Organizational culture and its implications for infection prevention and control in healthcare institutions

Bono, Silvio de; Heling, G.; Borg, Michael

doi:10.1016/j.jhin.2013.10.007

Cited by 91 publications

(70 citation statements)

References 40 publications

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“…This could be a reflection of the influence of the practice culture on behaviour. In human healthcare, organisational factors, have been identified as one of the main drivers behind poor compliance with IPC practices (Cumbler et al, 2013;De Bono et al, 2014). As compliance with infection control intersects individual behaviour and the cultural norms of the practice, the culture of veterinary practice will also be influencing behaviour surrounding infection control.…”

Section: Discussionmentioning

confidence: 99%

Zoonotic disease risk perceptions in the British veterinary profession

Robin

Bettridge

McMaster

2017

Preventive Veterinary Medicine

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In human and veterinary medicine, reducing the risk of occupationally-acquired infections relies on effective infection prevention and control practices (IPCs). In veterinary medicine, zoonoses present a risk to practitioners, yet little is known about how these risks are understood and how this translates into health protective behaviour. This study aimed to explore risk perceptions within the British veterinary profession and identify motivators and barriers to compliance with IPCs. A cross-sectional study was conducted using veterinary practices registered with the Royal College of Veterinary Surgeons. Here we demonstrate that compliance with IPCs is influenced by more than just knowledge and experience, and understanding of risk is complex and multifactorial. Out of 252 respondents, the majority were not concerned about the risk of zoonoses (57.5%); however, a considerable proportion (34.9%) was. Overall, 44.0% of respondents reported contracting a confirmed or suspected zoonoses, most frequently dermatophytosis (58.6%). In veterinary professionals who had previous experience of managing zoonotic cases, time or financial constraints and a concern for adverse animal reactions were not perceived as barriers to use of personal protective equipment (PPE). For those working in large animal practice, the most significant motivator for using PPE was concerns over liability. When assessing responses to a range of different "infection control attitudes", veterinary nurses tended to have a more positive perspective, compared with veterinary surgeons. Our results demonstrate that IPCs are not always adhered to, and factors influencing motivators and barriers to compliance are not simply based on knowledge and experience. Educating veterinary professionals may help improve compliance to a certain extent, however increased knowledge does not necessarily equate to an increase in risk-mitigating behaviour. This highlights that the construction of risk is complex and circumstance-specific and to get a real grasp on compliance with IPCs, this construction needs to be explored in more depth.

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Section: Discussionmentioning

confidence: 99%

Zoonotic disease risk perceptions in the British veterinary profession

Robin

Bettridge

McMaster

2017

Preventive Veterinary Medicine

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“…() concluded that the most critical components in organizational culture affecting staff behavior are the way the organization is designed and how the different tasks are arranged. This is important, as infection prevention demands well‐trained staff and common objectives of how to behave (De Bono et al ., ). The best results in infection prevention are achieved when top leaders are committed, and the initiative starts from the top level.…”

Section: Discussionmentioning

confidence: 99%

Enhancing adherence to infection control in Swedish community care: Factors of importance

Lindh

Holmström

Perseius

et al. 2015

Nursing & Health Sciences

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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 and might be useful in community care. This study explored how medically-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.

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“…19 Change forces individuals to move away from their comfort zone, so it is often undesirable. It should therefore be no surprise to find varying degrees of non-compliance to change in IPC behavior.…”

Section: Behavior Changementioning

confidence: 99%

Organizational culture and its implications on infection prevention and control

Baral

2015

J Pathol Nep

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The hospital acquired infections are becoming common in our hospitals lately. These infections are difficult to treat and maybe life threatening. Hospital acquired infection can be minimized or eradicated by good Infection Prevention and Control guidelines and good hand hygiene practices. The success of Infection Prevention and Control guidelines program in any hospital is largely impacted by the organizational culture. In any health care setting the management is challenged by the organizational culture to change of any kind. Where implementation of Infection Prevention and Control guidelines program is easily implemented in some hospitals it is very difficult in others. Moreover, hand hygiene is not only biomedical practice but also has more behavioral factors.

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Organizational culture and its implications for infection prevention and control in healthcare institutions

Cited by 91 publications

References 40 publications

Zoonotic disease risk perceptions in the British veterinary profession

Zoonotic disease risk perceptions in the British veterinary profession

Enhancing adherence to infection control in Swedish community care: Factors of importance

Organizational culture and its implications on infection prevention and control

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