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Enhancing adherence to infection control in Swedish community care: Factors of importance
Ersta Sköndal University College, Department of Health Care Sciences.
Mälardalens högskola & Uppsala universitet.ORCID iD: 0000-0002-4302-5529
Röda Korsets högskola & Karolinska institutet.ORCID iD: 0000-0003-1515-0485
Örebro universitet.ORCID iD: 0000-0002-4226-6064
2016 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 18, no 3, 275-282 p.Article in journal (Refereed) Published
Abstract [en]

Healthcare-associated infections are the most frequent adverse event in healthcare delivery worldwide. The theory of planned behavior has proven helpful in hospital hygiene interventions andmight be useful in community care. This study explored howmedically-responsible nurses in Swedish community care perceived and ranked the impact of factors related to the theory of planned behavior, the factors“ probability to change, enhancing the healthcare staff’s adherence to infection control guidelines, and identified which theory of planned behavior subquestions should be focused on to enhance adherence to infection control. Medically-responsible nurses (n = 268) in Swedish communities answered a Web-based questionnaire regarding impact and probability to change theory of planned behavior factors in relation to infection control. Four theory of planned behavior factor constructs were found: (i) knowledge and encouragement from management; (ii) access and availability to materials and equipment, and interest among staff; (iii) influence by colleagues; and (iv) workload, and influence by patients and significant others. The theory of planned behavior factors are relevant for infection control in a home-like environment, and findings could be used as a basis for interventions enhancing hygiene in community care.

Place, publisher, year, edition, pages
2016. Vol. 18, no 3, 275-282 p.
Keyword [en]
Adverse events community care, Infection control, Nursing, Theory of planned behavior
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:esh:diva-5694DOI: 10.1111/nhs.12260ISI: 000383618100002PubMedID: 26708352ScopusID: 2-s2.0-84984916623OAI: oai:DiVA.org:esh-5694DiVA: diva2:1065153
Note

As unpublished manuscript in Licentiate Dissertation with title: Enhancing adherence to hygiene routines in community care : factors of importance and readiness to change

Available from: 2016-01-11 Created: 2017-01-13 Last updated: 2017-01-16Bibliographically approved
In thesis
1. Adherence to hygiene routines in community care: the perspective of medically responsible nurses in Sweden.
Open this publication in new window or tab >>Adherence to hygiene routines in community care: the perspective of medically responsible nurses in Sweden.
2014 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Care for the elderly in Sweden is a community responsibility and one of the future challenges for municipality care is infection control. Medically Responsible Nurses (MRNs) and Registered Nurses (RNs) have an important role in keeping a high hygiene standard in community care.

The first study´s aim was to investigating MRNs perception of factors influencing basal hygiene routines in community care. A web-based questionnaire was sent to all available MRNs in Sweden. Open questions were analyzed with content analysis. Four categories were found: Resources were referring to consultations of external specialist competence and time given for educational opportunities in basic hygiene routines. Resources could also mean access and availability to material as gloves, aprons, hand rub, and work clothing, and also equipment for proper cleaning as decontaminates. Management interest in putting hygiene on the agenda was important. The importance of hygiene was made by clear and consistent communication from the management. Staff: The MRNs experienced a general influence on adherence to hygiene routines in relation to the educational level. External factors: media focus on epidemic outbreaks was helpful to the MRNs when claiming for resources. The home like environment was mentioned as one of the obstacles to infection control.

The second study aim was to explore the perceived impact of different Theory of Planned Behaviour (TPB) related factors in enhancing compliance to hygiene routines in community care. Data was analysed with descriptive and inferential statistics.The two question areas to the study aim were items related to the TPB and factors known to influence hygiene in hospital settings. The main result was a final ranking list of what to preferable pay attention to if wanting to enhance compliance to hygiene routines. The list contained four factors: 1) Knowledge and interest factors among staff. 2) Access and availability to material and equipment and encouragement from management. 3) Influence by work mates, interest and workload 4) Influence by patients and significant others. The results also showed that the MRNs work under different contextual conditions and guidelines suitable for hospitals sometimes must be made applicable for community care.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2014. 76 p.
Series
Örebro studies in care sciences, ISSN 1652-1153 ; 55
Keyword
Hygiene, Hygiene routines, Community care, Medically responsible nurse
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-3907 (URN)
Presentation
2014-05-28, P245, Örebro universitet, Prismahuset, Örebro, 10:15
Opponent
Supervisors
Note

Härtill 2 uppsatser.

I publikationen felaktigt ISSN 1652-1123.

Available from: 2017-01-16 Created: 2014-06-12 Last updated: 2017-01-17Bibliographically approved

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