Implementing infection prevention practices across european hospitals : : an in-depth qualitative assessment
Abstract: Objective
The Prevention of Hospital Infections by Intervention and Training (PROHIBIT) project included a cluster-randomised, stepped wedge, controlled study to evaluate multiple strategies to prevent catheter-related bloodstream infection. We report an in-depth investigation of the main barriers, facilitators and contextual factors relevant to successfully implementing these strategies in European acute care hospitals.
Methods
Qualitative comparative case study in 6 of the 14 European PROHIBIT hospitals. Data were collected through interviews with key stakeholders and ethnographic observations conducted during 2-day site visits, before and 1 year into the PROHIBIT intervention. Qualitative measures of implementation success included intervention fidelity, adaptation to local context and satisfaction with the intervention programme.
Results
Three meta-themes emerged related to implementation success: ‘implementation agendas’, ‘resources’ and ‘boundary-spanning’. Hospitals established unique implementation agendas that, while not always aligned with the project goals, shaped subsequent actions. Successful implementation required having sufficient human and material resources and dedicated change agents who helped make the intervention an institutional priority. The salary provided for a dedicated study nurse was a key facilitator. Personal commitment of influential individuals and boundary spanners helped overcome resource restrictions and intrainstitutional segregation.
Conclusion
This qualitative study revealed patterns across cases that were associated with successful implementation. Consideration of the intervention–context relation was indispensable to understanding the observed outcomes
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Anmerkungen
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BMJ quality & safety. - 27, 10 (2018) , 771-780, ISSN: 2044-5423
- Klassifikation
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Medizin, Gesundheit
- Ereignis
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Veröffentlichung
- (wo)
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Freiburg
- (wer)
-
Universität
- (wann)
-
2019
- Urheber
-
Clack, Lauren
Zingg, Walter
Saint, Sanjay
Casillas, Alejandra
Touveneau, Sylvie
Da Liberdade Jantarada, Fabricio
Willi, Ursina
Kooi, Tjallie van der
Damschroder, Laura J.
Forman, Jane H
Harrod, Molly
Krein, Sarah
Pittet, Didier
Sax, Hugo
PROHIBIT consortium, [Study group]
- Beteiligte Personen und Organisationen
- DOI
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10.1136/bmjqs-2017-007675
- URN
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urn:nbn:de:bsz:25-freidok-1481012
- Rechteinformation
-
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
-
25.03.2025, 13:51 MEZ
Datenpartner
Deutsche Nationalbibliothek. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Beteiligte
- Clack, Lauren
- Zingg, Walter
- Saint, Sanjay
- Casillas, Alejandra
- Touveneau, Sylvie
- Da Liberdade Jantarada, Fabricio
- Willi, Ursina
- Kooi, Tjallie van der
- Damschroder, Laura J.
- Forman, Jane H
- Harrod, Molly
- Krein, Sarah
- Pittet, Didier
- Sax, Hugo
- PROHIBIT consortium, [Study group]
- Institut für Infektionsprävention und Krankenhaushygiene
- Universität
Entstanden
- 2019
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