Associations between perceptions of evidence and adoption of H1N1 influenza infection prevention strategies among healthcare workers providing care to persons with spinal cord injury
Identifieur interne : 001982 ( Istex/Corpus ); précédent : 001981; suivant : 001983Associations between perceptions of evidence and adoption of H1N1 influenza infection prevention strategies among healthcare workers providing care to persons with spinal cord injury
Auteurs : Philip M. Ullrich ; Sherri L. Lavela ; Charlesnika T. Evans ; Scott Miskevics ; Frances M. Weaver ; Barry GoldsteinSource :
- Journal of Advanced Nursing [ 0309-2402 ] ; 2014-08.
Abstract
Aim: To examine associations between perceptions of evidence (research evidence, clinical expertise, patient preferences) and outcomes of a nationwide programme to implement H1N1 influenza prevention guidelines. Background: Healthcare workers do not consistently adhere to recommended infection control practices and this may be associated with their perceptions of evidence sources. Design: Cross‐sectional mailed survey. Method: A survey of healthcare workers was administered in August 2010 after implementation of H1N1 prevention guidelines. Outcomes of interest were ratings of adherence to H1N1 prevention guidelines. Findings: Respondents with complete data (N = 283) were included in analyses. Facility‐level adherence to guidelines was associated with opinions of clinical experts. Healthcare workers who rated clinical expertise as aligning with recommendations also rated their facilities as being more adherent to guidelines. Perceptions of research evidence and patient preferences were not associated with facility adherence. Personal adherence was not associated with perceptions of evidence, except among those healthcare workers who rated both clinical experts and patients as unsupportive of guidelines; these practitioners were less likely to adhere to recommended personal hygiene practices. Conclusion: Efforts to implement guidelines might be most effective when capitalizing on the influence of clinical experts. To better explain variability in guideline adherence, inclusion of a broader array of variables is recommended for future studies.
Url:
DOI: 10.1111/jan.12336
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ISTEX:9F5428DD91217A68D945987C73457BA2A83CB0AELe document en format XML
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Ullrich</name><affiliation><mods:affiliation>Spinal Cord Injury Quality Enhancement Research Initiative (SCI QUERI) and VA Puget Sound Healthcare System, Washington, Seattle, USA</mods:affiliation></affiliation></author><author><name sortKey="Lavela, Sherri L" sort="Lavela, Sherri L" uniqKey="Lavela S" first="Sherri L." last="Lavela">Sherri L. Lavela</name><affiliation><mods:affiliation>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</mods:affiliation></affiliation></author><author><name sortKey="Evans, Charlesnika T" sort="Evans, Charlesnika T" uniqKey="Evans C" first="Charlesnika T." last="Evans">Charlesnika T. Evans</name><affiliation><mods:affiliation>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</mods:affiliation></affiliation></author><author><name sortKey="Miskevics, Scott" sort="Miskevics, Scott" uniqKey="Miskevics S" first="Scott" last="Miskevics">Scott Miskevics</name><affiliation><mods:affiliation>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</mods:affiliation></affiliation></author><author><name sortKey="Weaver, Frances M" sort="Weaver, Frances M" uniqKey="Weaver F" first="Frances M." last="Weaver">Frances M. Weaver</name><affiliation><mods:affiliation>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</mods:affiliation></affiliation></author><author><name sortKey="Goldstein, Barry" sort="Goldstein, Barry" uniqKey="Goldstein B" first="Barry" last="Goldstein">Barry Goldstein</name><affiliation><mods:affiliation>SCI QUERI and VA Puget Sound Healthcare System, Washington, Seattle, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Advanced Nursing</title><title level="j" type="alt">JOURNAL OF ADVANCED NURSING</title><idno type="ISSN">0309-2402</idno><idno type="eISSN">1365-2648</idno><imprint><biblScope unit="vol">70</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1793">1793</biblScope><biblScope unit="page" to="1800">1800</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2014-08">2014-08</date></imprint><idno type="ISSN">0309-2402</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0309-2402</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Aim: To examine associations between perceptions of evidence (research evidence, clinical expertise, patient preferences) and outcomes of a nationwide programme to implement H1N1 influenza prevention guidelines. Background: Healthcare workers do not consistently adhere to recommended infection