort
Galway
Auflage
Version
Programmiersprache
Abtretungsempfänger:in
Praxispartner:in/Auftraggeber:in
Zusammenfassung
Introduction: Despite advances in the field of hospital infection prevention, rates of hospital-acquired infection (HAI) remain in the range of 10% and healthcare provider (HCP) compliance with prevention measures remains low. We undertook a systematic review of qualitative published literature to identify HCPs‘ reported barriers and enablers to compliance with infection prevention guidelines.
Methods: We searched (August 2017) Medline, Embase, Psychinfo, and the Cochrane Central Register of Controlled Trials. Studies were included that used qualitative methods to explore HCPs‘ reported barriers and enablers to compliance with infection prevention guidelines. Reported barriers and enablers were extracted from included studies as raw data (direct quotations) or author interpretation. Identified barriers/enablers were deductively coded using the Theoretical Domains Framework (TDF). Inductive thematic analyses were conducted to identify relevant themes.
Results: We included 30 studies examining compliance with the following guidelines: standard and isolation precautions (e.g. hand hygiene, glove use, isolation precautions, vaccination) and HAI-specific prevention measures. Of the 368 identified barriers/enablers, the most frequent corresponded to the TDF domains: ―Environmental Context and Resources‖ (n=74) [e.g. lack of time, ease of access to materials], ―Beliefs about consequences‖ (n=53) [e.g. self-protection, perceived efficacy of prevention measure] and ―Social Influences‖ (n=53) [e.g. patient influence, role modelling]
Discussion: Whereas many infection prevention efforts focus primarily on training and education to increase HCP knowledge and improve practice, our results suggest that other important determinants may be overlooked. Our findings have important implications for guiding the design of future initiatives to address the most prevalent barriers and enablers.
Schlagwörter
Fachgebiet (DDC)
Veranstaltung
European Health Psychology Society Annual Conference
Startdatum der Ausstellung
Enddatum der Ausstellung
Startdatum der Konferenz
Enddatum der Konferenz
Datum der letzten Prüfung
ISBN
ISSN
Sprache
Englisch
Während FHNW Zugehörigkeit erstellt
Ja
Zukunftsfelder FHNW
Publikationsstatus
Veröffentlicht
Begutachtung
Peer-Review des Abstracts
Open Access-Status
Lizenz
Zitation
CLACK, Lauren, Fabiana LORENCATTO, Jasmina BOGDANOVIC, Aline WOLFENSBERGER, Siomone PASSERINI, Tanja MANSER und Hugo SAX, 2018. Behavioural determinants of healthcare provider compliance with infection prevention guidelines: systematic review of qualitative literature. European Health Psychology Society Annual Conference. Galway. 23 August 2018. Verfügbar unter: http://hdl.handle.net/11654/26712