Efficacité comparée de deux stratégies de prévention des infections nosocomiales : impact sur les représentations et les pratiques autodéclarées

Abstract

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Binding communication to improve peripheral venous catheter monitoring

“…After commitment intervention, the PSR® usage on PVC recording increased from 27.6% (CI = [25.3; 30.0]) to 47.4% (CI = [45.0; 49.9]). To the best of our knowledge, there are only three comparable studies in the literature 22,23,30 . They also aimed to modify the behavior of healthcare personnel to improve care practices.…”

“…The engaging intervention appeared to produce a significantly stronger effect than the standard condition. The nurses who received standard training seemed to have a better awareness of the reality of the problem of nosocomial infections 23 . Almeida et al assessed the effect of binding communication on the wearing of the wedding ring in routine care.…”

“…Like Quintard et al and Girandola 22,23 , we used a focus group to engage the HCWs in behavior, but instead of inviting the HCWs to fill out a questionnaire (knowledge evaluation), we invited them to bring out their experiential knowledge through discussion, debate and completion of a summary bulletin. We also chose a different method of publicisation.…”

“…According to literature, these behaviors, called "commitment acts", must also be carried out under specific conditions: they must be easy to do, reiterated, linked and consistent to the final behavior, and carried out publicly in a context of total freedom without no rewards or punishments [15][16][17] . This paradigm can be declined in framework and has already been mobilized to improve behavior regarding the protection of the environment 18 , to improve organ donation 19 , and to reduce high-risk behaviors related to HIV transmission 20 , alcoholism 21 or hospital hygiene and safety of care 22,23 . To our knowledge, this kind of framework was never applied to improve PVC monitoring or traceability of care.…”

“…[15][16][17] This paradigm can be described in the framework and has already been mobilized to improve behaviour regarding the protection of the environment, 18 organ donation 19 and high-risk behaviours related to HIV transmission, 20 alcoholism, 21 or hospital hygiene and safety of care. 22,23 To our knowledge, this framework has never been applied to improve PVC monitoring or traceability of care. Our aim was to evaluate the impact of binding communication-based interventions on compliance with PSR usage for PVC recordings.…”