control practices and this may be associated with their perceptions of evidence sources. Design: Cross‐sectional mailed survey. Method: A survey of healthcare workers was administered in August 2010 after implementation of H1N1 prevention guidelines. Outcomes of interest were ratings of adherence to H1N1 prevention guidelines. Findings: Respondents with complete data (N = 283) were included in analyses. Facility‐level adherence to guidelines was associated with opinions of clinical experts. Healthcare workers who rated clinical expertise as aligning with recommendations also rated their facilities as being more adherent to guidelines. Perceptions of research evidence and patient preferences were not associated with facility adherence. Personal adherence was not associated with perceptions of evidence, except among those healthcare workers who rated both clinical experts and patients as unsupportive of guidelines; these practitioners were less likely to adhere to recommended personal hygiene practices. Conclusion: Efforts to implement guidelines might be most effective when capitalizing on the influence of clinical experts. To better explain variability in guideline adherence, inclusion of a broader array of variables is recommended for future studies.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Philip M. Ullrich PhD</name><affiliations><json:string>Spinal Cord Injury Quality Enhancement Research Initiative (SCI QUERI) and VA Puget Sound Healthcare System, Washington, Seattle, USA</json:string></affiliations></json:item><json:item><name>Sherri L. Lavela PhD</name><affiliations><json:string>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</json:string></affiliations></json:item><json:item><name>Charlesnika T. Evans PhD</name><affiliations><json:string>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</json:string></affiliations></json:item><json:item><name>Scott Miskevics BS</name><affiliations><json:string>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</json:string></affiliations></json:item><json:item><name>Frances M. Weaver PhD</name><affiliations><json:string>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</json:string></affiliations></json:item><json:item><name>Barry Goldstein MD PhD</name><affiliations><json:string>SCI QUERI and VA Puget Sound Healthcare System, Washington, Seattle, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>adherence</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>evidence</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>guideline implementation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>influenza prevention</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>promoting action on research implementation in health services</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>nursing</value></json:item></subject><articleId><json:string>JAN12336</json:string></articleId><arkIstex>ark:/67375/WNG-5CJN7WMJ-7</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Aim: To examine associations between perceptions of evidence (research evidence, clinical expertise, patient preferences) and outcomes of a nationwide programme to implement H1N1 influenza prevention guidelines. Background: Healthcare workers do not consistently adhere to recommended infection control practices and this may be associated with their perceptions of evidence sources. Design: Cross‐sectional mailed survey. Method: A survey of healthcare workers was administered in August 2010 after implementation of H1N1 prevention guidelines. Outcomes of interest were ratings of adherence to H1N1 prevention guidelines. Findings: Respondents with complete data (N = 283) were included in analyses. Facility‐level adherence to guidelines was associated with opinions of clinical experts. Healthcare workers who rated clinical expertise as aligning with recommendations also rated their facilities as being more adherent to guidelines. Perceptions of research evidence and patient preferences were not associated with facility adherence. Personal adherence was not associated with perceptions of evidence, except among those healthcare workers who rated both clinical experts and patients as unsupportive of guidelines; these practitioners were less likely to adhere to recommended personal hygiene practices. Conclusion: Efforts to implement guidelines might be most effective when capitalizing on the influence of clinical experts. 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Outcomes of interest were ratings of adherence to H1N1 prevention guidelines.