The changing role of infection prevention practice as documented by the Certification Board of Infection Control and Epidemiology practice analysis survey

Curchoe, Ruth; Fabrey, Lawrence J.; LeBlanc, M.M.

doi:10.1016/j.ajic.2007.10.010

Cited by 19 publications

(14 citation statements)

References 1 publication

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“…Every 5 years, the Certification Board in Infection Control delineates tasks performed and responsibilities assumed by IPs to determine test content. 6,7 The list of tasks in the most recent practice analysis in 2009 was dramatically different from 2005. 6 Based on the working patterns reported by IP respondents in 2009, 2 practice domains warranted an increased share of test items: preventing/ controlling the transmission of infectious agents and management and communication.…”

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confidence: 99%

Tensions inherent in the evolving role of the infection preventionist

Conway

Raveis

Pogorzelska-Maziarz

et al. 2013

American Journal of Infection Control

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Background The role of infection preventionists (IPs) is expanding in response to demands for quality and transparency in health care. Practice analyses and survey research have demonstrated that IPs spend a majority of their time on surveillance and are increasingly responsible for prevention activities and management; however, deeper qualitative aspects of the IP role have rarely been explored. Methods We conducted a qualitative content analysis of in-depth interviews with 19 IPs at hospitals throughout the United States to describe the current IP role, specifically the ways that IPs effect improvements and the facilitators and barriers they face. Results The narratives document that the IP role is evolving in response to recent changes in the health care landscape and reveal that this progression is associated with friction and uncertainty. Tensions inherent in the evolving role of the IP emerged from the interviews as 4 broad themes: (1) expanding responsibilities outstrip resources, (2) shifting role boundaries create uncertainty, (3) evolving mechanisms of influence involve trade-offs, and (4) the stress of constant change is compounded by chronic recurring challenges. Conclusion Advances in implementation science, data standardization, and training in leadership skills are needed to support IPs in their evolving role.

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confidence: 99%

Tensions inherent in the evolving role of the infection preventionist

Conway

Raveis

Pogorzelska-Maziarz

et al. 2013

American Journal of Infection Control

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“…The categorization of activities was based on the practice analysis published by the Certification Board of Infection Control and Epidemiology. 13 Respondents were asked to estimate the proportion of their work time spent in each of 8 categories of activities: (1) surveillance, defined as collecting, analyzing, and interpreting data on the occurrence of infections; (2) teaching infection prevention and control policies and procedures; (3) activities related to out-breaks; (4) daily isolation issues; (5) policy development and meetings; (6) other (eg, product evaluation, workman’s compensation, research); (7) employee/occupational health; and (8) emergency preparedness. Respondents also were asked to estimate the proportion of their time spent in the IP office, inpatient areas, outpatient areas, and long-term care areas.…”

Section: Methodsmentioning

confidence: 99%

Electronic surveillance systems in infection prevention: Organizational support, program characteristics, and user satisfaction

Grota

Jordan

Pogorzelska

et al. 2010

American Journal of Infection Control

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Background The use of electronic surveillance systems (ESSs) is gradually increasing in infection prevention and control programs. Little is known about the characteristics of hospitals that have a ESS, user satisfaction with ESSs, and organizational support for implementation of ESSs. Methods A total of 350 acute care hospitals in California were invited to participate in a Web-based survey; 207 hospitals (59%) agreed to participate. The survey included a description of infection prevention and control department staff, where and how they spent their time, a measure of organizational support for infection prevention and control, and reported experience with ESSs. Results Only 23% (44/192) of responding infection prevention and control departments had an ESS. No statistically significant difference was seen in how and where infection preventionists (IPs) who used an ESS and those who did not spend their time. The 2 significant predictors of whether an ESS was present were score on the Organizational Support Scale (odds ratio [OR], 1.10; 95% confidence interval [CI], 1.02-1.18) and hospital bed size (OR, 1.004; 95% CI, 1.00-1.007). Organizational support also was positively correlated with IP satisfaction with the ESS, as measured on the Computer Usability Scale (P = .02). Conclusion Despite evidence that such systems may improve efficiency of data collection and potentially improve patient outcomes, ESSs remain relatively uncommon in infection prevention and control programs. Based on our findings, organizational support appears to be a major predictor of the presence, use, and satisfaction with ESSs in infection prevention and control programs.

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“…Role delineation studies are surveys that obtain information from professionals about their educational experience, preparedness for practice, and the nature of their current practice [17,25,29]. Role delineation studies are a widely used method to understand trends and differences in professional education [9,16,32]. Figure 1 shows a general schema for role delineation study design and our study design.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, using ≥50 % agreement as consensus for defining essential items ensured that a comprehensive range of topics and procedures were included in the survey. This method of survey instrument development is customary for RDS survey design [9,16,32].…”

Section: Methodsmentioning

confidence: 99%

A Role Delineation Study of Hand Surgery in the USA: Assessing Variations in Fellowship Training and Clinical Practice

Aliu

Chung

2014

Hand (New York, N,Y.)

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Background We examined the fellowship experience of hand surgeons in the USA to identify gaps and variations in exposure to essential skills and knowledge during hand fellowship. Methods We conducted a web-based survey of the entire American Society for Surgery of the Hand and American Association for Hand Surgery membership. We inquired about the level of exposure received to 170 knowledge topics and procedures during fellowship. We used factor analysis to group the knowledge topics and procedures into 79 scales of related items and calculated mean exposure ratings for each scale. We compared the ratings between graduates of plastic surgery (PS) and orthopedic surgery (OS) Residency Review Committee (RRC)-accredited fellowships. Results Our response rate was 21 % (n=562). Plastic surgery RRC-accredited fellowship graduates reported inadequate exposure for proficiency in 22 % (17/79) of the knowledge topic and procedure scales whereas graduates of OS RRCaccredited fellowships reported inadequate exposure for proficiency in 10 % (8/79) of the scales. Moreover, 11 and 21 % of graduates from PS RRC-accredited fellowships reported receiving no exposure in distal radius/ulna and forearm conditions, respectively, whereas only 1 and 2 % of graduates from OS RRC-accredited fellowships reported receiving no exposure in the same domains, respectively.

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The changing role of infection prevention practice as documented by the Certification Board of Infection Control and Epidemiology practice analysis survey

Cited by 19 publications

References 1 publication

Tensions inherent in the evolving role of the infection preventionist

Tensions inherent in the evolving role of the infection preventionist

Electronic surveillance systems in infection prevention: Organizational support, program characteristics, and user satisfaction

A Role Delineation Study of Hand Surgery in the USA: Assessing Variations in Fellowship Training and Clinical Practice

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