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An exploratory study of safety culture, biological risk management and hand hygiene of healthcare professionals.

Identifieur interne : 000067 ( Main/Exploration ); précédent : 000066; suivant : 000068

An exploratory study of safety culture, biological risk management and hand hygiene of healthcare professionals.

Auteurs : Laurence Bernard [Canada] ; Alain Biron [Canada] ; Geneviève Lavigne [Canada] ; Julie Frechette [Canada] ; Agnès Bernard [Belgique] ; Jonathan Mitchell [Canada] ; Mélanie Lavoie-Tremblay [Canada]

Source :

RBID : pubmed:29117448

Descripteurs français

English descriptors

Abstract

AIMS

The objectives of the study were to: (1) examine the relationships between three different qualitative perceptions of safety culture and the Canadian Patient Safety Climate Survey factors; (2) determine whether these perceptions are associated with different hand hygiene practices.

BACKGROUND

Healthcare-associated infections and safety cultures are a worldwide issue. During the A/H1N1 Influenza pandemic, Europe and North America did not have the same responses. Importantly, healthcare professionals' perceptions can influence patient safety through infection prevention practices like hand hygiene.

DESIGN

A cross-sectional design was used with data collected in 2015.

METHODS

The Canadian Patient Safety Culture Survey and hand hygiene observations were gathered from three healthcare centres (two Canadian and one European). Descriptive analyses and ANOVAs were conducted to explore healthcare professionals' safety perceptions and practices.

RESULTS

The rates of hand hygiene practices varied widely between the three sites, ranging from 35-77%. One site (Site 3) was found to have the highest scores of management follow-up, feedback about incidents, supervisory leadership for safety, unit learning culture and senior leadership support for safety, and the highest levels of overall patient safety grades for the unit and organization.

CONCLUSION

The quantitative results of this study support the previously described model based on qualitative results: individual culture, blaming culture and collaborative culture. Differences between continents emerged regarding infection prevention practices and the way we qualify infections. The results raise concerns about infection practices and about safety cultures and challenges worldwide.


DOI: 10.1111/jan.13500
PubMed: 29117448


Affiliations:

Links toward previous steps (curation, corpus...)

Le document en format XML

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<p>The objectives of the study were to: (1) examine the relationships between three different qualitative perceptions of safety culture and the Canadian Patient Safety Climate Survey factors; (2) determine whether these perceptions are associated with different hand hygiene practices.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Healthcare-associated infections and safety cultures are a worldwide issue. During the A/H1N1 Influenza pandemic, Europe and North America did not have the same responses. Importantly, healthcare professionals' perceptions can influence patient safety through infection prevention practices like hand hygiene.</p>
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<b>DESIGN</b>
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<p>A cross-sectional design was used with data collected in 2015.</p>
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<b>METHODS</b>
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<p>The Canadian Patient Safety Culture Survey and hand hygiene observations were gathered from three healthcare centres (two Canadian and one European). Descriptive analyses and ANOVAs were conducted to explore healthcare professionals' safety perceptions and practices.</p>
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<div type="abstract" xml:lang="en">
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<b>RESULTS</b>
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<p>The rates of hand hygiene practices varied widely between the three sites, ranging from 35-77%. One site (Site 3) was found to have the highest scores of management follow-up, feedback about incidents, supervisory leadership for safety, unit learning culture and senior leadership support for safety, and the highest levels of overall patient safety grades for the unit and organization.</p>
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<b>CONCLUSION</b>
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<p>The quantitative results of this study support the previously described model based on qualitative results: individual culture, blaming culture and collaborative culture. Differences between continents emerged regarding infection prevention practices and the way we qualify infections. The results raise concerns about infection practices and about safety cultures and challenges worldwide.</p>
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<DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">hand hygiene practices</Keyword>
<Keyword MajorTopicYN="N">infection prevention and control</Keyword>
<Keyword MajorTopicYN="N">nursing</Keyword>
<Keyword MajorTopicYN="N">patient safety</Keyword>
<Keyword MajorTopicYN="N">safety culture</Keyword>
</KeywordList>
</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="accepted">
<Year>2017</Year>
<Month>10</Month>
<Day>25</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2017</Year>
<Month>11</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2018</Year>
<Month>9</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2017</Year>
<Month>11</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">29117448</ArticleId>
<ArticleId IdType="doi">10.1111/jan.13500</ArticleId>
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<affiliations>
<list>
<country>
<li>Belgique</li>
<li>Canada</li>
</country>
<region>
<li>Québec</li>
<li>Région de Bruxelles-Capitale</li>
</region>
<settlement>
<li>Bruxelles</li>
<li>Montréal</li>
</settlement>
<orgName>
<li>Université McGill</li>
</orgName>
</list>
<tree>
<country name="Canada">
<region name="Québec">
<name sortKey="Bernard, Laurence" sort="Bernard, Laurence" uniqKey="Bernard L" first="Laurence" last="Bernard">Laurence Bernard</name>
</region>
<name sortKey="Bernard, Laurence" sort="Bernard, Laurence" uniqKey="Bernard L" first="Laurence" last="Bernard">Laurence Bernard</name>
<name sortKey="Biron, Alain" sort="Biron, Alain" uniqKey="Biron A" first="Alain" last="Biron">Alain Biron</name>
<name sortKey="Frechette, Julie" sort="Frechette, Julie" uniqKey="Frechette J" first="Julie" last="Frechette">Julie Frechette</name>
<name sortKey="Lavigne, Genevieve" sort="Lavigne, Genevieve" uniqKey="Lavigne G" first="Geneviève" last="Lavigne">Geneviève Lavigne</name>
<name sortKey="Lavoie Tremblay, Melanie" sort="Lavoie Tremblay, Melanie" uniqKey="Lavoie Tremblay M" first="Mélanie" last="Lavoie-Tremblay">Mélanie Lavoie-Tremblay</name>
<name sortKey="Mitchell, Jonathan" sort="Mitchell, Jonathan" uniqKey="Mitchell J" first="Jonathan" last="Mitchell">Jonathan Mitchell</name>
</country>
<country name="Belgique">
<region name="Région de Bruxelles-Capitale">
<name sortKey="Bernard, Agnes" sort="Bernard, Agnes" uniqKey="Bernard A" first="Agnès" last="Bernard">Agnès Bernard</name>
</region>
</country>
</tree>
</affiliations>
</record>

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