</p><head>Findings</head><p>Respondents with complete data (<hi rend="italic">N </hi>=<hi rend="italic"> </hi>283) were included in analyses. Facility‐level adherence to guidelines was associated with opinions of clinical experts. Healthcare workers who rated clinical expertise as aligning with recommendations also rated their facilities as being more adherent to guidelines. Perceptions of research evidence and patient preferences were not associated with facility adherence. Personal adherence was not associated with perceptions of evidence, except among those healthcare workers who rated both clinical experts and patients as unsupportive of guidelines; these practitioners were less likely to adhere to recommended personal hygiene practices.</p><head>Conclusion</head><p>Efforts to implement guidelines might be most effective when capitalizing on the influence of clinical experts. 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This article is a U.S. Government work and is in the public domain in the USA</copyright><eventGroup><event date="2013-11-16" type="manuscriptAccepted"></event><event agent="SPS" date="2013-11-29" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-12-16"></event><event type="firstOnline" date="2013-12-16"></event><event type="publishedOnlineFinalForm" date="2014-07-18"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-08"></event></eventGroup><numberingGroup><numbering type="pageFirst">1793</numbering><numbering type="pageLast">1800</numbering></numberingGroup><correspondenceTo><lineatedText><line>Correspondence to P.M. Ullrich:</line><line>e‐mail: <email>philip.ullrich@va.gov</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="jan12336-cit-1001"><author><familyName>Ullrich</familyName> <givenNames>P.M.</givenNames></author>, <author><familyName>Lavela</familyName> <givenNames>S.L.</givenNames></author>, <author><familyName>Evans</familyName> <givenNames>C.T.</givenNames></author>, <author><familyName>Miskevics</familyName> <givenNames>S.</givenNames></author>, <author><familyName>Weaver</familyName> <givenNames>F.M.</givenNames></author> & <author><familyName>Goldstein</familyName> <givenNames>B.</givenNames></author> (<pubYear year="2014">2014</pubYear>) <articleTitle>Associations between perceptions of evidence and adoption of H1N1 influenza infection prevention strategies among healthcare workers providing care to persons with spinal cord injury</articleTitle>. <journalTitle>Journal of Advanced Nursing</journalTitle> <vol>70</vol>(<issue>8</issue>), <pageFirst>1793</pageFirst>–<pageLast>1800</pageLast>. doi: <accessionId ref="info:doi/10.1111/jan.12336">10.1111/jan.12336</accessionId></citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:JAN.JAN12336.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Associations between perceptions of evidence and adoption of H1N1 influenza infection prevention strategies among healthcare workers providing care to persons with spinal cord injury </title><title type="shortAuthors">P.M. Ullrich et al.</title></titleGroup><creators><creator affiliationRef="#jan12336-aff-0001" creatorRole="author" xml:id="jan12336-cr-0001"><personName><givenNames>Philip M.</givenNames> <familyName>Ullrich</familyName> <degrees>PhD</degrees></personName><jobTitle>Health Systems Specialist</jobTitle></creator><creator affiliationRef="#jan12336-aff-0002" creatorRole="author" xml:id="jan12336-cr-0002"><personName><givenNames>Sherri L.</givenNames> <familyName>Lavela</familyName> <degrees>PhD</degrees></personName><jobTitle>Research Assistant Professor</jobTitle></creator><creator affiliationRef="#jan12336-aff-0002" creatorRole="author" xml:id="jan12336-cr-0003"><personName><givenNames>Charlesnika T.</givenNames> <familyName>Evans</familyName> <degrees>PhD</degrees></personName><jobTitle>Research Assistant Professor</jobTitle></creator><creator affiliationRef="#jan12336-aff-0002" creatorRole="author" xml:id="jan12336-cr-0004"><personName><givenNames>Scott</givenNames> <familyName>Miskevics</familyName> <degrees>BS</degrees></personName><jobTitle>Data Analyst</jobTitle></creator><creator affiliationRef="#jan12336-aff-0002" creatorRole="author" xml:id="jan12336-cr-0005"><personName><givenNames>Frances M.</givenNames> <familyName>Weaver</familyName> <degrees>PhD</degrees></personName><jobTitle>Professor</jobTitle></creator><creator affiliationRef="#jan12336-aff-0003" creatorRole="author" xml:id="jan12336-cr-0006"><personName><givenNames>Barry</givenNames> <familyName>Goldstein</familyName> <degrees>MD PhD</degrees></personName><jobTitle>Professor</jobTitle></creator></creators><affiliationGroup><affiliation countryCode="US" type="organization" xml:id="jan12336-aff-0001"><orgName>Spinal Cord Injury Quality Enhancement Research Initiative (SCI QUERI) and VA Puget Sound Healthcare System</orgName> <address><city>Seattle</city> <countryPart>Washington</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="jan12336-aff-0002"><orgName>SCI QUERI and Center of Innovation for Complex Chronic Healthcare</orgName> <orgName>Edward Hines Jr. Department of Veterans Affairs (VA) Hospital</orgName> <address><city>Hines</city> <countryPart>Illinois</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="jan12336-aff-0003"><orgName>SCI QUERI and VA Puget Sound Healthcare System</orgName> <address><city>Seattle</city> <countryPart>Washington</countryPart> <country>USA</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="jan12336-kwd-0001">adherence</keyword><keyword xml:id="jan12336-kwd-0002">evidence</keyword><keyword xml:id="jan12336-kwd-0003">guideline implementation</keyword><keyword xml:id="jan12336-kwd-0004">influenza prevention</keyword><keyword xml:id="jan12336-kwd-0005">promoting action on research implementation in health services</keyword><keyword xml:id="jan12336-kwd-0006">nursing</keyword></keywordGroup><fundingInfo><fundingAgency>Department of Veterans Affairs</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Veterans Health Administration, Health Services Research and Development Service</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Spinal Cord Injury Quality Enhancement Initiative</fundingAgency><fundingNumber>RRP 10‐046</fundingNumber></fundingInfo><abstractGroup><abstract type="main" xml:id="jan12336-abs-0001"><title type="main">Abstract</title><section xml:id="jan12336-sec-0001"><title type="main">Aim</title><p>To examine associations between perceptions of evidence (research evidence, clinical expertise, patient preferences) and outcomes of a nationwide programme to implement H1N1 influenza prevention guidelines.</p></section><section xml:id="jan12336-sec-0002"><title type="main">Background</title><p>Healthcare workers do not consistently adhere to recommended infection control practices and this may be associated with their perceptions of evidence sources.</p></section><section xml:id="jan12336-sec-0003"><title type="main">Design</title><p>Cross‐sectional mailed survey.</p></section><section xml:id="jan12336-sec-0004"><title type="main">Method</title><p>A survey of healthcare workers was administered in August 2010 after implementation of H1N1 prevention guidelines. Outcomes of interest were ratings of adherence to H1N1 prevention guidelines.</p></section><section xml:id="jan12336-sec-0005"><title type="main">Findings</title><p>Respondents with complete data (<i>N </i>=<i> </i>283) were included in analyses. Facility‐level adherence to guidelines was associated with opinions of clinical experts. Healthcare workers who rated clinical expertise as aligning with recommendations also rated their facilities as being more adherent to guidelines. Perceptions of research evidence and patient preferences were not associated with facility adherence. Personal adherence was not associated with perceptions of evidence, except among those healthcare workers who rated both clinical experts and patients as unsupportive of guidelines; these practitioners were less likely to adhere to recommended personal hygiene practices.</p></section><section xml:id="jan12336-sec-0006"><title type="main">Conclusion</title><p>Efforts to implement guidelines might be most effective when capitalizing on the influence of clinical experts. To better explain variability in guideline adherence, inclusion of a broader array of variables is recommended for future studies.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Associations between perceptions of evidence and adoption of H1N1 influenza infection prevention strategies among healthcare workers providing care to persons with spinal cord injury</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Associations between perceptions of evidence and adoption of H1N1 influenza infection prevention strategies among healthcare workers providing care to persons with spinal cord injury</title></titleInfo><name type="personal"><namePart type="given">Philip M.</namePart><namePart type="family">Ullrich</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Spinal Cord Injury Quality Enhancement Research Initiative (SCI QUERI) and VA Puget Sound Healthcare System, Washington, Seattle, USA</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Health Systems Specialist</description></name><name type="personal"><namePart type="given">Sherri L.</namePart><namePart type="family">Lavela</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Research Assistant Professor</description></name><name type="personal"><namePart type="given">Charlesnika T.</namePart><namePart type="family">Evans</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Research Assistant Professor</description></name><name type="personal"><namePart type="given">Scott</namePart><namePart type="family">Miskevics</namePart><namePart type="termsOfAddress">BS</namePart><affiliation>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Data Analyst</description></name><name type="personal"><namePart type="given">Frances M.