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Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment
BACKGROUND: Hand hygiene (HH) is the most important measure for preventing healthcare-associated infections. A significant correlation between alcohol-based handrub consumption (AHRC) and observed HH compliance rates has been established. In France, publicly reported AHRC displayed a large heterogen...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8867886/ https://www.ncbi.nlm.nih.gov/pubmed/35197124 http://dx.doi.org/10.1186/s13756-022-01074-2 |
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author | Berthod, Delphine Alvarez, Dara Perozziello, Anne Chabrol, Fanny Lucet, Jean-Christophe |
author_facet | Berthod, Delphine Alvarez, Dara Perozziello, Anne Chabrol, Fanny Lucet, Jean-Christophe |
author_sort | Berthod, Delphine |
collection | PubMed |
description | BACKGROUND: Hand hygiene (HH) is the most important measure for preventing healthcare-associated infections. A significant correlation between alcohol-based handrub consumption (AHRC) and observed HH compliance rates has been established. In France, publicly reported AHRC displayed a large heterogeneity across healthcare facilities (HCFs). We aimed to describe programmes for promoting HH in the top and medium AHRC scorers and to assess factors and drivers leading to a high AHRC score in a panel of French HCFs. METHODS: We performed a nationwide qualitative comparative case study based on in-depth semi-structured interviews in 16 HCFs with high, 4-year AHRC scores, and a sample of seven university hospitals (UHs) with medium AHRC scores. Infection Prevention and Control Team (IPC) members (n = 62), quality managers/chief executive officers (n = 23) and frontline workers (n = 6) were interviewed, using a grounded theory approach and an iterative thematic approach. RESULTS: Ninety-one interviews were performed. There was a large heterogeneity in IPC structures and objectives, with specific patterns associated with high AHRC that were more organisational than technical. Four areas emerged: (1) strong cohesive team structure with supportive and outcome-oriented work attitude, (2) IPC structure within the organization, (3) active support from the institution, (4) leadership and role model. Among high AHRC scorers, a good core IPC organisation, a proactive and flexible management, a frequent presence in the clinical wards, and working in a constructive safety climate were prominent. CONCLUSION: We highlighted that IPC structure and activity is heterogeneous, with organisational and behavioural characteristics associated with high AHRC score. Beyond technical challenge, our work underlines the importance of strong structure of the IPC and behavioural approaches in implementing key IPC programmes. |
format | Online Article Text |
id | pubmed-8867886 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-88678862022-02-25 Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment Berthod, Delphine Alvarez, Dara Perozziello, Anne Chabrol, Fanny Lucet, Jean-Christophe Antimicrob Resist Infect Control Research BACKGROUND: Hand hygiene (HH) is the most important measure for preventing healthcare-associated infections. A significant correlation between alcohol-based handrub consumption (AHRC) and observed HH compliance rates has been established. In France, publicly reported AHRC displayed a large heterogeneity across healthcare facilities (HCFs). We aimed to describe programmes for promoting HH in the top and medium AHRC scorers and to assess factors and drivers leading to a high AHRC score in a panel of French HCFs. METHODS: We performed a nationwide qualitative comparative case study based on in-depth semi-structured interviews in 16 HCFs with high, 4-year AHRC scores, and a sample of seven university hospitals (UHs) with medium AHRC scores. Infection Prevention and Control Team (IPC) members (n = 62), quality managers/chief executive officers (n = 23) and frontline workers (n = 6) were interviewed, using a grounded theory approach and an iterative thematic approach. RESULTS: Ninety-one interviews were performed. There was a large heterogeneity in IPC structures and objectives, with specific patterns associated with high AHRC that were more organisational than technical. Four areas emerged: (1) strong cohesive team structure with supportive and outcome-oriented work attitude, (2) IPC structure within the organization, (3) active support from the institution, (4) leadership and role model. Among high AHRC scorers, a good core IPC organisation, a proactive and flexible management, a frequent presence in the clinical wards, and working in a constructive safety climate were prominent. CONCLUSION: We highlighted that IPC structure and activity is heterogeneous, with organisational and behavioural characteristics associated with high AHRC score. Beyond technical challenge, our work underlines the importance of strong structure of the IPC and behavioural approaches in implementing key IPC programmes. BioMed Central 2022-02-23 /pmc/articles/PMC8867886/ /pubmed/35197124 http://dx.doi.org/10.1186/s13756-022-01074-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Berthod, Delphine Alvarez, Dara Perozziello, Anne Chabrol, Fanny Lucet, Jean-Christophe Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment |
title | Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment |
title_full | Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment |
title_fullStr | Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment |
title_full_unstemmed | Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment |
title_short | Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment |
title_sort | are there reasons behind high handrub consumption? a french national in-depth qualitative assessment |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8867886/ https://www.ncbi.nlm.nih.gov/pubmed/35197124 http://dx.doi.org/10.1186/s13756-022-01074-2 |
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