An exploration of consultant doctors' hand hygiene: practice and perspectives
An exploration of consultant doctors' hand hygiene: practice and perspectives
Hand hygiene is considered the cornerstone of infection prevention practice, but previous studies demonstrate one group of healthcare professionals, doctors, have not achieved good levels of compliance in comparison to other staff groups. The aim of the research was to examine consultant doctors? practice and perspectives of hand hygiene, exploring their perceptions as leaders and role models, so as to identify strategies to improve compliance.
The study design was based on naturalistic inquiry, focussing on the social constructions of participants. Nineteen consultant doctors were observed during hospital ward rounds using both a national audit tool to assess hand hygiene compliance and recording of field notes. These same consultants, plus a further two, were interviewed individually to elicit their views. Data from the 21 interviews and field notes were analysed qualitatively using thematic content analysis. Observations demonstrated high levels of hand hygiene compliance for high risk and medium risk activities, with low levels of compliance for low risk activities. Thematic content analysis revealed a strong belief by consultant doctors in the value of hand hygiene. However, a perceived conflict between political and scientific drivers of hand hygiene promotion gave rise to confusion, frustration and a lack of engagement that created barriers to leadership and acting as a role model. Differing guidelines and audit tools that did not address levels of risk compounded the matter. However, consultant doctors offered various recommendations to resolve the issues. Compliance with hand hygiene by consultant doctors is dependant on perceived levels of risk. To promote leadership and role modelling it is critical to engage consultant doctors, understand their views, employ their recommendations and recognise they are motivated by evidence-based rationales for practice rather than political mandates. The findings, conclusion and recommendations of the research study have significant implications for addressing the shortfalls of the hand hygiene agenda in clinical practice and for the engagement of consultant doctors.
Westbury, J
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May 2012
Westbury, J
278a4bee-75c0-4bda-9572-4f11ddbb9a91
Fader, M.
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Prieto, J.
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Westbury, J
(2012)
An exploration of consultant doctors' hand hygiene: practice and perspectives.
University of Southampton, Faculty of Health Sciences, Doctoral Thesis, 188pp.
Record type:
Thesis
(Doctoral)
Abstract
Hand hygiene is considered the cornerstone of infection prevention practice, but previous studies demonstrate one group of healthcare professionals, doctors, have not achieved good levels of compliance in comparison to other staff groups. The aim of the research was to examine consultant doctors? practice and perspectives of hand hygiene, exploring their perceptions as leaders and role models, so as to identify strategies to improve compliance.
The study design was based on naturalistic inquiry, focussing on the social constructions of participants. Nineteen consultant doctors were observed during hospital ward rounds using both a national audit tool to assess hand hygiene compliance and recording of field notes. These same consultants, plus a further two, were interviewed individually to elicit their views. Data from the 21 interviews and field notes were analysed qualitatively using thematic content analysis. Observations demonstrated high levels of hand hygiene compliance for high risk and medium risk activities, with low levels of compliance for low risk activities. Thematic content analysis revealed a strong belief by consultant doctors in the value of hand hygiene. However, a perceived conflict between political and scientific drivers of hand hygiene promotion gave rise to confusion, frustration and a lack of engagement that created barriers to leadership and acting as a role model. Differing guidelines and audit tools that did not address levels of risk compounded the matter. However, consultant doctors offered various recommendations to resolve the issues. Compliance with hand hygiene by consultant doctors is dependant on perceived levels of risk. To promote leadership and role modelling it is critical to engage consultant doctors, understand their views, employ their recommendations and recognise they are motivated by evidence-based rationales for practice rather than political mandates. The findings, conclusion and recommendations of the research study have significant implications for addressing the shortfalls of the hand hygiene agenda in clinical practice and for the engagement of consultant doctors.
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Final_thesis.pdf
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Published date: May 2012
Organisations:
University of Southampton, Faculty of Health Sciences
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Local EPrints ID: 340447
URI: http://eprints.soton.ac.uk/id/eprint/340447
PURE UUID: 01f3e3cb-abef-49ae-84e9-03f881be4a2f
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Date deposited: 13 Aug 2012 14:44
Last modified: 15 Mar 2024 03:17
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Author:
J Westbury
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