</namePart><namePart type="family">Weaver</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines, USA</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Professor</description></name><name type="personal"><namePart type="given">Barry</namePart><namePart type="family">Goldstein</namePart><namePart type="termsOfAddress">MD PhD</namePart><affiliation>SCI QUERI and VA Puget Sound Healthcare System, Washington, Seattle, USA</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Professor</description></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-08</dateIssued><dateCreated encoding="w3cdtf">2013-11-29</dateCreated><dateValid encoding="w3cdtf">2013-11-16</dateValid><edition>Ullrich P.M., Lavela S.L., Evans C.T., Miskevics S., Weaver F.M. & Goldstein B. (2014) Associations between perceptions of evidence and adoption of H1N1 influenza infection prevention strategies among healthcare workers providing care to persons with spinal cord injury. Journal of Advanced Nursing 70(8), 1793–1800. doi: 10.1111/jan.12336</edition><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Aim: To examine associations between perceptions of evidence (research evidence, clinical expertise, patient preferences) and outcomes of a nationwide programme to implement H1N1 influenza prevention guidelines. Background: Healthcare workers do not consistently adhere to recommended infection control practices and this may be associated with their perceptions of evidence sources. Design: Cross‐sectional mailed survey. Method: A survey of healthcare workers was administered in August 2010 after implementation of H1N1 prevention guidelines. Outcomes of interest were ratings of adherence to H1N1 prevention guidelines. Findings: Respondents with complete data (N = 283) were included in analyses. Facility‐level adherence to guidelines was associated with opinions of clinical experts. Healthcare workers who rated clinical expertise as aligning with recommendations also rated their facilities as being more adherent to guidelines. Perceptions of research evidence and patient preferences were not associated with facility adherence. Personal adherence was not associated with perceptions of evidence, except among those healthcare workers who rated both clinical experts and patients as unsupportive of guidelines; these practitioners were less likely to adhere to recommended personal hygiene practices. Conclusion: Efforts to implement guidelines might be most effective when capitalizing on the influence of clinical experts. To better explain variability in guideline adherence, inclusion of a broader array of variables is recommended for future studies.</abstract><note type="funding">Department of Veterans Affairs</note><note type="funding">Veterans Health Administration, Health Services Research and Development Service</note><note type="funding">Spinal Cord Injury Quality Enhancement Initiative - No. RRP 10‐046; </note><subject><genre>keywords</genre><topic>adherence</topic><topic>evidence</topic><topic>guideline implementation</topic><topic>influenza prevention</topic><topic>promoting action on research implementation in health services</topic><topic>nursing</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Advanced Nursing</title></titleInfo><titleInfo type="abbreviated"><title>J Adv Nurs</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Research</topic><topic>RESEARCH PAPERS</topic><topic>Original Research</topic></subject><identifier type="ISSN">0309-2402</identifier><identifier type="eISSN">1365-2648</identifier><identifier type="DOI">10.1111/(ISSN)1365-2648</identifier><identifier type="PublisherID">JAN</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>70</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>1793</start><end>1800</end><total>8</total></extent></part></relatedItem><relatedItem type="references" displayLabel="jan12336-cit-0001"><titleInfo><title>The role of the champion in infection prevention: results from a multisite qualitative study</title></titleInfo><name type="personal"><namePart type="given">L.J.</namePart><namePart type="family">Damschroder</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.</namePart><namePart type="family">Banaszak‐Holl</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.P.</namePart><namePart type="family">Kowalski</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.</namePart><namePart type="family">Forman</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Saint</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.L.</namePart><namePart type="family">Krein</namePart><role><roleTerm type="text">author</roleTerm></role></name><genre>journal-article</genre><note type="citation/reference">Damschroder L.J., Banaszak‐Holl J., Kowalski C.P., Forman J., Saint S. & Krein S.L. 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