A Qualitative Examination of Interprofessional Teamwork for Infection Prevention : Development of a Model and Solutions

Health care-associated infections (HAIs), such as central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs), are associated with patient mortality and high costs to the health care system. These are largely preventable by practices such as prompt removal of central lines and Foley catheters. While seemingly straightforward, these practices require effective teamwork between physicians and nurses to be enacted successfully. Understanding the dynamics of interprofessional teamwork in the HAI prevention context requires further examination. We interviewed 420 participants (physicians, nursing, others) across 18 hospitals about interprofessional collaboration in this context. We propose an Input-Mediator-Output-Input (IMOI) model of interprofessional teamwork in the context of HAI prevention, suggesting that various organizational processes and structures facilitate specific teamwork attitudes, behaviors, and cognitions, which subsequently lead to HAI prevention outcomes including timeliness of line and Foley removal, ensuring sterile technique, and hand hygiene. We then propose strategies to improve interprofessional teamwork around HAI prevention.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:80

Enthalten in:

Medical care research and review : MCRR - 80(2023), 1 vom: 20. Feb., Seite 30-42

Sprache:

Englisch

Beteiligte Personen:

Gregory, Megan E [VerfasserIn]
MacEwan, Sarah R [VerfasserIn]
Sova, Lindsey N [VerfasserIn]
Gaughan, Alice A [VerfasserIn]
Scheck McAlearney, Ann [VerfasserIn]

Links:

Volltext

Themen:

Health care–associated infections
Infection prevention
Interprofessional collaboration
Journal Article
Management practices
Qualitative methods
Research Support, U.S. Gov't, P.H.S.
Teamwork

Anmerkungen:

Date Completed 27.12.2022

Date Revised 02.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/10775587221103973

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM342793098