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"Somebody else's problem?" Staff attributions of cause and risk of Meticillin-resistant Staphylococcus aureus

Morrow, Elizabeth, Griffiths, Peter, Rao, G. Gopal and Flaxman, Debbie (2011) "Somebody else's problem?" Staff attributions of cause and risk of Meticillin-resistant Staphylococcus aureus American Journal of Infection Control, 39, (4) (doi:10.1016/j.ajic.2010.06.018). (PMID:21030114).

Record type: Article


Background: meticillin-resistant Staphylococcus aureus (MRSA) is endemic within the United Kingdom health care sector. Recent campaigns to reduce health care-associated infection have rested on increasing staff accountability and ownership of the problem and its solutions. However, the existence of reservoirs of colonization in the community now creates ambiguity about sources, which may undermine preventative strategies.

Methods: the theoretical framework of causal attribution was applied to explore staff biases in perceptions and effects on infection control behaviors on both sides of the hospital/care home interface. Forty-four staff from 1 acute care hospital and 53 staff from 6 care homes estimated prevalence, risk, and sources of MRSA. Focus groups (6 care home and 8 hospital) were used to elicit group perceptions.

Results: staff tended to attribute the causes of MRSA to external (not self) human factors including patient risk factors and poor infection control practices of others. Teams tend to attribute their “successes” in infection control to dispositional attributions (good team policy and performance) and attribute “lapses” to situational factors (client group, patient movement, work pressures).

Conclusion: variations in information needs, ownership, and infection control practices could be addressed by better interorganizational working and support for staff teams to assess their own responses to the proble

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Published date: May 2011
Keywords: Infection control, MRSA, nursing homes, infection prevention


Local EPrints ID: 167309
ISSN: 0196-6553
PURE UUID: 73c52b20-6820-45f1-a883-45eeafc55810
ORCID for Peter Griffiths: ORCID iD

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Date deposited: 11 Nov 2010 10:06
Last modified: 18 Jul 2017 12:24

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Author: Elizabeth Morrow
Author: Peter Griffiths ORCID iD
Author: G. Gopal Rao
Author: Debbie Flaxman

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