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Tailoring implementation interventions of different order in infection prevention and control: A cascadic logic model (IPC-CASCADE)

Implementation interventions in infection prevention and control (IPC) differ by recipients. The two target groups are healthcare workers directly involved in patient care (“frontline”) and IPC professionals as proxy agents, that is, implementation support practitioners. While both types of implemen...

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Autores principales: von Lengerke, Thomas, Tomsic, Ivonne, Krosta, Karolin M. E., Ebadi, Ella, Keil, Valentine, Buchta, Frederike, Luz, J. Katrin, Schaumburg, Tiffany, Kolbe-Busch, Susanne, Chaberny, Iris F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012664/
https://www.ncbi.nlm.nih.gov/pubmed/36925806
http://dx.doi.org/10.3389/frhs.2022.960854
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author von Lengerke, Thomas
Tomsic, Ivonne
Krosta, Karolin M. E.
Ebadi, Ella
Keil, Valentine
Buchta, Frederike
Luz, J. Katrin
Schaumburg, Tiffany
Kolbe-Busch, Susanne
Chaberny, Iris F.
author_facet von Lengerke, Thomas
Tomsic, Ivonne
Krosta, Karolin M. E.
Ebadi, Ella
Keil, Valentine
Buchta, Frederike
Luz, J. Katrin
Schaumburg, Tiffany
Kolbe-Busch, Susanne
Chaberny, Iris F.
author_sort von Lengerke, Thomas
collection PubMed
description Implementation interventions in infection prevention and control (IPC) differ by recipients. The two target groups are healthcare workers directly involved in patient care (“frontline”) and IPC professionals as proxy agents, that is, implementation support practitioners. While both types of implementation interventions aim to promote compliance with clinical interventions to prevent healthcare-associated infections (HAI), their tailoring may be vastly different, for example, due to different behavioural outcomes. Additionally, IPC teams, as recipients of empowering tailored interventions, are under-researched. To overcome this gap and improve conceptual clarity, we proposed a cascadic logic model for tailored IPC interventions (IPC-CASCADE). In the model, we distinguished between interventions by IPC professionals targeting clinicians and those targeting IPC professionals (first- and second-order implementation interventions, respectively). Tailoring implies selecting behaviour change techniques matched to prospectively-assessed determinants of either clinician compliance (in first-order interventions) or interventions by IPC professionals for frontline workers (in second-order interventions). This interventional cascade is embedded in the prevailing healthcare system. IPC-CASCADE is horizontally structured over time and vertically structured by hierarchy or leadership roles. IPC-CASCADE aims to highlight the potential of increasing the impact of tailored interventions by IPC professionals for clinicians (to improve their compliance) via tailored interventions for IPC professionals (to improve their work as proxy agents). It underlines the links that IPC professionals define between macro contexts (healthcare and hospitals) and frontline workers in HAI prevention. It is specific, i.e., “tailored” to IPC, and expected to assist implementation science to better conceptualise tailoring.
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spelling pubmed-100126642023-03-15 Tailoring implementation interventions of different order in infection prevention and control: A cascadic logic model (IPC-CASCADE) von Lengerke, Thomas Tomsic, Ivonne Krosta, Karolin M. E. Ebadi, Ella Keil, Valentine Buchta, Frederike Luz, J. Katrin Schaumburg, Tiffany Kolbe-Busch, Susanne Chaberny, Iris F. Front Health Serv Health Services Implementation interventions in infection prevention and control (IPC) differ by recipients. The two target groups are healthcare workers directly involved in patient care (“frontline”) and IPC professionals as proxy agents, that is, implementation support practitioners. While both types of implementation interventions aim to promote compliance with clinical interventions to prevent healthcare-associated infections (HAI), their tailoring may be vastly different, for example, due to different behavioural outcomes. Additionally, IPC teams, as recipients of empowering tailored interventions, are under-researched. To overcome this gap and improve conceptual clarity, we proposed a cascadic logic model for tailored IPC interventions (IPC-CASCADE). In the model, we distinguished between interventions by IPC professionals targeting clinicians and those targeting IPC professionals (first- and second-order implementation interventions, respectively). Tailoring implies selecting behaviour change techniques matched to prospectively-assessed determinants of either clinician compliance (in first-order interventions) or interventions by IPC professionals for frontline workers (in second-order interventions). This interventional cascade is embedded in the prevailing healthcare system. IPC-CASCADE is horizontally structured over time and vertically structured by hierarchy or leadership roles. IPC-CASCADE aims to highlight the potential of increasing the impact of tailored interventions by IPC professionals for clinicians (to improve their compliance) via tailored interventions for IPC professionals (to improve their work as proxy agents). It underlines the links that IPC professionals define between macro contexts (healthcare and hospitals) and frontline workers in HAI prevention. It is specific, i.e., “tailored” to IPC, and expected to assist implementation science to better conceptualise tailoring. Frontiers Media S.A. 2023-01-16 /pmc/articles/PMC10012664/ /pubmed/36925806 http://dx.doi.org/10.3389/frhs.2022.960854 Text en © 2023 von Lengerke, Tomsic, Krosta, Ebadi, Keil, Buchta, Luz, Schaumburg, Kolbe-Busch and Chaberny. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Services
von Lengerke, Thomas
Tomsic, Ivonne
Krosta, Karolin M. E.
Ebadi, Ella
Keil, Valentine
Buchta, Frederike
Luz, J. Katrin
Schaumburg, Tiffany
Kolbe-Busch, Susanne
Chaberny, Iris F.
Tailoring implementation interventions of different order in infection prevention and control: A cascadic logic model (IPC-CASCADE)
title Tailoring implementation interventions of different order in infection prevention and control: A cascadic logic model (IPC-CASCADE)
title_full Tailoring implementation interventions of different order in infection prevention and control: A cascadic logic model (IPC-CASCADE)
title_fullStr Tailoring implementation interventions of different order in infection prevention and control: A cascadic logic model (IPC-CASCADE)
title_full_unstemmed Tailoring implementation interventions of different order in infection prevention and control: A cascadic logic model (IPC-CASCADE)
title_short Tailoring implementation interventions of different order in infection prevention and control: A cascadic logic model (IPC-CASCADE)
title_sort tailoring implementation interventions of different order in infection prevention and control: a cascadic logic model (ipc-cascade)
topic Health Services
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012664/
https://www.ncbi.nlm.nih.gov/pubmed/36925806
http://dx.doi.org/10.3389/frhs.2022.960854
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