Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A mixed-methods study

doi:10.1111/jocn.15940

. 2022 Apr;31(7-8):878-894.

doi: 10.1111/jocn.15940. Epub 2021 Jul 4.

Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A mixed-methods study

Lisa Arvidsson¹, Magnus Lindberg¹, Bernice Skytt^{1

2}, Maria Lindberg^{1

2

3}

Affiliations

¹ Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Gävle, Sweden.
² Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
³ Centre for Research and Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden.

PMID: 34219318
DOI: 10.1111/jocn.15940

Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A mixed-methods study

Lisa Arvidsson et al. J Clin Nurs. 2022 Apr.

. 2022 Apr;31(7-8):878-894.

doi: 10.1111/jocn.15940. Epub 2021 Jul 4.

Authors

Lisa Arvidsson¹, Magnus Lindberg¹, Bernice Skytt^{1

2}, Maria Lindberg^{1

2

3}

Affiliations

¹ Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Gävle, Sweden.
² Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
³ Centre for Research and Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden.

PMID: 34219318
DOI: 10.1111/jocn.15940

Abstract

Aims and objectives: To investigate healthcare personnel's working conditions in relation to risk behaviours for organism transmission.

Background: Healthcare personnel's behaviour is often influenced by working conditions that in turn can impact the development of healthcare-associated infections. Observational studies are scarce, and further understanding of working conditions in relation to behaviour is essential for the benefit of the healthcare personnel and the safety of the patients.

Design: A mixed-methods convergent design.

Methods: Data were collected during 104 h of observation at eight hospital units. All 79 observed healthcare personnel were interviewed. Structured interviews covering aspects of working conditions were performed with the respective first-line manager. The qualitative and quantitative data were collected concurrently and given equal priority. Data were analysed separately and then merged. The study follows the GRAMMS guidelines for reporting mixed-methods research.

Results: Regardless of measurable and perceived working conditions, risk behaviours frequently occurred especially missed hand disinfection. Healthcare personnel described staffing levels, patient-level workload, physical factors and interruptions as important conditions that influence infection prevention behaviours. The statistical analyses confirmed that interruptions increase the frequency of risk behaviours. Significantly higher frequencies of risk behaviours also occurred in activities where healthcare personnel worked together, which in the interviews was described as a consequence of caring for high-need patients.

Conclusions: These mixed-methods findings illustrate that healthcare personnel's perceptions do not always correspond to the observed results since risk behaviours frequently occurred regardless of the observed and perceived working conditions. Facilitating the possibility for healthcare personnel to work undisturbed when needed is essential for their benefit and for patient safety.

Relevance for clinical practice: The results can be used to enlighten healthcare personnel and managers and when designing future infection prevention work.

Keywords: healthcare personnel behaviour; healthcare-associated infections; infection prevention; interruptions; mixed methods; working conditions.

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References

REFERENCES

1. Allegranzi, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention. Journal of Hospital Infection, 73(4), 305-315. https://doi.org/10.1016/j.jhin.2009.04.019
1. Bae, S. H. (2011). Assessing the relationships between nurse working conditions and patient outcomes: Systematic literature review. Journal of Nursing Management, 19(6), 700-713. https://doi.org/10.1111/j.1365-2834.2011.01291.x
1. Clack, L., Passerini, S., Wolfensberger, A., Sax, H., & Manser, T. (2018). Frequency and nature of infectious risk moments during acute care based on the INFORM structured classification taxonomy. Infection Control and Hospital Epidemiology, 39(3), 272-279. https://doi.org/10.1017/ice.2017.326
1. Costar, D. M., & Hall, K. K. (2020). Improving team performance and patient safety on the job through team training and performance support tools: A systematic review. Journal of Patient Safety, 16(3S Suppl 1), S48-S56. https://doi.org/10.1097/PTS.0000000000000746
1. Creswell, J., & Plano, C. (2017). Designing and conducting mixed methods research, 3rd edn. Sage Publications.

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[1] Allegranzi, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention. Journal of Hospital Infection, 73(4), 305-315. https://doi.org/10.1016/j.jhin.2009.04.019

[2] Allegranzi, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention. Journal of Hospital Infection, 73(4), 305-315. https://doi.org/10.1016/j.jhin.2009.04.019

[3] Bae, S. H. (2011). Assessing the relationships between nurse working conditions and patient outcomes: Systematic literature review. Journal of Nursing Management, 19(6), 700-713. https://doi.org/10.1111/j.1365-2834.2011.01291.x

[4] Bae, S. H. (2011). Assessing the relationships between nurse working conditions and patient outcomes: Systematic literature review. Journal of Nursing Management, 19(6), 700-713. https://doi.org/10.1111/j.1365-2834.2011.01291.x

[5] Clack, L., Passerini, S., Wolfensberger, A., Sax, H., & Manser, T. (2018). Frequency and nature of infectious risk moments during acute care based on the INFORM structured classification taxonomy. Infection Control and Hospital Epidemiology, 39(3), 272-279. https://doi.org/10.1017/ice.2017.326

[6] Clack, L., Passerini, S., Wolfensberger, A., Sax, H., & Manser, T. (2018). Frequency and nature of infectious risk moments during acute care based on the INFORM structured classification taxonomy. Infection Control and Hospital Epidemiology, 39(3), 272-279. https://doi.org/10.1017/ice.2017.326

[7] Costar, D. M., & Hall, K. K. (2020). Improving team performance and patient safety on the job through team training and performance support tools: A systematic review. Journal of Patient Safety, 16(3S Suppl 1), S48-S56. https://doi.org/10.1097/PTS.0000000000000746

[8] Costar, D. M., & Hall, K. K. (2020). Improving team performance and patient safety on the job through team training and performance support tools: A systematic review. Journal of Patient Safety, 16(3S Suppl 1), S48-S56. https://doi.org/10.1097/PTS.0000000000000746

[9] Creswell, J., & Plano, C. (2017). Designing and conducting mixed methods research, 3rd edn. Sage Publications.

[10] Creswell, J., & Plano, C. (2017). Designing and conducting mixed methods research, 3rd edn. Sage Publications.

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Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A mixed-methods study

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Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A mixed-methods study

Authors

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Abstract

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