Central aspects when implementing an electronic monitoring system for assessing hand hygiene in clinical settings: A grounded theory study

IF 0.9 Q4 INFECTIOUS DISEASES
Karin Granqvist, Linda Ahlstrom, Jon Karlsson, B. Lytsy, Annette Erichsen
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引用次数: 0

Abstract

New technologies, such as electronic monitoring systems, have been developed to promote increased adherence to hand hygiene among healthcare workers. However, challenges when implementing these technologies in clinical settings have been identified. The aim of this study was to explore healthcare workers’ experiences when implementing an electronic monitoring system to assess hand hygiene in a clinical setting. Interviews with healthcare workers (registered nurses, nurse assistants and leaders) involved in the implementation process of an electronic monitoring system ( n = 17) were conducted and data were analyzed according to the grounded theory methodology formulated by Strauss and Corbin. Healthcare workers’ experiences were expressed in terms of leading and facilitating, participating and contributing, and knowing and confirming. These three aspects were merged together to form the core category of collaborating for progress. Leaders were positive and committed to the implementation of the electronic monitoring system, endeavouring to enable facilitation and support for their co-workers (registered nurses and nurse assistants). At the same time, co-workers were positive about the support they received and contributed by raising questions and demands for the product to be used in clinical settings. Moreover, leaders and co-workers were aware of the objective of implementing the electronic monitoring system. We identified dynamic collective work between leaders and co-workers during the implementation of the electronic monitoring system. Leadership, participation and knowledge were central aspects of enhancing a collaborative process. We strongly recommend involving both ward leaders and users of new technologies to promote successful implementation.
在临床环境中实施手部卫生评估电子监控系统时的核心问题:基础理论研究
目前已开发出电子监控系统等新技术,以促进医护人员更加注重手部卫生。然而,在临床环境中应用这些技术时也面临着挑战。本研究旨在探讨医护人员在临床环境中使用电子监控系统评估手部卫生时的经验。研究人员对参与电子监控系统实施过程的医护人员(注册护士、护士助理和领导)(17 人)进行了访谈,并根据斯特劳斯和科尔宾制定的基础理论方法对数据进行了分析。医护人员的经验表现为领导和促进、参与和贡献以及了解和确认。这三个方面合并在一起形成了 "合作促进进步 "这一核心范畴。领导者对电子监控系统的实施持积极态度,并致力于为其同事(注册护士和护士助理)提供便利和支持。与此同时,同事们对他们所获得的支持也持积极态度,并通过提出问题和要求在临床环境中使用该产品做出了贡献。此外,领导和同事都意识到了实施电子监控系统的目标。我们发现,在电子监控系统的实施过程中,领导和同事之间开展了积极的集体工作。领导力、参与度和知识是加强合作过程的核心。我们强烈建议病房领导和新技术用户都参与进来,以促进新技术的成功实施。
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来源期刊
Journal of Infection Prevention
Journal of Infection Prevention Nursing-Advanced and Specialized Nursing
CiteScore
1.70
自引率
8.30%
发文量
46
期刊介绍: Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects
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